Brian Picciano
Physician Assistant · New Haven, CTNPI 1114453800
Payments from drug & device makers
Across 12 payments — averaging $79.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$576
- Heron Therapeutics, Inc.$125
- Kerecis Limited$85
- Novo Nordisk$43
- W. L. Gore & Associates, Inc.$39
- Edwards Lifesciences$36
- plus $45 from 2 others
What the payments were for
- Consulting fees$50053%
- Travel & lodging$657%
- Food & beverage$38541%
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 | 3 | $576 |
| Heron Therapeutics, Inc. | 1 | $125 |
| Kerecis Limited | 1 | $85 |
| Novo Nordisk | 1 | $43 |
| W. L. Gore & Associates, Inc. | 2 | $39 |
| Edwards Lifesciences | 1 | $36 |
| Johnson & Johnson | 2 | $29 |
| Smith+Nephew | 1 | $16 |
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.
- APONVIE$125
How this compares
$950 in reported general payments places this provider in the 80th percentile of 1,795 physician assistant 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 |
|---|---|---|
| Oxycodone Hcl | 13 | $31 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in New Haven
- Michael LalondeNew Haven$35K
- Kathryn MidgleyNew Haven$28K
- Rachel MarineNew Haven$13K
- Peter JuergensenNew Haven$9K
- Jenna LangelloWaterbury$345K
- Gary SpinnerBridgeport$123K
- Jordan MarcouTrumbull$44K
- Mary ElliottGuilford$43K
- Christopher ThompsonGroton$42K
- Kristine LaneMiddletown$30K
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.