Brian Gerndt, MD
Vascular Surgery · Cookeville, TNNPI 1982799284
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,180 of the $3,896 with a category attached, or 81.6%. 37 manufacturers reported payments, led by Silk Road Medical, Inc. at 33.8% of the total. Reporting peaked in 2019 at $1,384 and has fallen 55.2% since, to $620 in 2025. That places this record below the midpoint for vascular surgery clinicians in TN, where the typical reported total is $5,973.
Across 100 payments — averaging $38.96 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Silk Road Medical, Inc.$1K
- Endologix LLC$548
- Stryker$253
- Smith+Nephew$244
- Penumbra, Inc.$150
- Avita Medical Americas, LLC$150
- plus $1K from 31 others
What the payments were for
- Travel & lodging$71618%
- Food & beverage$3,18082%
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 |
|---|---|---|
| Silk Road Medical, Inc. | 10 | $1,317 |
| Endologix LLC | 2 | $548 |
| Stryker | 4 | $253 |
| Smith+Nephew | 16 | $244 |
| Penumbra, Inc. | 3 | $150 |
| Avita Medical Americas, LLC | 2 | $150 |
| Medtronic(2 entities) | 8 | $127 |
| Boston Scientific | 5 | $94 |
| Johnson & Johnson(2 entities) | 6 | $91 |
| Aroa Biosurgery Incorporated | 3 | $74 |
| Intuitive Surgical | 1 | $64 |
| AbbVie | 2 | $62 |
| Davol Inc. | 3 | $57 |
| Conmed Corporation | 2 | $55 |
| Hologic Sales And Service, LLC | 2 | $52 |
| Reprise Biomedical, Inc. | 2 | $47 |
| Innocoll Pharmaceuticals Limited | 2 | $45 |
| Olympus America Inc. | 3 | $35 |
| Pacira Pharmaceuticals Incorporated | 2 | $33 |
| Alpha Orthopedic Systems | 2 | $32 |
| Innovation Technologies Inc | 1 | $32 |
| Merck | 2 | $29 |
| W. L. Gore & Associates, Inc. | 1 | $28 |
| Surmodics, Inc. | 2 | $28 |
| Merit Medical Systems Inc | 2 | $26 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $25 |
| Covidien LP | 1 | $25 |
| BD | 1 | $22 |
| Portola Pharmaceuticals, LLC | 1 | $20 |
| Bolton Medical Inc | 1 | $19 |
| Hologic Inc | 1 | $19 |
| Lifenet Health | 1 | $18 |
| Cagent Vascular Inc | 1 | $16 |
| Biocompatibles, Inc. | 1 | $15 |
| Angiodynamics, Inc. | 1 | $15 |
| Mallinckrodt Hospital Products Inc. | 1 | $14 |
| Kowa Pharmaceuticals America, 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.
- ENROUTE Transcarotid Neuroprotection System$1,092
- ENHANCE Transcarotid Peripheral Access Kit$979
- ENROUTE Transcarotid Stent System$871
- ENROUTE 0.014 Guidewire$871
- AFX2 Bifurcated Endograft System$345
- ENROUTE Transcarotid Stent$221
- Ovation$203
- 1788$165
- Indigo$118
- ENROUTE .014 Guidewire$108
- RECELL$104
- Cohealyx$104
- PERMEADERM$104
How this compares
$3,896 in reported general payments places this provider in the 40th percentile of 117 vascular surgery providers in Tennessee.
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 |
|---|---|---|
| ClopidogrelClopidogrel Bisulfate | 255 | $1,574 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 39 | $143 |
| Simvastatin | 16 | $104 |
| Atorvastatin Calcium | 18 | $98 |
| Tramadol Hcl | 15 | $18 |
Paid to pharmacies, not to this prescriber.
Other vascular surgery in Cookeville
- Michael SywakCookeville$12K
- Daniel ClairNashville$993K
- Anton Dias PereraGermantown$832K
- Bryan FisherHendersonville$417K
- Christopher LesarChattanooga$311K
- Billy KimMount Juliet$140K
- William HarrisChattanooga$122K
- Mark FugateChattanooga$100K
- Heesuk YoonJohnson City$95K
- Scott StevensKnoxville$53K
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.