Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-06-30 View official record Methodology

Covered recipient · General Payments record

BRIAN FLETCHER

Allopathic & Osteopathic Physicians Surgery Vascular Surgery

NPI
1285900597
CMS profile
4224160
Location
FLORENCE, AL

General Payments · PY2019–2025

$3,858.55

  • Reported across 104 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$458.21

14 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $458.21 14

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
Penumbra, Inc. $154.36 1
Cook Medical LLC $63.78 2
Kerecis Limited $63.35 3
Stryker Corporation $49.43 2
BSN Medical Inc $36.36 2
Medtronic, Inc. $26.16 1
LeMaitre Vascular, Inc. $23.58 1
Reflow Medical Inc $23.04 1
TACTILE SYSTEMS TECHNOLOGY INC $18.15 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $2,124.93 29
PY2020 $110.11 12
PY2021 $37.47 2
PY2022 $436.32 22
PY2023 $266.11 10
PY2024 $425.40 15
PY2025 $458.21 14

Payment records · PY2025 (14)

Sorted by paying entity, then date · as published by CMS

Program year 2025 201920202021202220232024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
BSN Medical Inc $21.06 01/07/2025 Food and Beverage Undisputed 06/30/2026 1240375769 CMS
BSN Medical Inc $15.30 04/01/2025 Food and Beverage Undisputed 06/30/2026 1240375771 CMS
Cook Medical LLC $20.98 06/25/2025 Food and Beverage Undisputed 06/30/2026 1208762239 CMS
Cook Medical LLC $42.80 07/29/2025 Food and Beverage Undisputed 06/30/2026 1208757792 CMS
Kerecis Limited $23.76 01/28/2025 Food and Beverage Undisputed 06/30/2026 1243676410 CMS
Kerecis Limited $22.28 02/11/2025 Food and Beverage Undisputed 06/30/2026 1243676412 CMS
Kerecis Limited $17.31 02/27/2025 Food and Beverage Undisputed 06/30/2026 1243676414 CMS
LeMaitre Vascular, Inc. $23.58 07/31/2025 Food and Beverage Undisputed 06/30/2026 1241326456 CMS
Medtronic, Inc. $26.16 11/13/2025 Food and Beverage Undisputed 06/30/2026 1220007907 CMS
Penumbra, Inc. $154.36 07/10/2025 Food and Beverage Undisputed 06/30/2026 1177442222 CMS
Reflow Medical Inc $23.04 02/20/2025 Food and Beverage Undisputed 06/30/2026 1254413812 CMS
Stryker Corporation $16.99 07/29/2025 Food and Beverage Undisputed 06/30/2026 1227534687 CMS
Stryker Corporation $32.44 10/30/2025 Food and Beverage Undisputed 06/30/2026 1227534691 CMS
Tactile Systems Technology Inc $18.15 08/14/2025 Food and Beverage Undisputed 06/30/2026 1180542237 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

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