Thomas Roush
Orthopaedic Surgery · West Palm Beach, FLNPI 1942240965
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $87,773 of the $117,530 with a category attached, or 74.7%. Globus Medical accounts for 75.4% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2023 at $33,062 and has fallen 54.3% since, to $15,122 in 2025. Among orthopaedic surgery clinicians in FL with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 178 payments — averaging $660.28 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$89K
- Centinel Spine, LLC$24K
- Biotronik NRO, Inc.$2K
- Abbott$2K
- Acelrx Pharmaceuticals, Inc.$322
- Medacta USA, Inc.$137
- plus $193 from 5 others
What the payments were for
- Royalty or licence$87,77375%
- Consulting fees$22,75019%
- Travel & lodging$9011%
- Food & beverage$6,1075%
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 |
|---|---|---|
| Globus Medical(2 entities) | 37 | $88,644 |
| Centinel Spine, LLC | 13 | $23,963 |
| Biotronik NRO, Inc. | 81 | $2,466 |
| Abbott | 34 | $1,805 |
| Acelrx Pharmaceuticals, Inc. | 5 | $322 |
| Medacta USA, Inc. | 1 | $137 |
| Osteocentric Technologies, Inc. | 1 | $73 |
| Pfizer | 2 | $41 |
| Vertical Pharmaceuticals, LLC | 2 | $34 |
| Si-bone, Inc. | 1 | $23 |
| Heron Therapeutics, Inc. | 1 | $22 |
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.
- MLX$87,773
- PRODISC L$20,522
- PRODISC C$2,800
- PROCLAIM$811
- PRODISC C VIVO$524
- Prospera$377
- NextAR Spine Platform$137
- TLIF$120
- DSUVIA$111
- Simplify Cervical Artificial Disc$106
How this compares
$117,530 in reported general payments places this provider in the 90th percentile of 1,263 orthopaedic surgery providers in Florida.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 96 | $896 |
| Diclofenac Sodium | 32 | $385 |
| Ibuprofen | 49 | $290 |
| Tramadol Hcl | 50 | $282 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 11 | $140 |
| Tizanidine Hcl | 14 | $116 |
| Gabapentin | 12 | $88 |
| Meloxicam | 14 | $84 |
| Pregabalin | 11 | $66 |
| Cephalexin | 30 | $65 |
| Naproxen Sodium | 13 | $45 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in West Palm Beach
- Dror PaleyWest Palm Beach$3.1M
- Tom MinasWest Palm Beach$2.5M
- Stephen QuinnanWest Palm Beach$739K
- 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
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.