Paul Roettges, MD
Adult Reconstructive Orthopaedic Surgery · St Augustine, FLNPI 1609214246
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $22,611 of the $35,128 with a category attached, or 64.4%. 21 manufacturers reported payments, led by Medical Device Business Services, Inc. at 57.9% of the total. 2025 is the largest year on record at $18,431, more than ten times the $424 reported in 2019.
Across 115 payments — averaging $305.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$20K
- Depuy Synthes Products, Inc.$9K
- Smith+Nephew$3K
- Johnson & Johnson$1K
- Zimmer Biomet$1K
- Exactech, Inc.$163
- plus $712 from 15 others
Across 9 payments — averaging $12,422 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.
- Medical Device Business Services, Inc.$112K
What the payments were for
- Consulting fees$22,61164%
- Travel & lodging$7,40821%
- Food & beverage$4,93214%
- Education$1781%
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. | 34 | $20,329 |
| Depuy Synthes Products, Inc. | 15 | $8,500 |
| Smith+Nephew | 11 | $2,759 |
| Johnson & Johnson | 20 | $1,404 |
| Zimmer Biomet | 11 | $1,260 |
| Exactech, Inc. | 2 | $163 |
| Davol Inc. | 1 | $156 |
| Next Science LLC | 1 | $91 |
| Heron Therapeutics, Inc. | 4 | $83 |
| Stryker | 3 | $65 |
| Access Pro Medical, LLC | 1 | $62 |
| Vertex | 2 | $59 |
| Globus Medical | 1 | $38 |
| Boston Scientific | 1 | $30 |
| Heraeus Medical, LLC. | 1 | $25 |
| Dynasplint Systems Inc. | 2 | $21 |
| Team 1, LLC | 1 | $21 |
| Pacira Pharmaceuticals Incorporated | 1 | $20 |
| Zimvie Inc. | 1 | $17 |
| Convatec Inc. | 1 | $14 |
| Orthofix Medical, Inc. | 1 | $9 |
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.
- Velys$25,336
- ATTUNE$24,459
- ACTIS$23,015
- Kincise$22,891
- Journey II$1,344
- Legion Revision$1,180
- REAL INTELLIGENCE$1,168
- OR3O Dual Mobility$1,168
- JOURNEY$1,024
- REDAPT$1,024
- Oxford-Knees$317
- Models$178
- ROSA$129
- Persona$129
- ROSA-Knee$124
- GENESIS II$115
- POLARSTEM$115
- Comprehensive Shoulder System$112
- MONOVISC$104
How this compares
$35,128 in reported general payments places this provider in the 65th percentile of 96 adult reconstructive orthopaedic surgery providers in Florida.
See all adult reconstructive 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 |
|---|---|---|
| Meloxicam | 882 | $2,807 |
| Celecoxib | 66 | $910 |
| Famotidine | 77 | $570 |
| Oxycodone Hcl | 85 | $553 |
| Amoxicillin | 155 | $363 |
| Prednisone | 105 | $354 |
| Cephalexin | 86 | $221 |
| Tramadol Hcl | 49 | $149 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 14 | $127 |
| Gabapentin | 19 | $54 |
| Clindamycin Hcl | 29 | $25 |
Paid to pharmacies, not to this prescriber.
Other adult reconstructive orthopaedic surgery in St Augustine
- Carlos LaverniaMiami$5.4M
- Juan SuarezMiami$3.9M
- John RedmondJacksonville$987K
- Gavan DuffyJacksonville$543K
- Timothy van de LeurSummerfield$511K
- Edward StolarskiSarasota$445K
- Andrew NoblePalm Beach Gardens$308K
- Raul GostheMiami$252K
- Chancellor GrayGainesville$228K
- David BacksteinNaples$199K
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.