Thomas Fox, DO
Orthopaedic Surgery · Niceville, FLNPI 1215948963
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,802 of the $2,961 with a category attached, or 60.9%. 13 manufacturers reported payments, led by Medacta USA, Inc. at 34.7% of the total. 2025 is the largest year on record at $1,205, 9.0 times the $133 reported in 2019. That places this record below the midpoint for orthopaedic surgery clinicians in FL, where the typical reported total is $5,564.
Across 51 payments — averaging $58.07 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medacta USA, Inc.$1K
- Zimmer Biomet$959
- Johnson & Johnson$212
- DJO, LLC$173
- Bioventus LLC$139
- CGG Medical Inc$121
- plus $329 from 7 others
What the payments were for
- Travel & lodging$1,15939%
- Food & beverage$1,80261%
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 |
|---|---|---|
| Medacta USA, Inc. | 8 | $1,028 |
| Zimmer Biomet | 10 | $959 |
| Johnson & Johnson(2 entities) | 7 | $212 |
| DJO, LLC | 5 | $173 |
| Bioventus LLC | 4 | $139 |
| CGG Medical Inc | 3 | $121 |
| Smith+Nephew | 3 | $64 |
| Vericel Corporation | 3 | $59 |
| Stryker | 1 | $52 |
| Biocomposites Inc | 1 | $50 |
| Heraeus Medical, LLC. | 3 | $42 |
| Radius Health, Inc. | 2 | $42 |
| Medtronic | 1 | $20 |
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.
- GMK SPHERE$837
- Avenir$504
- ROSA$140
How this compares
$2,961 in reported general payments places this provider in the 35th 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 | 109 | $1,126 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 106 | $899 |
| Mupirocin | 73 | $503 |
| Ondansetron Hcl | 52 | $231 |
| Celecoxib | 58 | $169 |
| Amoxicillin | 68 | $146 |
| Tramadol Hcl | 11 | $70 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Niceville
- 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
- Thomas BernasekTemple Terrace$6.4M
- Bryan SpringerJacksonville$6.3M
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.