Bert Fichman, MD
Pain Medicine · Lebanon, NHNPI 1508866716
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (58.5%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Si-bone, Inc. accounts for 66.0% of it on its own, with 19 other manufacturers making up the rest. Reporting peaked in 2019 at $9,661 and has fallen 91.7% since, to $804 in 2025. Among pain medicine clinicians in NH 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 81 payments — averaging $185.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Si-bone, Inc.$10K
- Boston Scientific$2K
- Medtronic$1K
- Relievant Medsystems, Inc.$722
- Nalu Medical, Inc.$278
- Nevro Corp.$223
- plus $775 from 14 others
What the payments were for
- Consulting fees$8,77559%
- Travel & lodging$2,86819%
- Food & beverage$3,31122%
- Education$390%
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 |
|---|---|---|
| Si-bone, Inc. | 11 | $9,895 |
| Boston Scientific | 10 | $1,702 |
| Medtronic | 20 | $1,397 |
| Relievant Medsystems, Inc. | 8 | $722 |
| Nalu Medical, Inc. | 3 | $278 |
| Nevro Corp. | 4 | $223 |
| Stimwave Technologies Incorporated | 1 | $189 |
| SPR Therapeutics, Inc | 3 | $103 |
| Abbott | 3 | $79 |
| AbbVie | 3 | $69 |
| Painteq LLC | 3 | $60 |
| Averitas Pharma Inc. | 2 | $53 |
| Forte Bio-pharma LLC | 2 | $45 |
| Vertos Medical, Inc. | 2 | $36 |
| Avanos Medical | 1 | $31 |
| Curonix LLC | 1 | $29 |
| Bioventus LLC | 1 | $26 |
| Lundbeck LLC | 1 | $25 |
| Convatec Inc. | 1 | $17 |
| Saluda Medical Americas, Inc. | 1 | $13 |
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
$14,992 in reported general payments places this provider in the 90th percentile of 38 pain medicine providers in New Hampshire.
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-NaloxoneBuprenorphine Hcl/Naloxone Hcl | 42 | $2,001 |
| Buprenorphine | 13 | $1,763 |
| Gabapentin | 137 | $1,389 |
| Pregabalin | 16 | $935 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 42 | $910 |
| Oxycodone Hcl | 38 | $695 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 22 | $629 |
| Tramadol Hcl | 18 | $183 |
| Tizanidine Hcl | 16 | $58 |
| Meloxicam | 23 | $47 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Lebanon
- Michael BovaLebanon$12K
- George LantzLebanon$5K
- Jason DonnellyLebanon$2K
- Abdullah KandilLebanon$1K
- Stephen LordonLebanon$322
- Mary Ann SurielLebanon$278
- Jeffrey BradyLebanon$277
- Kimberly YoungrenLebanon$223
- Bruce VroomanLebanon$182
- David DentLebanon$52
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.