Kenneth Gustke, MD
Orthopaedic Surgery · Temple Terrace, FLNPI 1144225855
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $4,954,191 of the $5,222,758 with a category attached, or 94.9%. Stryker accounts for 99.4% of it on its own, with 15 other manufacturers making up the rest. Among orthopaedic 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 222 payments — averaging $23,526 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$5.2M
- Orthosensor Inc.$26K
- Zimmer Biomet$1K
- Total Joint Orthopedics, Inc.$312
- Innovation Technologies Inc$269
- Solventum Corporation$255
- plus $926 from 10 others
Across 18 payments — averaging $1712.28 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.
- Zimmer Biomet$31K
What the payments were for
- Royalty or licence$4,954,19195%
- Consulting fees$253,9755%
- Travel & lodging$10,1980%
- Food & beverage$4,3950%
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 | 181 | $5,193,521 |
| Orthosensor Inc. | 6 | $26,332 |
| Zimmer Biomet | 14 | $1,143 |
| Total Joint Orthopedics, Inc. | 3 | $312 |
| Innovation Technologies Inc | 2 | $269 |
| Solventum Corporation | 4 | $255 |
| Next Science LLC | 2 | $234 |
| Sanara Medtech Inc. | 1 | $181 |
| Biocomposites Inc | 2 | $174 |
| Linkbio Corp | 1 | $137 |
| Illuminoss Medical, Inc. | 1 | $102 |
| Baxter Healthcare | 1 | $25 |
| Pacira Pharmaceuticals Incorporated | 1 | $24 |
| Smith+Nephew | 1 | $21 |
| Pacira Therapeutics, Inc. | 1 | $18 |
| Fidia Pharma USA 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.
- MAKO$5,157,698
- TRIATHLON$46,974
- Verasense$30,082
- NEW PRODUCT DEVELOPMENT$1,085
- PERFORMANCE SOLUTIONS$563
- Irrisept$269
- ROSA$263
- SurgX$234
- Xperience$234
- BlastX$234
- CellerateRx$181
- TRITANIUM$166
- Persona$149
- mymobility Platform$128
- Stimulan$115
- G7$107
- Photodynamic Bone Stabilization Procedure Pack$102
How this compares
$5,222,758 in reported general payments places this provider in the 95th 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 |
|---|---|---|
| Amoxicillin | 69 | $95 |
| Meloxicam | 27 | $70 |
| Clindamycin Hcl | 11 | $21 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Temple Terrace
- Mark FrankleTemple Terrace$31M
- Roy SandersTemple Terrace$19.6M
- Thomas BernasekTemple Terrace$6.4M
- Mark MighellTemple Terrace$4.3M
- Michael GarciaTemple Terrace$1.1M
- Christopher BakerTemple Terrace$575K
- John SmallTemple Terrace$467K
- Brian PalumboTemple Terrace$414K
- Andrew CooperClearwater$102M
- Richard HynesMelbourne$34.8M
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.