Justin Kearse, MD
Surgery of the Hand · West Palm Beach, FLNPI 1548321599
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 43 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 11 manufacturers reported payments, led by Stryker at 57.4% of the total. Reporting peaked in 2021 at $469 and has fallen 77.4% since, to $106 in 2025. That places this record below the midpoint for surgery of the hand clinicians in FL, where the typical reported total is $3,069.
Across 43 payments — averaging $35.53 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$877
- Endo Pharmaceuticals Inc.$245
- Endo USA, Inc.$87
- Electronic Waveform Lab, Inc.$70
- Orthofix Medical, Inc.$65
- Amgen$53
- plus $130 from 5 others
What the payments were for
- Food & beverage$1,528100%
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 | 17 | $877 |
| Endo Pharmaceuticals Inc. | 11 | $245 |
| Endo USA, Inc. | 3 | $87 |
| Electronic Waveform Lab, Inc. | 1 | $70 |
| Orthofix Medical, Inc. | 2 | $65 |
| Amgen | 3 | $53 |
| Encore Medical, LP | 1 | $48 |
| DJO, LLC | 2 | $40 |
| Avanos Medical | 1 | $18 |
| Dynasplint Systems Inc. | 1 | $13 |
| Sonex Health, Inc. | 1 | $11 |
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.
How this compares
$1,528 in reported general payments places this provider in the 30th percentile of 60 surgery of the hand 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 | 24 | $411 |
| Methylprednisolone | 45 | $307 |
| Meloxicam | 109 | $279 |
| Diclofenac Sodium | 20 | $261 |
| Tramadol Hcl | 89 | $161 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 18 | $153 |
| Naproxen | 14 | $94 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in West Palm Beach
- Thomas WrightGainesville$4.1M
- David ShenassaPlantation$109K
- Antonio GayosoSt Petersburg$65K
- Robert GrahamJacksonville Beach$62K
- David FriedmanWeston$42K
- Karan DesaiWinter Garden$39K
- Morad AskariCoral Gables$36K
- Jose BorreroAltamonte Springs$35K
- Francisco Schwartz-FernandesOcala$26K
- David HalpernTampa$19K
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.