Spencer Skinner, MD
Hand Surgery · Fort Myers, FLNPI 1689018319
Payments from drug & device makers
Across 83 payments — averaging $74.47 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Axogen$2K
- Integra Lifesciences Corporation$1K
- Stryker$1K
- Medartis Inc.$847
- DJO, LLC$119
- Collegium Pharmaceutical, Inc.$97
- plus $840 from 25 others
What the payments were for
- Travel & lodging$2,65543%
- Food & beverage$3,52657%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Axogen | 5 | $1,881 |
| Integra Lifesciences Corporation | 10 | $1,202 |
| Stryker | 20 | $1,195 |
| Medartis Inc. | 3 | $847 |
| DJO, LLC | 5 | $119 |
| Collegium Pharmaceutical, Inc. | 4 | $97 |
| Johnson & Johnson | 1 | $94 |
| Encore Medical, LP | 1 | $88 |
| Ferring Pharmaceuticals Inc. | 4 | $78 |
| Bioventus LLC | 3 | $62 |
| ERMI LLC | 2 | $49 |
| Endo Pharmaceuticals Inc. | 3 | $45 |
| Zimmer Biomet | 1 | $41 |
| Mallinckrodt Enterprises LLC | 2 | $39 |
| Orthofix Medical, Inc. | 2 | $36 |
| Smith+Nephew | 2 | $30 |
| Neuros Medical, Inc. | 1 | $28 |
| SPR Therapeutics, Inc | 1 | $26 |
| Pacira Pharmaceuticals Incorporated | 1 | $24 |
| Medtronic | 1 | $23 |
| Orthogenrx Inc. | 1 | $20 |
| Amgen | 1 | $19 |
| Zyla Life Sciences, Inc. | 1 | $19 |
| Pacira Therapeutics, Inc. | 1 | $19 |
| Avanos Medical | 1 | $18 |
| Mallinckrodt Hospital Products Inc. | 1 | $18 |
| MVP Orthopedics Inc | 1 | $16 |
| Molnlycke Health Care US, LLC | 1 | $14 |
| Coastal Medical Technologies LLC | 1 | $13 |
| Sonex Health, Inc. | 1 | $13 |
| Heraeus Medical, LLC. | 1 | $10 |
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.
- AVANCE NERVE GRAFT$1,853
- FREEDOM WRIST$949
- External Fixation System$949
- APTUS$847
- TITAN-SHOULDER$581
- PYRO MCP$481
- TSSM - TOTAL SHOULDER SYSTEM METAL$481
- 4FUSION$130
- ALLOWRAP$130
- TENOGLIDE TENDON PROTECTOR SHEET$129
- NEURAGEN NERVE GUIDE$129
- REVERSE SHOULDER$100
How this compares
$6,181 in reported general payments places this provider in the 60th percentile of 173 hand 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 |
|---|---|---|
| Diclofenac Sodium | 39 | $1,866 |
| Celecoxib | 29 | $664 |
| Methylprednisolone | 112 | $664 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 38 | $433 |
| Meloxicam | 106 | $292 |
| Gabapentin | 33 | $236 |
| Doxycycline Hyclate | 11 | $174 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 18 | $133 |
| Naproxen | 11 | $80 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Fort Myers
- Thomas HuntFort Myers$41K
- Jorge Orbay-CerratoMiami$12.5M
- Peter EvansStuart$525K
- Nirav GuptaOcala$491K
- Francisco RubioMiami$345K
- Paul PatersonVero Beach$253K
- Eduardo Gonzalez HernandezCoral Gables$160K
- Justin ZumstegOrlando$133K
- Alexander KrawieckiAventura$116K
- Tosca Kinchelow KulendranMiami Lakes$111K
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.