Jose Toro, MD
Orthopaedic Trauma · Middletown, NYNPI 1154425791
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,972 of the $3,865 with a category attached, or 76.9%. 8 manufacturers reported payments, led by Stryker at 55.5% of the total. Reporting peaked in 2020 at $949 and has fallen 77.4% since, to $215 in 2025. That places this record below the midpoint for orthopaedic trauma clinicians in NY, where the typical reported total is $6,990.
Across 46 payments — averaging $84.02 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$2K
- Johnson & Johnson$869
- Illuminoss Medical, Inc.$272
- Medical Device Business Services, Inc.$233
- Zimmer Biomet$134
- Si-bone, Inc.$111
- plus $99 from 2 others
What the payments were for
- Travel & lodging$89323%
- Food & beverage$2,97277%
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 |
|---|---|---|
| Stryker | 22 | $2,147 |
| Johnson & Johnson(2 entities) | 14 | $869 |
| Illuminoss Medical, Inc. | 2 | $272 |
| Medical Device Business Services, Inc. | 3 | $233 |
| Zimmer Biomet | 1 | $134 |
| Si-bone, Inc. | 1 | $111 |
| Bioventus LLC | 2 | $68 |
| Seapearl East, Inc | 1 | $31 |
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$887
- ADAPT$316
- VARIAX$248
- NA$223
- HOFFMANN$175
- Photodynamic Bone Stabilization Procedure Pack$172
- TAPESTRY$134
- VA-LCP$116
- TFN ADVANCED$113
- iFuse Implant$111
- T2$108
- ALLOWRAP$108
- FIBERGRAFT Aeridyan Matrix$108
How this compares
$3,865 in reported general payments places this provider in the 35th percentile of 44 orthopaedic trauma providers in New York.
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 |
|---|---|---|
| Gabapentin | 28 | $184 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 20 | $142 |
| Meloxicam | 20 | $87 |
| Tramadol Hcl | 14 | $32 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic trauma in Middletown
- Adam GitlinMiddletown$10K
- David HelfetNew York$265K
- Philipp LeuchtNew York$260K
- Matthew SullivanEast Syracuse$63K
- Conor GarryNew York$63K
- Chima NwankwoBrooklyn$52K
- Brian PageNew York$43K
- Emil AzerEast Syracuse$42K
- Kathryn BarthNew York$38K
- Justin VaidaRochester$35K
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.