Rafael Gottenger, MD
Plastic Surgery · South Miami, FLNPI 1144215617
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $91,942 of the $144,794 with a category attached, or 63.5%. AbbVie accounts for 76.6% of it on its own, with 33 other manufacturers making up the rest. Reporting peaked in 2019 at $57,006 and has fallen 82.5% since, to $9,976 in 2025. Among plastic surgery 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 382 payments — averaging $379.04 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$111K
- KCI USA, Inc.$17K
- TELA Bio, Inc.$5K
- Sientra, Inc.$4K
- Motiva USA, LLC$3K
- Smith+Nephew$1K
- plus $4K from 28 others
What the payments were for
- Consulting fees$91,94263%
- Speaking & faculty fees$8,4156%
- Travel & lodging$14,33510%
- Food & beverage$16,40911%
- Education$760%
- Gifts$13,6169%
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 |
|---|---|---|
| AbbVie(2 entities) | 215 | $110,900 |
| KCI USA, Inc. | 21 | $16,726 |
| TELA Bio, Inc. | 22 | $5,129 |
| Sientra, Inc. | 54 | $4,236 |
| Motiva USA, LLC | 10 | $2,961 |
| Smith+Nephew | 2 | $1,230 |
| Tepha Inc | 4 | $481 |
| Integra Lifesciences Corporation | 7 | $429 |
| Johnson & Johnson | 3 | $277 |
| Davol Inc. | 4 | $236 |
| ETS Wound Care LLC | 4 | $232 |
| Stryker | 3 | $206 |
| BD | 1 | $181 |
| Convatec Inc. | 3 | $163 |
| Calyxo, Inc. | 1 | $145 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $139 |
| Medline Industries LP | 1 | $124 |
| Solventum Corporation | 1 | $123 |
| Vertex | 1 | $122 |
| Melinta Therapeutics, LLC | 5 | $121 |
| Mentor Worldwide LLC | 2 | $118 |
| Solta Medical, A Division Of Bausch Health US, LLC | 1 | $118 |
| Dilon Technologies, Inc. | 3 | $111 |
| Pacira Pharmaceuticals Incorporated | 3 | $56 |
| Sanara Medtech Inc. | 1 | $46 |
| Bard Peripheral Vascular, Inc. | 1 | $42 |
| TEI Biosciences Inc | 1 | $22 |
| Kerecis Limited | 1 | $20 |
| Kowa Pharmaceuticals America, Inc. | 1 | $19 |
| Organogenesis Inc. | 1 | $18 |
| Amniox Medical, Inc. | 1 | $18 |
| Olympus America Inc. | 1 | $16 |
| Polynovo North America LLC | 1 | $14 |
| Urgo Medical North America, LLC | 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.
- NATRELLE$51,772
- NATRELLE SALINE-FILLED BREAST IMPLANTS$29,418
- REVOLVE$14,615
- ALLODERM$13,985
- Cavilon Advanced Skin Protectant$5,525
- Cavilon No Sting Barrier Film$5,525
- Cavilon$5,525
- ACTIVAC$5,100
- OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex)$4,788
- ARTIA RECONSTRUCTIVE TISSUE MATRIX$3,600
- PREVENA$3,130
- SIENTRA HIGH STRENGTH COHESIVE SILICONE GEL BREAST IMPLANT$3,052
- Motiva Implant Matrix$2,755
- ABTHERA$2,434
- VAC VERAFLO$2,434
- SNAP$2,434
- ARTIA$1,960
- PICO7$1,210
- PICO 14$1,210
- PICO7Y$1,210
How this compares
$144,794 in reported general payments places this provider in the 95th percentile of 456 plastic 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 |
|---|---|---|
| Mupirocin | 17 | $145 |
| Alprazolam | 14 | $45 |
Paid to pharmacies, not to this prescriber.
Other plastic surgery in South Miami
- Brad HermanSouth Miami$293K
- Robert RehnkeSt Petersburg$6.1M
- Anthony DardanoBoca Raton$586K
- Devinder SinghMiami$407K
- Melanie Aya-AyTampa$283K
- Gloria YeeMiami$268K
- Daniel KappWest Palm Beach$252K
- Essie Kueberuwa YatesWeston$197K
- Michael MirmaneshPinellas Park$184K
- Martin NewmanWeston$178K
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.