Roy Sanders, MD
Orthopaedic Surgery · Temple Terrace, FLNPI 1881691681
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $18,930,746 of the $19,637,079 with a category attached, or 96.4%. Smith+Nephew accounts for 91.2% of it on its own, with 21 other manufacturers making up the rest. Reporting peaked in 2020 at $7,443,370 and has fallen 78.9% since, to $1,569,372 in 2025. Among orthopaedic 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 487 payments — averaging $40,323 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$17.9M
- Stryker$663K
- Zimmer Biomet$394K
- Acumed LLC$306K
- Conventus Orthopaedics, Inc.$200K
- Flower Orthopedics Coporation$95K
- plus $79K from 16 others
What the payments were for
- Royalty or licence$18,930,74696%
- Consulting fees$316,1002%
- Speaking & faculty fees$180,8381%
- Travel & lodging$45,3400%
- Food & beverage$10,3950%
- Education$3,1750%
- Other$150,4861%
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 |
|---|---|---|
| Smith+Nephew | 257 | $17,900,058 |
| Stryker(2 entities) | 59 | $663,167 |
| Zimmer Biomet | 71 | $393,559 |
| Acumed LLC | 15 | $305,975 |
| Conventus Orthopaedics, Inc. | 20 | $200,000 |
| Flower Orthopedics Coporation | 6 | $95,366 |
| Nuvasive Specialized Orthopedics, Inc. | 16 | $36,245 |
| Globus Medical | 8 | $19,925 |
| Osteocentric Technologies, Inc. | 10 | $17,525 |
| Arthrex | 12 | $3,510 |
| Biomimetic Innovations Limited | 1 | $500 |
| Treace Medical Concepts, Inc. | 2 | $342 |
| Synthes GmbH | 1 | $250 |
| Biocomposites Inc | 1 | $153 |
| Medinc Of Texas | 1 | $131 |
| Exactech, Inc. | 1 | $130 |
| Acera Surgical, Inc. | 1 | $58 |
| Si-bone, Inc. | 1 | $58 |
| Sanara Medtech Inc. | 1 | $45 |
| Next Science LLC | 1 | $43 |
| Acell, Inc. | 1 | $23 |
| Endo Pharmaceuticals Inc. | 1 | $16 |
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.
- TRIGEN InterTAN$16,347,825
- TRIGEN Femoral (FAN/TAN/Meta Nail)$6,383,344
- TRIGEN$716,684
- SONICANCHOR$619,103
- ACUMED$474,255
- SONICPIN$403,148
- EVOS$313,492
- Alps Hand$153,979
- TRIGEN Meta-Nail$149,616
- TRIGEN HFN$136,149
- cage$130,000
- GAMMA$108,486
- A.L.P.S.$88,945
- EVOS MINI$47,087
- Peri-Loc$45,077
- SPATIAL FRAME$44,806
- PRECICE Intramedullary Limb Lengthening System$41,456
- OsteoCentric 4.0 x 130mm LOCKING BONE SCREW FASTENER ST$17,525
- UNYTE$14,667
- Panta 2$8,646
How this compares
$19,637,079 in reported general payments places this provider in the 95th 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 |
|---|---|---|
| Gabapentin | 19 | $92 |
| Tramadol Hcl | 15 | $49 |
| Amoxicillin | 11 | $46 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Temple Terrace
- Mark FrankleTemple Terrace$31M
- Thomas BernasekTemple Terrace$6.4M
- Kenneth GustkeTemple Terrace$5.2M
- Mark MighellTemple Terrace$4.3M
- Michael GarciaTemple Terrace$1.1M
- Christopher BakerTemple Terrace$575K
- John SmallTemple Terrace$467K
- Brian PalumboTemple Terrace$414K
- Andrew CooperClearwater$102M
- Richard HynesMelbourne$34.8M
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.