Spencer Michalke, MD
Plastic and Reconstructive Surgery · Fort Myers, FLNPI 1801155064
Payments from drug & device makers
Across 18 payments — averaging $173.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Musculoskeletal Transplant Foundation Inc.$3K
- Stryker$300
- Mentor Worldwide LLC$174
- TELA Bio, Inc.$21
- AbbVie$19
- Baxter Healthcare$17
- plus $14 from 1 others
What the payments were for
- Travel & lodging$2,45478%
- Food & beverage$37312%
- Education$30010%
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 |
|---|---|---|
| Musculoskeletal Transplant Foundation Inc. | 7 | $2,582 |
| Stryker | 1 | $300 |
| Mentor Worldwide LLC | 6 | $174 |
| TELA Bio, Inc. | 1 | $21 |
| AbbVie | 1 | $19 |
| Baxter Healthcare | 1 | $17 |
| Puma Biotechnology, Inc. | 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.
How this compares
$3,126 in reported general payments places this provider in the 45th percentile of 235 plastic and reconstructive surgery providers in Florida.
See all plastic and reconstructive 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 |
|---|---|---|
| Doxycycline Hyclate | 60 | $502 |
| Oxycodone Hcl | 11 | $39 |
Paid to pharmacies, not to this prescriber.
Other plastic and reconstructive surgery in Fort Myers
- Luis AponteTampa$840K
- Alan DurkinVero Beach$549K
- Edgar SosaVero Beach$504K
- Sai Ramakrishna Velamuri VenkataTampa$317K
- Vaishali DoolabhJacksonville$313K
- David SmithTampa$226K
- Lee GibsteinBay Harbor Islands$216K
- John MurrayJacksonville$188K
- Arthur DesrosiersMiami$156K
- Itzhak NirLoxahatchee$86K
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.