Kenneth Sands, MD
Orthopaedic Surgery · Melbourne, FLNPI 1669449575
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $259,975 of the $407,284 with a category attached, or 63.8%. Encore Medical, LP accounts for 87.0% of it on its own, with 15 other manufacturers making up the rest. Reporting peaked in 2019 at $109,187 and has fallen 66.4% since, to $36,725 in 2025. 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 249 payments — averaging $1635.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Encore Medical, LP$354K
- Maxx Orthopedics, Inc.$29K
- Medacta USA, Inc.$12K
- Smith+Nephew$6K
- Arthrex$4K
- Reel Surgical, Inc.$1K
- plus $792 from 10 others
What the payments were for
- Royalty or licence$109,72027%
- Consulting fees$259,97564%
- Speaking & faculty fees$7,5002%
- Travel & lodging$22,6046%
- Food & beverage$4,3211%
- Education$3,1641%
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 |
|---|---|---|
| Encore Medical, LP | 163 | $354,159 |
| Maxx Orthopedics, Inc. | 15 | $28,946 |
| Medacta USA, Inc. | 34 | $12,067 |
| Smith+Nephew | 4 | $5,588 |
| Arthrex | 10 | $4,439 |
| Reel Surgical, Inc. | 3 | $1,293 |
| Pacira Pharmaceuticals Incorporated | 6 | $208 |
| Paratek Pharmaceuticals, Inc. | 1 | $125 |
| Stryker | 1 | $117 |
| ERMI LLC | 3 | $116 |
| Think Surgical, Inc. | 1 | $92 |
| Embody, Inc. | 2 | $54 |
| Theragen, Inc. | 2 | $35 |
| Pacira Therapeutics, Inc. | 2 | $27 |
| Nextstep Arthropedix, LLC | 1 | $14 |
| Heron Therapeutics, Inc. | 1 | $4 |
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.
- DJO SURGICAL$323,136
- DJO Surgical Empowr Knee System$104,790
- DJO Surgical TaperFill Hip System$98,575
- DJO Surgical FMP Acetabular System$38,700
- DJO Surgical Exprt Revision Knee$33,900
- Freedom Total Knee System$22,250
- AMIStem H Femoral Stems$7,391
- DJO Surgical 3DKnee System$5,387
- DJO Surgical Cobalt HV Bone Cement$4,800
- GMK Sphere Revision System$1,632
- AMISTEM$1,538
- Journey II XR$1,375
- GMK SPHERE$829
- DJO Surgical AltiVate Anatomic System$261
- DJO Surgical Exprt Revision Hip$190
- DJO Surgical Linear Hip System$149
- NUZYRA$125
- EXPAREL$121
- PANGEA$117
How this compares
$407,284 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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 28 | $535 |
| Tamsulosin Hcl | 92 | $98 |
| Amoxicillin | 34 | $62 |
| Meloxicam | 27 | $62 |
| Tramadol Hcl | 20 | $47 |
| Ciprofloxacin Hcl | 16 | $44 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Melbourne
- Richard HynesMelbourne$34.8M
- Andrew CooperClearwater$102M
- Mark FrankleTemple Terrace$31M
- Roy SandersTemple Terrace$19.6M
- George HaidukewychOrlando$10M
- Robert SantrockFernandina Beach$7.3M
- Martin RocheFt. Lauderdale$7.1M
- Steven LyonsTampa$6.7M
- Thomas BernasekTemple Terrace$6.4M
- Bryan SpringerJacksonville$6.3M
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.