Bryan Alford, PA
Surgical · West Columbia, SCNPI 1437578259
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 33 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 20 manufacturers, the largest accounting for just 17.4% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $886, 4.1 times the $219 reported in 2021.
Across 33 payments — averaging $81.57 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$469
- Biomerieux Inc$336
- AstraZeneca$256
- Johnson & Johnson$255
- Atricure, Inc.$251
- Bioventus LLC$167
- plus $957 from 14 others
What the payments were for
- Food & beverage$2,692100%
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 |
|---|---|---|
| Amgen(2 entities) | 4 | $469 |
| Biomerieux Inc | 2 | $336 |
| AstraZeneca(2 entities) | 2 | $256 |
| Johnson & Johnson | 6 | $255 |
| Atricure, Inc. | 2 | $251 |
| Bioventus LLC | 3 | $167 |
| Teva Pharmaceuticals USA, Inc. | 1 | $138 |
| Boston Scientific | 1 | $130 |
| Abiomed | 1 | $114 |
| Gilead | 1 | $98 |
| Boehringer Ingelheim | 1 | $95 |
| Shionogi Inc | 1 | $93 |
| Otsuka Pharmaceutical Development & Commercialization, Inc. | 1 | $78 |
| Sanofi-aventis U.S. LLC | 1 | $72 |
| Peerless Surgical Inc. | 1 | $47 |
| Noah Medical Corporation | 1 | $31 |
| Medela LLC | 1 | $18 |
| Solventum Corporation | 1 | $16 |
| Smith+Nephew | 1 | $16 |
| KCI USA, Inc. | 1 | $12 |
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.
- FilmArray Torch Module$336
- SYNERGY ABLATION SYSTEM$251
- EVENITY$236
- Austedo XR$138
- Exogen Ultrasound Bone Healing System$134
- FASENRA$133
- TFN-Advance$130
- WATCHMAN FLX$130
- ATRICLIP LAA EXCLUSION SYSTEM$129
- ULTOMIRIS$123
- UPLIZNA$122
- Impella$114
- Repatha$112
How this compares
$2,692 in reported general payments places this provider in the 85th percentile of 232 surgical 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 18 | $100 |
Paid to pharmacies, not to this prescriber.
Other surgical in West Columbia
- Richard JacobWest Columbia$4K
- Brandie BernagozziWest Columbia$4K
- Ethan SmallwoodWest Columbia$3K
- Victoria PregibonWest Columbia$3K
- Eric RobertsWest Columbia$2K
- Paige CrowleyWest Columbia$2K
- Laura ErnstWest Columbia$2K
- Phillip FerrellWest Columbia$2K
- Natalie BartonWest Columbia$2K
- Joshua BeardsleyRock Hill$192K
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.