Justin Zumsteg, MD
Hand Surgery · Orlando, FLNPI 1528385473
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $87,695 of the $133,085 with a category attached, or 65.9%. Axogen accounts for 88.6% of it on its own, with 28 other manufacturers making up the rest. 2025 is the largest year on record at $32,039, 2.4 times the $13,527 reported in 2019. Among hand surgery 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 236 payments — averaging $563.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Axogen$118K
- Arthrex$5K
- Reel Surgical, Inc.$3K
- Trimed, Inc.$3K
- Skeletal Dynamics Inc$1K
- Integra Lifesciences Corporation$1K
- plus $3K from 23 others
What the payments were for
- Consulting fees$14,12511%
- Speaking & faculty fees$87,69566%
- Travel & lodging$11,9519%
- Food & beverage$14,14511%
- Education$5,1704%
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 |
|---|---|---|
| Axogen | 111 | $117,855 |
| Arthrex | 19 | $4,870 |
| Reel Surgical, Inc. | 11 | $2,852 |
| Trimed, Inc. | 11 | $2,595 |
| Skeletal Dynamics Inc | 5 | $1,167 |
| Integra Lifesciences Corporation | 19 | $1,032 |
| Stryker | 11 | $851 |
| Endo Pharmaceuticals Inc. | 14 | $353 |
| Acumed LLC | 4 | $199 |
| Checkpoint Surgical, Inc | 3 | $168 |
| Zimmer Biomet | 3 | $146 |
| Bone Support Inc. | 1 | $133 |
| Medartis Inc. | 1 | $132 |
| Renerve Ltd | 1 | $107 |
| Biocomposites Inc | 1 | $99 |
| Smith+Nephew | 4 | $98 |
| Linvatec Corporation | 1 | $65 |
| Endo USA, Inc. | 3 | $61 |
| Johnson & Johnson | 2 | $58 |
| US Implant Solutions, LLC | 2 | $51 |
| Polynovo North America LLC | 1 | $43 |
| Innovation Technologies Inc | 1 | $43 |
| Kerecis Limited | 1 | $23 |
| Bioventus LLC | 1 | $16 |
| ERMI LLC | 1 | $16 |
| Orthofix Medical, Inc. | 1 | $14 |
| Sonex Health, Inc. | 1 | $13 |
| Dynasplint Systems Inc. | 1 | $12 |
| Heron Therapeutics, Inc. | 1 | $12 |
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.
- AVANCE NERVE GRAFT$75,627
- AxoGuard Nerve Protector$55,562
- AxoGuard Nerve Connector$55,562
- AXOGUARD$54,876
- AXOGUARD HA+ NERVE PROTECTOR$42,788
- AxoGuard Nerve Cap$42,788
- Tools - WFS$1,500
- Geminus$1,157
- Align$1,157
- IJS$1,157
- Implate$1,157
- INTEGRA$484
- BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$261
- KETAC$164
- INTEGRA DERMAL REGENERATION TEMPLATE$161
- PRIMATRIX$161
- VARIAX$157
- CERAMENTBONE VOID FILLER$133
- APTUS$132
- Checkpoint Stimulators$118
How this compares
$133,085 in reported general payments places this provider in the 95th percentile of 173 hand 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 63 | $247 |
| Meloxicam | 53 | $82 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Orlando
- Brett LewellynOrlando$41K
- Bryan BrownOrlando$27K
- Amir KachooeiOrlando$19K
- Cody HillinOrlando$6K
- Jorge Orbay-CerratoMiami$12.5M
- Peter EvansStuart$525K
- Nirav GuptaOcala$491K
- Francisco RubioMiami$345K
- Maria-Carolina Orbay AranMiami$108K
- Paul PatersonVero Beach$104K
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.