Bryan Cotton, MD
Trauma Surgery · Nashville, TNNPI 1245327360
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (44.3%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 12 manufacturers reported payments, led by Teleflex LLC at 46.0% of the total. 2025 is the largest year on record at $120,834, 8.2 times the $14,720 reported in 2019. Among trauma surgery clinicians in TN with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 220 payments — averaging $1390.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Teleflex LLC$141K
- Haemonetics Corporation$70K
- Cerus Corporation$50K
- Grifols USA, LLC$20K
- BTG International Inc.$12K
- Grifols Shared Services North America, Inc.$6K
- plus $6K from 6 others
Across 17 payments — averaging $130,616 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Grifols Shared Services North America, Inc.$2.2M
- Cerus Corporation$30K
What the payments were for
- Consulting fees$135,67944%
- Speaking & faculty fees$122,06340%
- Travel & lodging$37,99912%
- Food & beverage$9,4183%
- Gifts$8090%
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 |
|---|---|---|
| Teleflex LLC | 100 | $140,768 |
| Haemonetics Corporation | 49 | $70,282 |
| Cerus Corporation | 41 | $49,873 |
| Grifols USA, LLC | 10 | $19,720 |
| BTG International Inc. | 5 | $12,488 |
| Grifols Shared Services North America, Inc. | 7 | $6,417 |
| Arrow International, Inc. | 1 | $6,000 |
| W. L. Gore & Associates, Inc. | 1 | $166 |
| Medical Device Business Services, Inc. | 1 | $150 |
| TELA Bio, Inc. | 2 | $38 |
| Hemosonics LLC | 1 | $37 |
| AstraZeneca | 2 | $28 |
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.
- QuikClot$132,996
- TEG6s HEMOSTASIS SYSTEM$30,513
- INTERCEPT BLOOD SYSTEM FOR CRYOPRECIPITATION$30,300
- Thrombate III$25,864
- INTERCEPT BLOOD SYSTEM FOR PLATELETS$19,072
- TEG5000 Hemostasis Analyzer$14,082
- TEG$11,963
- Cardiva VASCADE 5F VCS$9,862
- Cardiva VASCADE 6/7F VCS$9,862
- Arrow$9,445
- TEG Manager$4,582
- HAEMONETICS CELL SAVER ELITE+ SYSTEM$2,800
- EXCLUDER Conformable AAA Endoprosthesis with Active Control$166
- NA$150
How this compares
$305,968 in reported general payments places this provider in the 95th percentile of 38 trauma 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.
Other trauma surgery in Nashville
- Oliver GunterNashville$46K
- Lemuel DentNashville$11K
- Michael SmithNashville$9K
- Stephen GadomskiNashville$7K
- Steven BrooksNashville$5K
- Herbert HopperNashville$5K
- Mayur PatelNashville$5K
- Anne WagnerNashville$4K
- Stephen GondekNashville$3K
- Jill StreamsNashville$3K
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.