Joshua Langford, MD
Orthopaedic Surgery · Orlando, FLNPI 1386771350
Payments from drug & device makers
Across 357 payments — averaging $1140.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$346K
- Globus Medical$26K
- US Implant Solutions, LLC$12K
- Arthrex$11K
- Advanced Orthopaedic Solutions, Inc.$7K
- Smith+Nephew$4K
- plus $2K from 17 others
What the payments were for
- Royalty or licence$16,0554%
- Consulting fees$315,29577%
- Speaking & faculty fees$4,8501%
- Travel & lodging$59,13415%
- Food & beverage$11,4643%
- Education$5030%
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 | 249 | $345,720 |
| Globus Medical | 31 | $25,654 |
| US Implant Solutions, LLC | 12 | $11,697 |
| Arthrex | 11 | $10,576 |
| Advanced Orthopaedic Solutions, Inc. | 9 | $7,102 |
| Smith+Nephew | 4 | $4,059 |
| Zimmer Biomet | 21 | $1,413 |
| Osteocentric Technologies, Inc. | 1 | $173 |
| Next Science LLC | 2 | $163 |
| G21 SRL | 1 | $139 |
| Innovation Technologies Inc | 1 | $134 |
| ERMI LLC | 1 | $100 |
| Biocomposites Inc | 1 | $99 |
| Reel Surgical, Inc. | 1 | $51 |
| Integra Lifesciences Corporation | 2 | $48 |
| Endo Pharmaceuticals Inc. | 2 | $40 |
| Surgalign Spine Technologies, Inc. | 2 | $29 |
| Pacira Pharmaceuticals Incorporated | 1 | $21 |
| Johnson & Johnson | 1 | $19 |
| Acumed LLC | 1 | $19 |
| Ferring Pharmaceuticals Inc. | 1 | $15 |
| Theragen, Inc. | 1 | $14 |
| Molnlycke Health Care US, LLC | 1 | $14 |
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.
- T2$224,028
- GAMMA$139,058
- AXSOS$98,710
- HOFFMANN$67,128
- PRO$42,375
- VARIAX$31,768
- ADAPT$28,679
- Nitinail$21,625
- MAKO$16,000
- T2 ALPHA$15,513
- PRIME SERIES$13,500
- PANGEA$12,586
- EVOLVE PROLINE$8,526
- FIBULA NAIL SYSTEM$3,864
- EVOS$3,850
- TRIGEN$3,850
- TRIGEN InterTAN$3,850
- AOS PRODUCTS$3,239
- AUGMENT INJECTABLE$2,250
- ASNIS$2,138
How this compares
$407,300 in reported general payments places this provider in the 90th 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 53 | $268 |
| Methocarbamol | 25 | $162 |
| Ibuprofen | 11 | $80 |
| Meloxicam | 23 | $57 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Orlando
- George HaidukewychOrlando$10M
- Sean McFaddenOrlando$4.1M
- Andrew CooperClearwater$102M
- Richard HynesMelbourne$35M
- Mark FrankleTemple Terrace$31.4M
- David WatsonTemple Terrace$21M
- Roy SandersTemple Terrace$19.6M
- Martin RocheFt. Lauderdale$7.3M
- Robert SantrockFernandina Beach$7.3M
- Steven LyonsTampa$6.8M
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.