Rull James Toussaint, MD
Orthopaedic Surgery · Gainesville, FLNPI 1598924920
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (53.9%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Medline Industries LP accounts for 77.4% of it on its own, with 11 other manufacturers making up the rest. 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 313 payments — averaging $2563.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medline Industries LP$621K
- Medshape, Inc.$75K
- Restor3d, Inc.$56K
- International Life Sciences$39K
- Kuros Biosciences USA, Inc$8K
- Stryker$2K
- plus $1K from 6 others
Across 11 payments — averaging $48,440 each. An ownership or investment interest held by the physician or an immediate family member.
- Restor3d, Inc.$410K
- GLW, Inc$93K
- Gramercy Extremity Orthopedics LLC$30K
What the payments were for
- Royalty or licence$432,32154%
- Consulting fees$217,18727%
- Speaking & faculty fees$13,6132%
- Travel & lodging$72,1819%
- Food & beverage$7,0521%
- Gifts$570%
- Other$60,0777%
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 |
|---|---|---|
| Medline Industries LP | 221 | $621,463 |
| Medshape, Inc. | 6 | $74,982 |
| Restor3d, Inc. | 39 | $56,146 |
| International Life Sciences | 11 | $38,796 |
| Kuros Biosciences USA, Inc | 10 | $7,664 |
| Stryker(2 entities) | 14 | $2,168 |
| Novastep Inc. | 4 | $737 |
| Integra Lifesciences Corporation | 4 | $147 |
| Sanara Medtech Inc. | 1 | $135 |
| CGG Medical Inc | 1 | $132 |
| Paragon 28, Inc. | 1 | $103 |
| Amgen | 1 | $15 |
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.
- MEDLINE UNITE$912,128
- MEDLINE INDUSTRIES, INC.$612,869
- MEDLINE$484,808
- PENDING$242,404
- MJFS4536$99,575
- Dermatology and Wound Care$41,724
- FLEXBAND$36,695
- UNITE Kit$13,417
- MedShape DynaNail$8,285
- MagnetOs$7,389
- Plates: Lateral Fibula Plate, Size XS, Left$5,616
- Plates: Lateral Fibula Plate, Size XS, Right$5,616
- Plates: Lateral Fibula Plate, Small, Left$5,616
- Plates: Lateral Fibula Plate, Small, Right$5,616
- Plates: Lateral Fibula Plate, Medium, Left$5,616
- Plates: Posterior Fibula Plate, Medium, Right$5,299
- Plates: Malleolus Hook Plate, Small, Left$5,299
- Plates: Malleolus Hook Plate, Small, Right$5,299
- Plates: Malleolus Hook Plate, Standard, Left$5,299
- Plates: Malleolus Hook Plate, Standard, Right$5,299
How this compares
$802,487 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 |
|---|---|---|
| Oxycodone Hcl | 15 | $83 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Gainesville
- Richard VlasakGainesville$773K
- Kevin FarmerGainesville$772K
- Andrew CooperClearwater$102M
- Richard HynesMelbourne$34.8M
- Mark FrankleTemple Terrace$31M
- Roy SandersTemple Terrace$19.6M
- George HaidukewychOrlando$10M
- Robert SantrockFernandina Beach$7.3M
- Martin RocheFt. Lauderdale$7.1M
- Steven LyonsTampa$6.7M
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.