Patrick Joyner
Orthopaedic Surgery · Naples, FLNPI 1124285853
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $139,444 of the $156,602 with a category attached, or 89.0%. Medical Device Business Services, Inc. accounts for 74.7% of it on its own, with 13 other manufacturers making up the rest. Reporting peaked in 2022 at $37,750 and has fallen 61.1% since, to $14,702 in 2025. Among orthopaedic surgery clinicians in FL with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 150 payments — averaging $1044.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$117K
- Surgalign Spine Technologies, Inc.$16K
- RTI Surgical, Inc$14K
- Synthes GmbH$3K
- Parcus Medical, LLC$3K
- Spinefrontier, Inc.$3K
- plus $2K from 8 others
What the payments were for
- Consulting fees$139,44489%
- Speaking & faculty fees$4,5003%
- Travel & lodging$9,0946%
- Food & beverage$3,5632%
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 |
|---|---|---|
| Medical Device Business Services, Inc. | 108 | $116,947 |
| Surgalign Spine Technologies, Inc. | 5 | $15,569 |
| RTI Surgical, Inc | 2 | $14,300 |
| Synthes GmbH | 2 | $2,878 |
| Parcus Medical, LLC | 1 | $2,700 |
| Spinefrontier, Inc. | 1 | $2,500 |
| Johnson & Johnson | 10 | $881 |
| DJO, LLC | 8 | $281 |
| Stryker | 2 | $273 |
| Arthrex | 3 | $108 |
| Smith+Nephew | 4 | $79 |
| Pacira Therapeutics, Inc. | 2 | $51 |
| Curonix LLC | 1 | $20 |
| Avanos Medical | 1 | $14 |
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.
- HEALIX KNOTLESS PEEK$40,934
- FMS$36,865
- HEALIX$24,853
- ALLOGRAFT$14,300
- Fresh-stored OC$9,075
- BIOCLEANSE PERONEUS TENDON$6,325
- TRUESPAN ORTHOCORD$5,303
- Knotless PEEK CF Push-In Suture Anchor$2,700
- NanoFuse$2,500
- NA$1,634
- MILAGRO$845
- Gryphon Orthocord$845
- GRYPHON$410
- RIGIDLOOP$310
- DYNACORD$257
- REUNION$176
- BIOCLEANSE TIBIALIS TENDON$152
- INTRAFIX$101
How this compares
$156,602 in reported general payments places this provider in the 90th percentile of 1,263 orthopaedic 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 67 | $742 |
| Gabapentin | 81 | $456 |
| Meloxicam | 26 | $265 |
| Promethazine Hcl | 38 | $168 |
| Doxycycline Hyclate | 14 | $116 |
| Prednisone | 49 | $86 |
| Amoxicillin | 24 | $49 |
| Tramadol Hcl | 11 | $46 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Naples
- James GuerraNaples$2.7M
- Jon DounchisNaples$621K
- Herbert BertramNaples$349K
- Andrew CooperClearwater$102M
- Richard HynesMelbourne$34.8M
- Mark FrankleTemple Terrace$31M
- Roy SandersTemple Terrace$19.6M
- George HaidukewychOrlando$10M
- Robert SantrockFernandina Beach$7.3M
- Martin RocheFt. Lauderdale$7.1M
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.