Karl Toussaint, DO
Orthopaedic Trauma · Kissimmee, FLNPI 1033644133
Payments from drug & device makers
What this record shows
7 manufacturers reported payments, led by Rock Medical Orthopedics, Inc. at 52.5% of the total. Reporting peaked in 2022 at $1,427 and has fallen 50.2% since, to $711 in 2025. That places this record below the midpoint for orthopaedic trauma clinicians in FL, where the typical reported total is $12,956.
Across 16 payments — averaging $147.47 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Rock Medical Orthopedics, Inc.$1K
- Arthrex$356
- Stryker$333
- Johnson & Johnson$226
- Davol Inc.$145
- Smith+Nephew$43
- plus $18 from 1 others
What the payments were for
- Food & beverage$1,16049%
- Education$1,20051%
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 |
|---|---|---|
| Rock Medical Orthopedics, Inc. | 2 | $1,240 |
| Arthrex | 2 | $356 |
| Stryker | 4 | $333 |
| Johnson & Johnson | 5 | $226 |
| Davol Inc. | 1 | $145 |
| Smith+Nephew | 1 | $43 |
| Integra Lifesciences Corporation | 1 | $18 |
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.
- PANGEA$207
- ARISTA AH FLEXITIP$145
- VA-LCP$100
How this compares
$2,360 in reported general payments places this provider in the 15th percentile of 65 orthopaedic trauma 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.
Other orthopaedic trauma in Kissimmee
- Thomas MezzanotteKissimmee$1K
- J Dean ColeOrlando$4.2M
- Vuong NguyenOrlando$1.4M
- Edward PerezFt Lauderdale$981K
- Hassan MirTemple Terrace$877K
- Daniel SeginaMelbourne$330K
- Kenneth KovalOrlando$321K
- Mohamed ShaathOrlando$303K
- Daniel DziadoszSt Petersburg$262K
- Frank AviluceaOrlando$191K
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.