Michael Douso, MD
Urogynecology and Reconstructive Pelvic Surgery · Tallahassee, FLNPI 1053350199
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (49.2%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 14 manufacturers reported payments, led by Caldera Medical, Inc at 57.2% of the total. Reporting peaked in 2021 at $3,076 and has fallen 96.0% since, to $124 in 2025.
Across 69 payments — averaging $135.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Caldera Medical, Inc$5K
- Asensus Surgical, Inc.$2K
- Axonics, Inc.$746
- Boston Scientific$370
- Astellas Pharma US Inc$293
- Intuitive Surgical$227
- plus $388 from 8 others
Across 1 payment — averaging $551.25 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.
- Medtronic$551
What the payments were for
- Consulting fees$4,60049%
- Travel & lodging$1,69718%
- Food & beverage$2,61728%
- Education$2513%
- Gifts$1882%
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 |
|---|---|---|
| Caldera Medical, Inc | 12 | $5,350 |
| Asensus Surgical, Inc. | 13 | $1,978 |
| Axonics, Inc. | 18 | $746 |
| Boston Scientific | 6 | $370 |
| Astellas Pharma US Inc | 6 | $293 |
| Intuitive Surgical | 2 | $227 |
| Escala Medical Inc. | 1 | $168 |
| Sumitomo Pharma America, Inc. | 3 | $56 |
| Pfizer | 2 | $42 |
| LSI Solutions Inc | 1 | $35 |
| Coloplast | 1 | $32 |
| Urovant Sciences Inc | 2 | $28 |
| Medtronic | 1 | $14 |
| Laborie Medical Technologies Corp. | 1 | $13 |
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.
- Desara$5,067
- Senhance Surgical Robotics System$1,671
- Axonics$292
- Da Vinci Surgical System$188
- Bulkamid$149
- SOLYX$123
How this compares
$9,353 in reported general payments places this provider in the 70th percentile of 81 urogynecology and reconstructive pelvic surgery providers in Florida.
See all urogynecology and reconstructive pelvic 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 |
|---|---|---|
| GemtesaVibegron | 156 | $94,278 |
| MyrbetriqMirabegron | 104 | $79,023 |
| Estradiol | 349 | $24,961 |
| PremarinEstrogens, Conjugated | 56 | $23,088 |
| Solifenacin Succinate | 60 | $2,702 |
| YuvafemEstradiol | 12 | $2,414 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 56 | $2,299 |
| Trospium Chloride ErTrospium Chloride | 15 | $2,002 |
| Desmopressin AcetateDesmopressin (Nonrefrigerated) | 16 | $1,801 |
| ValacyclovirValacyclovir Hcl | 19 | $931 |
| Oxybutynin Chloride ErOxybutynin Chloride | 19 | $759 |
| Clobetasol Propionate | 24 | $692 |
| Ondansetron OdtOndansetron | 81 | $524 |
| Methenamine Hippurate | 17 | $429 |
| NitrofurantoinNitrofurantoin Macrocrystal | 14 | $388 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Sumitomo Pharma America, Inc.Gemtesa | $56 | $94,278156 claims |
| Astellas Pharma US IncMyrbetriq | $293 | $79,023104 claims |
| PfizerPremarin | $42 | $23,08856 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 70th percentile of 81 urogynecology and reconstructive pelvic surgery providers in Florida.
Other urogynecology and reconstructive pelvic surgery in Tallahassee
- Nathan KowOrlando$116K
- Amir ShariatiCoconut Creek$106K
- Charbel SalamonOrlando$100K
- Allison WymanTampa$69K
- Nicole SzellLargo$54K
- Jose Lazaro WeissOviedo$28K
- Paul PettitJacksonville$27K
- Arash RahiCoconut Creek$23K
- Moises VirellesWellington$21K
- Marja SprockRockledge$21K
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.