Adem Cosgel, PA
Surgical · North Franklin, CTNPI 1780289827
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (45.0%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Arthrex accounts for 64.0% of it on its own, with 5 other manufacturers making up the rest. Reporting peaked in 2021 at $3,532 and has fallen 62.5% since, to $1,323 in 2025. Among surgical clinicians in CT 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 34 payments — averaging $156.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$3K
- Stryker$791
- Kairos Surgical Inc$749
- Coastal Technology Solutions LLC$311
- Vericel Corporation$50
- Pacira Pharmaceuticals Incorporated$16
What the payments were for
- Travel & lodging$1,37526%
- Food & beverage$1,55729%
- Education$2,40045%
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 |
|---|---|---|
| Arthrex | 16 | $3,415 |
| Stryker | 8 | $791 |
| Kairos Surgical Inc | 3 | $749 |
| Coastal Technology Solutions LLC | 5 | $311 |
| Vericel Corporation | 1 | $50 |
| Pacira Pharmaceuticals Incorporated | 1 | $16 |
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.
How this compares
$5,332 in reported general payments places this provider in the 95th percentile of 568 surgical providers in Connecticut.
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 |
|---|---|---|
| Celecoxib | 229 | $4,733 |
| Oxycodone Hcl | 275 | $1,517 |
| Diclofenac Sodium | 87 | $1,099 |
| Gabapentin | 137 | $1,062 |
| Enoxaparin Sodium | 20 | $980 |
| Cefadroxil | 127 | $759 |
| Meloxicam | 258 | $556 |
| Cyclobenzaprine Hcl | 41 | $550 |
| Methylprednisolone | 43 | $298 |
| Nabumetone | 26 | $253 |
| Tramadol Hcl | 67 | $233 |
| Ibuprofen | 23 | $165 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 27 | $149 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 17 | $110 |
| Cephalexin | 11 | $88 |
Paid to pharmacies, not to this prescriber.
Other surgical in North Franklin
- Erin Myers AlbaridiNorwalk$70K
- Christopher MascioStamford$44K
- Scott CallahanMonroe$31K
- Monika Hoang-SkawinskaMiddletown$17K
- Danielle MundayNorwalk$13K
- Megan StrongBridgeport$11K
- Ryan ArtigliereNew Haven$10K
- Arya BiswasNorwich$10K
- Nicole ChevalierHartford$10K
- Gaston JeremiahNorwalk$10K
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.