Lee Gibstein
Plastic and Reconstructive Surgery · Bay Harbor Islands, FLNPI 1851489066
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $150,901 of the $215,930 with a category attached, or 69.9%. AbbVie accounts for 60.6% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2019 at $60,990 and has fallen 56.6% since, to $26,470 in 2025. Among plastic and reconstructive 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 532 payments — averaging $405.88 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$131K
- Galderma Laboratories, L.p.$79K
- Revance Therapeutics, Inc.$5K
- Integra Lifesciences Corporation$441
- Motiva USA, LLC$192
- Stryker$172
- plus $230 from 3 others
What the payments were for
- Consulting fees$30,30014%
- Speaking & faculty fees$150,90170%
- Travel & lodging$12,7186%
- Food & beverage$16,5518%
- Gifts$5,1352%
- Other$3260%
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 |
|---|---|---|
| AbbVie(2 entities) | 376 | $130,785 |
| Galderma Laboratories, L.p. | 74 | $78,855 |
| Revance Therapeutics, Inc. | 69 | $5,257 |
| Integra Lifesciences Corporation | 2 | $441 |
| Motiva USA, LLC | 2 | $192 |
| Stryker | 1 | $172 |
| Merz North America, Inc. | 3 | $91 |
| Sientra, Inc. | 2 | $71 |
| Mentor Worldwide LLC | 3 | $68 |
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.
- BOTOX COSMETIC$39,475
- BOTOX$15,991
- NATRELLE$5,135
- DAXXIFY$2,534
- NATRELLE SALINE-FILLED BREAST IMPLANTS$579
- DuraSorb Monofilament Mesh$326
- SPY-PHI SYSTEM$172
- Motiva Implant Matrix$160
- REVERSE SHOULDER$115
- TITAN-SHOULDER$115
How this compares
$215,930 in reported general payments places this provider in the 95th percentile of 235 plastic and reconstructive surgery providers in Florida.
See all plastic and reconstructive 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 |
|---|---|---|
| Tobramycin-DexamethasoneTobramycin/Dexamethasone | 19 | $792 |
| Cephalexin | 41 | $259 |
| Ondansetron OdtOndansetron | 42 | $230 |
| Zolpidem Tartrate | 45 | $117 |
| Tramadol Hcl | 38 | $110 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 12 | $74 |
Paid to pharmacies, not to this prescriber.
Other plastic and reconstructive surgery in Bay Harbor Islands
- Alan DurkinVero Beach$548K
- Edgar SosaVero Beach$504K
- Vaishali DoolabhJacksonville$306K
- Sai Ramakrishna Velamuri VenkataTampa$303K
- John MurrayJacksonville$188K
- Arthur DesrosiersMiami$156K
- Miguel MedinaMiami$80K
- Roger KhouriCoconut Grove$80K
- George KamelFort Lauderdale$54K
- David GlobermanHollywood$49K
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.