Laura Tunke, MD
Pain Medicine · Gulf Breeze, FLNPI 1588981849
Payments from drug & device makers
Across 4 payments — averaging $70.02 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Si-bone, Inc.$96
- Boston Scientific$92
- Medtronic$80
- Biodelivery Sciences International, Inc.$13
What the payments were for
- Food & beverage$280100%
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 |
|---|---|---|
| Si-bone, Inc. | 1 | $96 |
| Boston Scientific | 1 | $92 |
| Medtronic | 1 | $80 |
| Biodelivery Sciences International, Inc. | 1 | $13 |
How this compares
$280 in reported general payments places this provider in the 20th percentile of 596 pain medicine 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 | 3,397 | $103,928 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 2,426 | $92,597 |
| Xtampza ErOxycodone Myristate | 43 | $52,753 |
| OxycontinOxycodone Hcl | 64 | $41,048 |
| Gabapentin | 937 | $22,828 |
| MovantikNaloxegol Oxalate | 42 | $18,091 |
| Oxycodone Hcl | 986 | $17,918 |
| Lidocaine | 133 | $16,985 |
| Pregabalin | 471 | $12,906 |
| Naloxone Hcl | 195 | $12,643 |
| Buprenorphine | 60 | $12,453 |
| Tizanidine Hcl | 652 | $9,543 |
| Fentanyl | 64 | $7,693 |
| Cyclobenzaprine Hcl | 457 | $7,477 |
| Methocarbamol | 390 | $6,883 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Gulf Breeze
- Anand PatelOrmond Beach$20.4M
- Julio PaezClermont$2.3M
- Joseph PergolizziNaples$2.1M
- Abel MurilloMiami$1.6M
- George MonluxPalm Coast$1.3M
- Ferdinand FormosoJacksonville$1M
- Cesar LassalleOrlando$1M
- Robert GuirguisTampa$895K
- Ashraf HannaClearwater$608K
- Peter MichaelCoral Gables$496K
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.