Jonathan Needler, PA
Surgical · Destin, FLNPI 1912155490
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.5% of the total across 130 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 23 manufacturers reported payments, led by Inspire Medical Systems, Inc. at 41.7% of the total. 2025 is the largest year on record at $2,192, more than ten times the $125 reported in 2021. Among surgical clinicians in FL with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 130 payments — averaging $51.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$3K
- Aerin Medical Inc.$663
- AstraZeneca$604
- Medtronic$452
- Amgen$378
- Regeneron Healthcare Solutions, Inc.$277
- plus $2K from 17 others
What the payments were for
- Travel & lodging$1673%
- Food & beverage$6,51997%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Inspire Medical Systems, Inc. | 72 | $2,789 |
| Aerin Medical Inc. | 10 | $663 |
| AstraZeneca | 6 | $604 |
| Medtronic | 5 | $452 |
| Amgen | 2 | $378 |
| Regeneron Healthcare Solutions, Inc. | 8 | $277 |
| Sanofi | 7 | $243 |
| Avadel CNS Pharmaceuticals, LLC | 1 | $146 |
| Acclarent, Inc | 3 | $131 |
| Teva Pharmaceuticals USA, Inc. | 1 | $131 |
| Johnson & Johnson | 1 | $128 |
| Mannkind Corporation | 1 | $109 |
| Intersect ENT, Inc. | 2 | $104 |
| Stryker | 2 | $101 |
| Nevro Corp. | 1 | $97 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $76 |
| Scpharmaceuticals Inc. | 1 | $75 |
| Philips North America LLC | 1 | $70 |
| Cochlear Americas | 1 | $31 |
| Integra Lifesciences Corporation | 1 | $22 |
| Smith+Nephew | 1 | $21 |
| ARS Pharmaceuticals Operations, Inc. | 1 | $21 |
| Hikma Pharmaceuticals USA | 1 | $15 |
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.
- Inspire$1,169
- PROPEL$413
- VIVAER STYLUS$390
- RHINAER STYLUS$390
- KRYSTEXXA$378
- AIRSUPRA$233
- BREZTRI$232
- Inspire Upper Airway Stimulation System$167
- LUMRYZ$146
- AUSTEDO$131
- XARELTO$128
- AFREZZA$109
How this compares
$6,686 in reported general payments places this provider in the 95th percentile of 1,018 surgical 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 |
|---|---|---|
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 27 | $3,099 |
| Ipratropium Bromide | 105 | $2,691 |
| Famotidine | 153 | $1,578 |
| Azelastine Hcl | 43 | $1,147 |
| Fluocinolone Acetonide Oil | 29 | $1,138 |
| Fluticasone Propionate | 86 | $1,135 |
| Omeprazole | 119 | $1,075 |
| Clindamycin Hcl | 76 | $950 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 68 | $832 |
| Fluconazole | 64 | $543 |
| Methylprednisolone | 64 | $431 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 35 | $400 |
| Triamcinolone Acetonide | 16 | $306 |
| Montelukast Sodium | 44 | $277 |
| Ciprofloxacin Hcl | 14 | $181 |
Paid to pharmacies, not to this prescriber.
Other surgical in Destin
- Aaron SookhooBrandon$742K
- Jessica McCarrySt Petersburg$445K
- Harmony ChurchTallahassee$265K
- Pamela LiggettMiami$120K
- Stephanie CarrollPalm Beach Gardens$114K
- Christina NauglePalm Beach Gardens$96K
- Kathleen McMichaelClearwater$96K
- Michael SullivanSarasota$91K
- Dana ZeitlerNaples$73K
- William UlrichBoynton Beach$68K
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.