Orlando Puente, MD
General Surgery · Miami, FLNPI 1811976459
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 17 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 6 manufacturers reported payments, led by Catheter Precision, Inc. FKA Ra Medical Systems, Inc. at 30.3% of the total. Reporting peaked in 2019 at $370 and has fallen 66.5% since, to $124 in 2025.
Across 17 payments — averaging $71.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Catheter Precision, Inc. FKA Ra Medical Systems, Inc.$370
- Surmodics, Inc.$361
- Bard Peripheral Vascular, Inc.$153
- Artivion, Inc.$124
- Medtronic$111
- Silk Road Medical, Inc.$102
Across 522 payments — averaging $23,747 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.
- Pfizer$8.4M
- Eli Lilly$2.4M
- Modernatx, Inc.$946K
- Eisai Inc.$287K
- Novartis$189K
- E.r. Squibb & Sons, L.L.C.$122K
- plus $142K from 3 others
What the payments were for
- Food & beverage$1,221100%
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 |
|---|---|---|
| Catheter Precision, Inc. FKA Ra Medical Systems, Inc. | 5 | $370 |
| Surmodics, Inc. | 7 | $361 |
| Bard Peripheral Vascular, Inc. | 2 | $153 |
| Artivion, Inc. | 1 | $124 |
| Medtronic | 1 | $111 |
| Silk Road Medical, Inc. | 1 | $102 |
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.
- DABRA$330
- BIOGLUE SURGICAL ADHESIVE$124
- VASCULAR$124
- Cobalt$111
- Sublime 014 Rx PTA Balloon Dilatation Catheter$106
- Sublime Radial Access 018 RX PTA Dilatation Catheter$106
- Sublime Radial Access Guide Sheath$106
- Pounce Thrombectomy System$106
- Pounce Venous Thrombectomy System$106
- ENROUTE Transcarotid Stent$102
- ENROUTE Transcarotid Neuroprotection System$102
How this compares
$1,221 in reported general payments places this provider in the 85th percentile of 54 general 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 |
|---|---|---|
| Meloxicam | 11 | $18 |
Paid to pharmacies, not to this prescriber.
Other general surgery in Miami
- Mauricio HernandezMiami$20K
- Pete GarciaMiami$514
- Jorge de la PortillaMiami$473
- Josefina FarraMiami$0
- Antonio MarttosMiami$0
- Mark BuzzelliMiami$0
- Edward LineenMiami$0
- Liran BardaMiami$0
- John LewMiami$0
- Matthew DeeterMiami$0
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.