Paul Keller, MD
Orthopaedic Surgery of the Spine · Melbourne, FLNPI 1689677817
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $3,339,973 of the $3,448,802 with a category attached, or 96.8%. Orthofix Medical, Inc. accounts for 98.5% of it on its own, with 5 other manufacturers making up the rest. Among orthopaedic surgery of the spine clinicians in FL with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 142 payments — averaging $24,287 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Orthofix Medical, Inc.$3.4M
- Seaspine Orthopedics Corporation$28K
- Curiteva, Inc.$22K
- Zavation Medical Products, LLC$85
- Smith+Nephew$18
- Organogenesis Inc.$17
What the payments were for
- Royalty or licence$3,339,97397%
- Consulting fees$91,7283%
- Travel & lodging$13,7510%
- Food & beverage$3,3500%
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 |
|---|---|---|
| Orthofix Medical, Inc. | 102 | $3,398,653 |
| Seaspine Orthopedics Corporation | 32 | $28,347 |
| Curiteva, Inc. | 5 | $21,682 |
| Zavation Medical Products, LLC | 1 | $85 |
| Smith+Nephew | 1 | $18 |
| Organogenesis Inc. | 1 | $17 |
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.
- Firebird$1,906,631
- Firebird NXG Spinal Fixation System$989,135
- Thoracolumbosacral Pedicle Screw System$544,820
- Spinal Fixation System (SFS)$544,820
- PHOENIX Minimally Invasive Spinal Fixation System$544,820
- JANUS Midline Fixation Screw$544,820
- Firebird Spinal Fixation System$444,315
- Firebird Deformity Correction System$444,315
- Physio-Stim$421,020
- 3 DEGREE$3,571
- 3-Degrees Anterior Cervical Plating (ACP) System$2,540
- MISCELLANEOUS$1,937
- Mariner$1,512
- Shoreline$337
- NanoMetalene Technology$223
- FORZA PEEK Spacer System$106
- SKYHAWK Lateral Interbody Fusion System$106
- PILLAR SA PTC Spacer System$106
- PILLAR SA PEEK Spacer System$106
- PILLAR PL and TL PEEK Spacer System$106
How this compares
$3,448,802 in reported general payments places this provider in the 95th 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.
Other orthopaedic surgery of the spine in Melbourne
- Stephen JamesMelbourne$127K
- Harry ShufflebargerMiami$3.5M
- Thomas SweeneySarasota$2.3M
- Geoffrey CronenTampa$2.2M
- James BillysOdessa$1.9M
- Mark DekutoskiDestin$1.8M
- Farhan SiddiqiOdessa$1.7M
- Samuel JosephSafety Harbor$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.