RxDoctor Payments Data

Patrick Fessler, DO

Orthopaedic Surgery · Fort Myers, FLNPI 1205249919

Payments from drug & device makers

$7,468in general payments, 2019–2025

Across 80 payments — averaging $93.35 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Stryker$2K
  • Arthrex$2K
  • Zimmer Biomet$2K
  • Medical Device Business Services, Inc.$178
  • Johnson & Johnson$78
  • UOC USA Inc$73
  • plus $169 from 5 others

What the payments were for

  • Travel & lodging$73210%
  • Food & beverage$4,40559%
  • Education$2,33131%

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

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

$7,468 in reported general payments places this provider in the 50th percentile of 1,263 orthopaedic surgery providers in Florida.

See all orthopaedic surgery providers in Florida

Medicare billing

Part B allowed, 2024
$199,375
Medicare patients
473
Services billed
2,592

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
Diclofenac Sodium667$53,154
Celecoxib292$8,678
XareltoRivaroxaban12$7,415
Naproxen249$2,533
Meloxicam371$1,955
Cefadroxil111$1,327
Oxycodone Hcl214$1,215
Gabapentin149$1,191
Vitamin D2Ergocalciferol (Vitamin D2)66$436
Amoxicillin120$307
Methylprednisolone41$269
Ibuprofen15$190
Doxycycline Hyclate14$158
Clindamycin Hcl13$143
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen12$137

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
Johnson & JohnsonXarelto$78$7,41512 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 50th percentile of 1,263 orthopaedic surgery providers in Florida.

Other orthopaedic surgery in Fort Myers

See the full list for Florida

Where these figures come from

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