RxDoctor Payments Data

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.

$9,353in general payments, 2019–2025

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
$551in research payments, 2019–2025

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

19
20
21
22
23
24
25

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.

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.

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

Part B allowed, 2024
$64,012
Medicare patients
157
Services billed
446

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

DrugClaimsCost to plans & patients
GemtesaVibegron156$94,278
MyrbetriqMirabegron104$79,023
Estradiol349$24,961
PremarinEstrogens, Conjugated56$23,088
Solifenacin Succinate60$2,702
YuvafemEstradiol12$2,414
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst56$2,299
Trospium Chloride ErTrospium Chloride15$2,002
Desmopressin AcetateDesmopressin (Nonrefrigerated)16$1,801
ValacyclovirValacyclovir Hcl19$931
Oxybutynin Chloride ErOxybutynin Chloride19$759
Clobetasol Propionate24$692
Ondansetron OdtOndansetron81$524
Methenamine Hippurate17$429
NitrofurantoinNitrofurantoin Macrocrystal14$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.

CompanyPaid to this providerPart 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

See the full list for Florida

Where these figures come from

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