Jeffrey Keen, MD
Adult Reconstructive Orthopaedic Surgery · Palm Coast, FLNPI 1710048780
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (38.1%), travel and lodging and education — rather than concentrated in one kind of arrangement. 25 manufacturers reported payments, led by Team 1, LLC at 51.1% of the total. Reporting peaked in 2021 at $2,871 and has fallen 73.2% since, to $770 in 2025. That places this record below the midpoint for adult reconstructive orthopaedic surgery clinicians in FL, where the typical reported total is $11,822.
Across 106 payments — averaging $94.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Team 1, LLC$5K
- Johnson & Johnson$1K
- Stryker$1K
- Zimmer Biomet$642
- Arthrex$510
- Pacira Therapeutics, Inc.$167
- plus $787 from 19 others
What the payments were for
- Travel & lodging$3,81638%
- Food & beverage$3,82338%
- Education$2,40024%
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 |
|---|---|---|
| Team 1, LLC | 5 | $5,127 |
| Johnson & Johnson | 20 | $1,463 |
| Stryker(2 entities) | 23 | $1,343 |
| Zimmer Biomet | 10 | $642 |
| Arthrex | 9 | $510 |
| Pacira Therapeutics, Inc. | 8 | $167 |
| Smith+Nephew | 5 | $113 |
| Dynasplint Systems Inc. | 1 | $78 |
| Medical Device Business Services, Inc. | 4 | $72 |
| Abbott | 1 | $68 |
| EBI, LLC | 1 | $62 |
| Highridge Medical LLC | 1 | $62 |
| Pacira Pharmaceuticals Incorporated | 3 | $60 |
| Vericel Corporation | 3 | $49 |
| Linvatec Corporation | 1 | $27 |
| KCI USA, Inc. | 1 | $27 |
| Heron Therapeutics, Inc. | 1 | $24 |
| Heraeus Medical, LLC. | 2 | $23 |
| Endo USA, Inc. | 1 | $21 |
| Solventum Corporation | 1 | $20 |
| Bioventus LLC | 1 | $20 |
| Endo Pharmaceuticals Inc. | 1 | $16 |
| Innovation Technologies Inc | 1 | $15 |
| Avanos Medical | 1 | $14 |
| Kowa Pharmaceuticals America, Inc. | 1 | $13 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- MAKO$639
- ROSA$416
- TRIATHLON$153
- BLUEPRINT PSI SYSTEM$105
How this compares
$10,039 in reported general payments places this provider in the 45th percentile of 96 adult reconstructive orthopaedic surgery providers in Florida.
See all adult reconstructive 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Meloxicam | 83 | $453 |
| Amoxicillin | 157 | $263 |
| Celecoxib | 13 | $242 |
| Oxycodone Hcl | 25 | $206 |
| Tramadol Hcl | 41 | $179 |
| Cephalexin | 11 | $34 |
| Clindamycin Hcl | 14 | $11 |
Paid to pharmacies, not to this prescriber.
Other adult reconstructive orthopaedic surgery in Palm Coast
- Carlos LaverniaMiami$5.4M
- Juan SuarezMiami$3.9M
- John RedmondJacksonville$987K
- Gavan DuffyJacksonville$543K
- Timothy van de LeurSummerfield$511K
- Edward StolarskiSarasota$445K
- Andrew NoblePalm Beach Gardens$308K
- Raul GostheMiami$252K
- Chancellor GrayGainesville$228K
- David BacksteinNaples$199K
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.