Thomas Roukis, DPM
Foot & Ankle Surgery · Orlando, FLNPI 1740288356
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $834,484 of the $1,029,738 with a category attached, or 81.0%. 20 manufacturers reported payments, led by Smith+Nephew at 50.3% of the total. Among foot & ankle 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 269 payments — averaging $3828.02 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$518K
- Integra Lifesciences Corporation$180K
- Novastep Inc.$126K
- Medical Device Business Services, Inc.$95K
- Stryker$23K
- Johnson & Johnson$20K
- plus $68K from 14 others
Across 3 payments — averaging $27,189 each. An ownership or investment interest held by the physician or an immediate family member.
- GLW, Inc$82K
What the payments were for
- Royalty or licence$834,48481%
- Consulting fees$160,76216%
- Speaking & faculty fees$18,8752%
- Travel & lodging$12,5981%
- Food & beverage$1,8180%
- Education$1,2000%
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 | 24 | $518,313 |
| Integra Lifesciences Corporation | 34 | $179,741 |
| Novastep Inc. | 63 | $125,714 |
| Medical Device Business Services, Inc. | 44 | $94,646 |
| Stryker | 25 | $22,671 |
| Johnson & Johnson | 17 | $20,414 |
| FH Orthopedics, Inc. | 2 | $19,506 |
| GLW, Inc | 2 | $14,159 |
| In2bones USA, LLC | 15 | $13,455 |
| Linvatec Corporation | 11 | $8,693 |
| Crossroads Extremity Systems, LLC | 12 | $7,641 |
| Nvision Biomedical Technologies, Inc. | 9 | $2,322 |
| Team 1, LLC | 3 | $1,246 |
| Ascension Orthopedics, Inc. | 1 | $875 |
| Trimed, Inc. | 1 | $94 |
| Curonix LLC | 2 | $79 |
| Acera Surgical, Inc. | 1 | $79 |
| Medartis Inc. | 1 | $50 |
| Acumed LLC | 1 | $20 |
| Reel Surgical, Inc. | 1 | $18 |
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.
- SALTO TALARIS TOTAL ANKLE PROSTHESIS$617,770
- Salto Talaris$80,819
- VA-LCP PLATES & SCREWS$28,554
- CADENCE ANKLE REPLACEMENT SYSTEM$28,331
- PANTA NAIL$27,830
- TOTAL FOOT SYSTEM$27,830
- CONFORM FLEX$25,155
- AIRLOCK CENTROLOCK$23,811
- airlock$23,811
- NEXIS$23,811
- SUBFIX$22,137
- CENTROLOCK MIS Bunion Correction$21,382
- AIRLOCK Forefoot/Midfoot Plating$19,740
- Calcanail$19,506
- PECA Bunion Correction System$14,044
- TriWay TTC Nail$13,455
- MOTOBAND$9,479
- Apollo$8,341
- ALLOGRAFT TISSUE$4,668
- ALLOAID$4,025
How this compares
$1,029,738 in reported general payments places this provider in the 95th percentile of 850 foot & ankle 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.
Other foot & ankle surgery in Orlando
- Amber ShaneOrlando$830K
- Timothy MillerOrlando$201K
- Kiana KarbasiOrlando$94K
- Thomas SangiovanniCoral Gables$2.1M
- Shayne JensenPanama City$1.3M
- Craig BreslauerStuart$971K
- Bradley LammWest Palm Beach$861K
- Jonathan BlumKissimmee$785K
- Mario CalaHialeah$541K
- Christopher ReevesLake Mary$424K
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.