Michael Silverstein, MD
Orthopaedic Surgery of the Spine · Lecanto, FLNPI 1013283019
Payments from drug & device makers
Across 117 payments — averaging $181.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$20K
- VB Spine LLC$631
- Centinel Spine, LLC$88
- Zimmer Biomet$77
- Si-bone, Inc.$59
- Team 1, LLC$36
- plus $23 from 1 others
What the payments were for
- Travel & lodging$2,82613%
- Food & beverage$5,26525%
- Education$13,13262%
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 |
|---|---|---|
| Stryker | 102 | $20,310 |
| VB Spine LLC | 6 | $631 |
| Centinel Spine, LLC | 1 | $88 |
| Zimmer Biomet | 4 | $77 |
| Si-bone, Inc. | 2 | $59 |
| Team 1, LLC | 1 | $36 |
| Novo Nordisk | 1 | $23 |
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.
- EVEREST SPINAL SYSTEM$12,054
- CASCADIA INTERBODY SYSTEM$1,978
- ES2 SPINAL SYSTEM$1,184
- BIO4$828
- TRITANIUM$676
- XIA$491
- CAPRI$430
- MONTEREY AL$407
- EVEREST$286
- OZARK CERVICAL PLATE SYSTEM$196
- AVIATOR$164
- DYNATRAN$154
- SERRATO$148
- VITOSS$145
- XIA 3$132
How this compares
$21,223 in reported general payments places this provider in the 50th percentile of 159 orthopaedic surgery of the spine providers in Florida.
See all orthopaedic surgery of the spine 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 |
|---|---|---|
| Celecoxib | 114 | $3,125 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 199 | $2,507 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 266 | $2,219 |
| Gabapentin | 173 | $2,099 |
| Methylprednisolone | 286 | $1,918 |
| Tramadol Hcl | 367 | $1,466 |
| Methocarbamol | 128 | $910 |
| Meloxicam | 186 | $739 |
| Tizanidine Hcl | 127 | $664 |
| Baclofen | 73 | $438 |
| Ondansetron OdtOndansetron | 40 | $405 |
| Cyclobenzaprine Hcl | 46 | $292 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 28 | $269 |
| Ibuprofen | 14 | $198 |
| Ciprofloxacin Hcl | 46 | $141 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Lecanto
- Harry ShufflebargerMiami$3.5M
- Paul KellerMelbourne$3.4M
- Thomas SweeneySarasota$2.3M
- Geoffrey CronenTampa$2.2M
- James BillysOdessa$1.9M
- Samuel JosephSafety Harbor$1.8M
- Mark DekutoskiDestin$1.8M
- Farhan SiddiqiOdessa$1.7M
- Thomas ErricoMiami$1.6M
- Constantine ToumbisCrystal River$1.6M
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.