James Guerra, MD
Orthopaedic Surgery · Naples, FLNPI 1437114592
Payments from drug & device makers
Across 459 payments — averaging $5871.28 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$2.7M
- Zimmer Biomet$114
- Smith+Nephew$62
- Baxter Healthcare$40
- Vertex$37
- Heraeus Medical, LLC.$23
- plus $69 from 4 others
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Arthrex | 446 | $2,694,572 |
| Zimmer Biomet | 1 | $114 |
| Smith+Nephew | 2 | $62 |
| Baxter Healthcare | 3 | $40 |
| Vertex | 1 | $37 |
| Heraeus Medical, LLC. | 2 | $23 |
| Vericel Corporation | 1 | $21 |
| Pacira Pharmaceuticals Incorporated | 1 | $18 |
| Pacira Therapeutics, Inc. | 1 | $16 |
| Acacia Pharma Inc | 1 | $14 |
How this compares
$2,694,917 in reported general payments places this provider in the 95th percentile of 1,263 orthopaedic surgery providers in Florida.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Other orthopaedic surgery in Naples
- Steven GoldbergNaples$3.2M
- Jon DounchisNaples$641K
- Andrew CooperClearwater$102M
- Richard HynesMelbourne$35M
- Mark FrankleTemple Terrace$31.4M
- David WatsonTemple Terrace$21M
- Roy SandersTemple Terrace$19.6M
- George HaidukewychOrlando$10M
- Martin RocheFt. Lauderdale$7.3M
- Robert SantrockFernandina Beach$7.3M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.