Julio Perez-Mustelier, DPM
Foot & Ankle Surgery · Fort Myers, FLNPI 1972095560
Payments from drug & device makers
Across 75 payments — averaging $288.30 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- DNE LLC$15K
- Arthrex$3K
- Stryker$1K
- Paragon 28, Inc.$657
- Smith+Nephew$497
- MVP Orthopedics Inc$304
- plus $782 from 16 others
Across 2 payments — averaging $16,275 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Skye Orthobiologics LLC$33K
What the payments were for
- Consulting fees$14,25066%
- Travel & lodging$1,1225%
- Food & beverage$2,95114%
- Education$3,30015%
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 |
|---|---|---|
| DNE LLC | 4 | $14,777 |
| Arthrex | 9 | $3,495 |
| Stryker | 23 | $1,110 |
| Paragon 28, Inc. | 3 | $657 |
| Smith+Nephew | 13 | $497 |
| MVP Orthopedics Inc | 4 | $304 |
| Acera Surgical, Inc. | 1 | $144 |
| Amgen | 1 | $113 |
| Pacira Pharmaceuticals Incorporated | 1 | $110 |
| Biotissue Holdings Inc. | 1 | $88 |
| Flower Orthopedics Coporation | 1 | $51 |
| Coastal Medical Technologies LLC | 2 | $48 |
| Medical Device Business Services, Inc. | 2 | $44 |
| Medtronic | 2 | $40 |
| Stability Biologics, LLC | 1 | $34 |
| Kerecis Limited | 1 | $30 |
| Bioventus LLC | 1 | $18 |
| Averitas Pharma Inc. | 1 | $18 |
| KCI USA, Inc. | 1 | $17 |
| Orthofix Medical, Inc. | 1 | $13 |
| Johnson & Johnson | 1 | $12 |
| Heron Therapeutics, Inc. | 1 | $3 |
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.
- SEAL$14,777
- Product Portfolio$581
- Restrata Wound Matrix$144
- VARIAX$143
- PROSTEP MICA$115
- VITOSS$115
- Viaflow$115
- KRYSTEXXA$113
- EXPAREL$110
How this compares
$21,623 in reported general payments places this provider in the 85th percentile of 850 foot & ankle 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 |
|---|---|---|
| Celecoxib | 30 | $663 |
| Methylprednisolone | 16 | $114 |
| Meloxicam | 41 | $104 |
| Gabapentin | 14 | $89 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Fort Myers
- Andrew BelisFort Myers$206K
- Chad SimmonsFort Myers$60K
- Thomas SangiovanniCoral Gables$2.1M
- Shayne JensenPanama City$1.3M
- Thomas RoukisOrlando$1.1M
- Craig BreslauerStuart$971K
- Bradley LammWest Palm Beach$938K
- Amber ShaneOrlando$830K
- Jonathan BlumKissimmee$814K
- Riquel GonzalezHialeah$612K
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.