Bryan Pepper, PA
Physician Assistant · Lewes, DENPI 1538680277
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $3,966 of the $5,167 with a category attached, or 76.8%. Smith+Nephew accounts for 95.0% of it on its own, with 5 other manufacturers making up the rest. Reporting peaked in 2022 at $2,371 and has fallen 93.1% since, to $164 in 2025. Among physician assistant clinicians in DE 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 34 payments — averaging $151.97 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$5K
- Linvatec Corporation$164
- Johnson & Johnson$37
- Bioventus LLC$27
- DJO, LLC$15
- Abiomed$15
What the payments were for
- Travel & lodging$3,96677%
- Food & beverage$1,20123%
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 |
|---|---|---|
| Smith+Nephew | 29 | $4,910 |
| Linvatec Corporation | 1 | $164 |
| Johnson & Johnson | 1 | $37 |
| Bioventus LLC | 1 | $27 |
| DJO, LLC | 1 | $15 |
| Abiomed | 1 | $15 |
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.
- REAL INTELLIGENCE$4,084
- Journey II$2,442
- Tandem$1,875
- HIP7$1,123
- K-15 PORK$808
- Legion Revision$687
- JOURNEY$432
- EVOS$279
- LINVATEC SHOULDER ARTHROSCOPY$164
- BioBrace 23mm$164
- TRIGEN InterTAN$143
- EVOS MINI$136
- MemoFix Super Elastic Nitinol Staple System$136
- SPATIAL FRAME$136
- MAVERICK$136
- Legion$129
- POLARSTEM$129
How this compares
$5,167 in reported general payments places this provider in the 95th percentile of 527 physician assistant providers in Delaware.
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 |
|---|---|---|
| Celecoxib | 111 | $2,336 |
| Diclofenac Sodium | 92 | $1,080 |
| Oxycodone Hcl | 149 | $750 |
| Methylprednisolone | 35 | $310 |
| Meloxicam | 57 | $231 |
| Gabapentin | 33 | $226 |
| Cyclobenzaprine Hcl | 28 | $217 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 24 | $215 |
| Amoxicillin | 95 | $98 |
| Tramadol Hcl | 27 | $78 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Lewes
- Jennifer RahnLewes$13K
- Drew VenablesLewes$12K
- Morgan PopovichLewes$12K
- Eugene IsaacLewes$4K
- Kelly YudtLewes$3K
- Kristina JohnsonLewes$3K
- Joseph PriggLewes$2K
- James LustDover$30K
- Vi BanhNewark$12K
- Jason SaulWilmington$9K
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.