Patrick Leach, MD
Orthopaedic Trauma · Fort Myers, FLNPI 1346359627
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,233 of the $5,273 with a category attached, or 61.3%. Stryker accounts for 91.3% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2023 at $2,419 and has fallen 61.1% since, to $940 in 2025. That places this record below the midpoint for orthopaedic trauma clinicians in FL, where the typical reported total is $12,956.
Across 57 payments — averaging $92.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$5K
- Integra Lifesciences Corporation$167
- Baxter Healthcare$85
- Organogenesis Inc.$84
- Johnson & Johnson$78
- Vericel Corporation$25
- plus $18 from 1 others
What the payments were for
- Travel & lodging$1,95637%
- Food & beverage$3,23361%
- Other$852%
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 |
|---|---|---|
| Stryker | 48 | $4,817 |
| Integra Lifesciences Corporation | 1 | $167 |
| Baxter Healthcare | 1 | $85 |
| Organogenesis Inc. | 4 | $84 |
| Johnson & Johnson | 1 | $78 |
| Vericel Corporation | 1 | $25 |
| Bioventus LLC | 1 | $18 |
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
$5,273 in reported general payments places this provider in the 30th percentile of 65 orthopaedic trauma 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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 46 | $531 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 55 | $499 |
| Oxycodone Hcl | 21 | $102 |
| Tramadol Hcl | 31 | $97 |
| Ibuprofen | 13 | $59 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic trauma in Fort Myers
- J Dean ColeOrlando$4.2M
- Vuong NguyenOrlando$1.4M
- Edward PerezFt Lauderdale$981K
- Hassan MirTemple Terrace$877K
- Daniel SeginaMelbourne$330K
- Kenneth KovalOrlando$321K
- Mohamed ShaathOrlando$303K
- Daniel DziadoszSt Petersburg$262K
- Frank AviluceaOrlando$191K
- Christiaan MamczakSt Petersburg$182K
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.