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

Covered recipient · General Payments record

BRIAN FLETCHER

Allopathic & Osteopathic Physicians Surgery Vascular Surgery

NPI
1285900597
CMS profile
4224160
Location
FLORENCE, AL

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

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General Payments · PY2019 · Entire year

$2,124.93

29 records · 0 disputed

Summary and payment records

  • CMS publication 2026-06-30
Read the payment records

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

— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated
  • This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. 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.
  • Methodology & Data — sourcing, labeling, and limitations.

Provider summaries generated . CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

By nature of payment

PY2019 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,102.55 23
Travel and Lodging $671.91 4
Grant $303.03 1
Education $47.44 1

By paying entity

PY2019 · entire year · sorted by reported total

Page 1 of 1; records 1–29 of 29 matching records. This page contains 29 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.

IndustryPayments · General Payments

BRIAN FLETCHER

NPI 1285900597 · CMS profile ID 4224160

Allopathic & Osteopathic Physicians / Surgery / Vascular Surgery

FLORENCE, AL

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

General Payments, PY2019; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types

Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00

Page 1 of 1; records 1–29 of 29 matching records. This page contains 29 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1285900597?year=2019&recipient=provider#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/4e54dd6c-30f8-4f86-86a7-3c109a89528e

Cite these filtered records

The citation includes this program year, filters, data edition, and page of results.

Plain
BRIAN FLETCHER, NPI 1285900597, CMS profile ID 4224160. General Payments, PY2019; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 1; records 1–29 of 29 matching records. This page contains 29 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1285900597?year=2019&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/4e54dd6c-30f8-4f86-86a7-3c109a89528e.
APA 7
IndustryPayments. (2026). BRIAN FLETCHER, NPI 1285900597, CMS profile ID 4224160. General Payments, PY2019; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 1; records 1–29 of 29 matching records. This page contains 29 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1285900597?year=2019&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/4e54dd6c-30f8-4f86-86a7-3c109a89528e.
Bluebook
BRIAN FLETCHER, NPI 1285900597, CMS profile ID 4224160, IndustryPayments, General Payments, PY2019; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types (Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00). Page 1 of 1; records 1–29 of 29 matching records. This page contains 29 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/4e54dd6c-30f8-4f86-86a7-3c109a89528e. https://industrypayments.org/provider/npi-1285900597?year=2019&recipient=provider#records-h.

Centers for Medicare & Medicaid Services, Open Payments

Citation formats are provided for reference; check the requirements of your publication.

Payment records · PY2019

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

General Payments · PY2019 · Physicians and non-physician practitioners · CMS publication 2026-06-30

29 matching records · $2,124.93 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 29 matching records (CSV)

CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.

Showing records 1–29 of 29.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Cook Medical LLC $3.0112/18/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 630377025 CMS
Cook Medical LLC $13.7012/04/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 630377027 CMS
Cook Medical LLC $12.5711/25/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 630376999 CMS
BARD PERIPHERAL VASCULAR, INC. $42.0611/05/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 701719807 CMS
Maquet Cardiovascular U.S. Sales, L.L.C. $17.2509/25/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 696717199 CMS
Silk Road Medical, Inc. $88.1609/09/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 655315785 CMS
Cook Medical LLC $6.6508/29/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 630376997 CMS
Medtronic Vascular, Inc. $23.4108/20/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 676993555 CMS
Endologix, Inc. $68.0308/08/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 665931505 CMS
Cook Medical LLC $8.1008/07/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 630377015 CMS
Silk Road Medical, Inc. $48.1108/01/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 655315783 CMS
Cook Medical LLC $60.4907/24/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 630377029 CMS
Maquet Cardiovascular U.S. Sales, L.L.C. $62.5507/22/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 696717197 CMS
Silk Road Medical, Inc. $204.0607/22/2019 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 655315781 CMS
Silk Road Medical, Inc. $14.2507/17/2019 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 655315779 CMS
Silk Road Medical, Inc. $127.5607/15/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 655315777 CMS
Medtronic Vascular, Inc. $42.3307/11/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 676990113 CMS
Medtronic Vascular, Inc. $115.7306/14/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 676942745 CMS
Medtronic Vascular, Inc. $14.3206/01/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 676962035 CMS
Silk Road Medical, Inc. $32.0005/22/2019 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 655315773 CMS
Silk Road Medical, Inc. $421.6005/22/2019 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 655315775 CMS
Medtronic Vascular, Inc. $47.4404/15/2019 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 676919007 CMS
Cook Medical LLC $50.0003/19/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 630377013 CMS
Medtronic Vascular, Inc. $23.5703/19/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 676896571 CMS
Medtronic Vascular, Inc. $100.3303/19/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 676896591 CMS
Medtronic Vascular, Inc. $30.4803/18/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 676896629 CMS
Cook Medical LLC $303.0302/20/2019 Grant No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 684196423 CMS
Medtronic Vascular, Inc. $20.5501/25/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 676904695 CMS
Medtronic Vascular, Inc. $123.5901/24/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 676891473 CMS

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

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 and profile matching
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.