Brett Fowler, MD
Vascular Surgery · West Columbia, SCNPI 1700248481
Payments from drug & device makers
What this record shows
This record is dominated by grants: $4,500 of the $6,990 with a category attached, or 64.4%. Medtronic accounts for 73.0% of it on its own, with 15 other manufacturers making up the rest. Reporting peaked in 2021 at $2,598 and has fallen 87.4% since, to $328 in 2025. That places this record below the midpoint for vascular surgery clinicians in SC, where the typical reported total is $7,261.
Across 49 payments — averaging $142.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$5K
- W. L. Gore & Associates, Inc.$693
- Endologix LLC$310
- Silk Road Medical, Inc.$184
- Inari Medical, Inc.$137
- Bolton Medical Inc$126
- plus $435 from 10 others
What the payments were for
- Grants$4,50064%
- Food & beverage$2,38134%
- Education$1092%
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 |
|---|---|---|
| Medtronic | 8 | $5,105 |
| W. L. Gore & Associates, Inc. | 11 | $693 |
| Endologix LLC | 3 | $310 |
| Silk Road Medical, Inc. | 2 | $184 |
| Inari Medical, Inc. | 4 | $137 |
| Bolton Medical Inc | 1 | $126 |
| Acera Surgical, Inc. | 2 | $84 |
| Pfizer | 5 | $83 |
| Lemaitre Vascular, Inc. | 2 | $50 |
| Boston Scientific | 2 | $48 |
| Penumbra, Inc. | 2 | $44 |
| Aroa Biosurgery Incorporated | 2 | $42 |
| Convatec Inc. | 2 | $35 |
| Shockwave Medical, Inc | 1 | $21 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $14 |
| Ossur Americas, Inc. | 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.
- ENDURANT IIS$2,541
- Endurant$2,500
- AFX2 Bifurcated Endograft System$267
- Ovation iX Iliac Stent Graft$267
- EXCLUDER Conformable AAA Endoprosthesis with Active Control$170
- GORE TAG Thoracic Endoprosthesis$166
- GORE VIABAHN Endoprosthesis with Heparin$134
- TREO ABDOMINAL STENT-GRAFT SYSTEM$126
- GORE TAG Thoracic Branch Endoprosthesis$109
How this compares
$6,990 in reported general payments places this provider in the 45th percentile of 99 vascular surgery providers in South 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 |
|---|---|---|
| EliquisApixaban | 13 | $12,115 |
| Cilostazol | 16 | $312 |
| ClopidogrelClopidogrel Bisulfate | 38 | $273 |
| Rosuvastatin Calcium | 23 | $245 |
| Diazepam | 12 | $13 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| PfizerEliquis | $83 | $12,11513 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 45th percentile of 99 vascular surgery providers in South Carolina.
Other vascular surgery in West Columbia
- Mathew WoosterWest Columbia$443K
- Gerald FortunaWest Columbia$143K
- John RossOrangeburg$847K
- David DeatonColumbia$609K
- Sagar GandhiGreenville$236K
- Ravi VeeraswamyCharleston$164K
- Kristian HochbergCharleston$106K
- Joseph BlasGreenville$101K
- Thomas ApplebyNorth Charleston$89K
- Zachary ArthursCharleston$84K
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.