Brenna Guarino, PA
Physician Assistant · Hampstead, NCNPI 1124802384
Payments from drug & device makers
Across 26 payments — averaging $69.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Relievant Medsystems, Inc.$1K
- AbbVie$96
- Collegium Pharmaceutical, Inc.$78
- Biotronik NRO, Inc.$52
- Merz Pharmaceuticals, LLC$30
- Forte Bio-pharma LLC$21
- plus $87 from 5 others
What the payments were for
- Travel & lodging$1,08059%
- Food & beverage$73741%
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 |
|---|---|---|
| Relievant Medsystems, Inc. | 8 | $1,453 |
| AbbVie | 5 | $96 |
| Collegium Pharmaceutical, Inc. | 4 | $78 |
| Biotronik NRO, Inc. | 2 | $52 |
| Merz Pharmaceuticals, LLC | 1 | $30 |
| Forte Bio-pharma LLC | 1 | $21 |
| Vertos Medical, Inc. | 1 | $21 |
| Virtus Pharmaceuticals LLC | 1 | $20 |
| Lilly USA, LLC | 1 | $16 |
| Novo Nordisk | 1 | $16 |
| Curonix LLC | 1 | $14 |
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.
- Intracept$4,879
How this compares
$1,817 in reported general payments places this provider in the 80th percentile of 7,441 physician assistant providers in North Carolina.
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 |
|---|---|---|
| Fentanyl | 23 | $5,323 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 94 | $3,602 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 61 | $1,923 |
| Oxycodone Hcl | 73 | $1,180 |
| Gabapentin | 58 | $719 |
| Buprenorphine Hcl | 18 | $525 |
| Pregabalin | 29 | $371 |
| Tramadol Hcl | 30 | $343 |
| Tizanidine Hcl | 21 | $339 |
| Duloxetine Hcl | 19 | $246 |
| Hydromorphone Hcl | 15 | $142 |
| Methocarbamol | 14 | $72 |
| Diazepam | 19 | $51 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Hampstead
- Jo HughesGreensboro$814K
- Rachel HolzhauerCharlotte$739K
- Amber BlairCharlotte$551K
- Benjamin EpsteinDavidson$447K
- Rebecca KrausDavidson$425K
- Brooke JonesGoldsboro$259K
- Philip ReasbeckWilson$180K
- Katherine SchultzHuntersville$164K
- Kristin CabedaCharlotte$135K
- Jay ClarkeArden$133K
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.