Robert Butler, MD
Orthopaedic Surgery · Lithia, FLNPI 1275677726
Payments from drug & device makers
Across 230 payments — averaging $836.75 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Exactech, Inc.$98K
- Zimmer Biomet$43K
- Arthrex$22K
- Anika Therapeutics, Inc.$20K
- Parcus Medical, LLC$5K
- Stryker$2K
- plus $2K from 9 others
Across 5 payments — averaging $1806.00 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.
- Exactech, Inc.$9K
What the payments were for
- Consulting fees$137,03878%
- Speaking & faculty fees$7,5004%
- Travel & lodging$23,02113%
- Food & beverage$7,6554%
- Education$5970%
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 |
|---|---|---|
| Exactech, Inc. | 60 | $97,996 |
| Zimmer Biomet | 68 | $43,328 |
| Arthrex | 19 | $21,951 |
| Anika Therapeutics, Inc. | 18 | $20,323 |
| Parcus Medical, LLC | 2 | $4,668 |
| Stryker | 27 | $1,896 |
| Arthrosurface Incorporated | 3 | $1,038 |
| Coastal Medical Technologies LLC | 17 | $512 |
| Smith+Nephew | 4 | $266 |
| Orthofix Medical, Inc. | 1 | $144 |
| Johnson & Johnson | 1 | $97 |
| GSK | 3 | $70 |
| Electronic Waveform Lab, Inc. | 4 | $69 |
| Carbofix Orthopedics Inc | 1 | $51 |
| MVP Orthopedics Inc | 2 | $42 |
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.
- EQUINOXE$93,237
- Biowick$17,466
- Juggerknot$12,320
- SHOULDER IMPLANT$10,400
- Comprehensive Shoulder$7,750
- SpeedSnare$5,500
- Integrity implant$5,002
- Knotless PEEK CF Push-In Suture Anchor$4,625
- OVOMotion$2,581
- X-Twist$1,857
- AccuFill$1,451
- NOVATION HIP$1,419
- RevoMotion$1,188
- TWIST$1,000
- HOFFMANN$253
- Extremities Product Portfolio$217
- GAMMA$205
- Bone Anchors with Arthroscopic Delivery System$181
- TRULIANT$171
- AXSOS$165
How this compares
$192,452 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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 113 | $1,463 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 60 | $633 |
| Celecoxib | 28 | $518 |
| Ibuprofen | 37 | $369 |
| Cyclobenzaprine Hcl | 61 | $309 |
| Meloxicam | 119 | $248 |
| Methylprednisolone | 24 | $194 |
| Tramadol Hcl | 50 | $182 |
| Doxycycline Hyclate | 15 | $169 |
| Naproxen | 15 | $159 |
| Ondansetron Hcl | 13 | $85 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Lithia
- Andrew CooperClearwater$102M
- Richard HynesMelbourne$35M
- Mark FrankleTemple Terrace$31.4M
- David WatsonTemple Terrace$21M
- Roy SandersTemple Terrace$19.6M
- George HaidukewychOrlando$10M
- Martin RocheFt. Lauderdale$7.3M
- Robert SantrockFernandina Beach$7.3M
- Steven LyonsTampa$6.8M
- Derek CuffVenice$6.6M
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.