Alexander Carrese, DO
Pain Medicine · Middlebury, CTNPI 1437684008
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 70 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 18 manufacturers reported payments, led by AbbVie at 47.1% of the total. That places this record below the midpoint for pain medicine clinicians in CT, where the typical reported total is $2,061.
Across 70 payments — averaging $28.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$945
- SPR Therapeutics, Inc$204
- Boston Scientific$160
- Scilex Pharmaceuticals Inc.$133
- Bioventus LLC$126
- Regeneron Healthcare Solutions, Inc.$73
- plus $366 from 12 others
What the payments were for
- Food & beverage$2,007100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| AbbVie(2 entities) | 29 | $945 |
| SPR Therapeutics, Inc | 11 | $204 |
| Boston Scientific | 3 | $160 |
| Scilex Pharmaceuticals Inc. | 6 | $133 |
| Bioventus LLC | 2 | $126 |
| Regeneron Healthcare Solutions, Inc. | 1 | $73 |
| Johnson & Johnson | 3 | $66 |
| Merz Pharmaceuticals, LLC | 2 | $65 |
| Medtronic | 2 | $46 |
| Vertos Medical, Inc. | 2 | $40 |
| Stryker | 1 | $29 |
| Amgen | 2 | $28 |
| Sumitomo Pharma America, Inc. | 1 | $22 |
| Saluda Medical Americas, Inc. | 1 | $18 |
| Kowa Pharmaceuticals America, Inc. | 1 | $14 |
| GRT US Holding, Inc. | 1 | $13 |
| Sanofi-aventis U.S. LLC | 1 | $12 |
| Kaleo, Inc. | 1 | $11 |
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
$2,007 in reported general payments places this provider in the 45th percentile of 69 pain medicine 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 |
|---|---|---|
| Buprenorphine | 11 | $3,119 |
| Lidocaine | 11 | $1,141 |
| Gabapentin | 80 | $968 |
| Oxycodone Hcl | 104 | $949 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 69 | $881 |
| Tramadol Hcl | 111 | $628 |
| Pregabalin | 40 | $499 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 15 | $395 |
| Tizanidine Hcl | 34 | $330 |
| Cyclobenzaprine Hcl | 31 | $308 |
| Celecoxib | 18 | $235 |
| Nortriptyline Hcl | 20 | $228 |
| Ibuprofen | 16 | $176 |
| Naproxen | 18 | $172 |
| Baclofen | 12 | $127 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Middlebury
- Hans KnoppMiddlebury$11K
- Bohdan WarychaMiddlebury$3K
- Bhavesh PatelMiddlebury$2K
- Sandeep JoharWaterbury$329K
- David GutierrezNew Haven$151K
- Brian GrosbergWest Hartford$99K
- Ofer WellischStamford$18K
- Yili HuangNew Haven$18K
- Jared RosenbergGreenwich$12K
- Sandhya MehlaWest Hartford$12K
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.