Bryan Pukenas, MD
Radiation Oncology · Philadelphia, PANPI 1588713499
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (54.6%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. Eli Lilly accounts for 78.7% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2022 at $17,574 and has fallen 96.8% since, to $561 in 2025. Among radiation oncology clinicians in PA 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 39 payments — averaging $920.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Eli Lilly$28K
- Clearpoint Neuro, Inc.$5K
- Balt USA, LLC$1K
- Medtronic$440
- Microvention, Inc.$215
- Siemens Medical Solutions USA, Inc.$203
- plus $309 from 4 others
Across 1 payment — averaging $2400.00 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.
- Neurocrine Biosciences, Inc.$2K
What the payments were for
- Consulting fees$14,92742%
- Travel & lodging$19,61555%
- Food & beverage$1,3634%
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 |
|---|---|---|
| Eli Lilly | 8 | $28,243 |
| Clearpoint Neuro, Inc. | 8 | $5,309 |
| Balt USA, LLC | 3 | $1,187 |
| Medtronic | 7 | $440 |
| Microvention, Inc. | 3 | $215 |
| Siemens Medical Solutions USA, Inc. | 2 | $203 |
| Johnson & Johnson | 4 | $142 |
| Qapel Medical Inc | 2 | $79 |
| Stryker | 1 | $63 |
| Novocure Inc. | 1 | $25 |
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.
How this compares
$35,905 in reported general payments places this provider in the 95th percentile of 339 radiation oncology providers in Pennsylvania.
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 radiation oncology in Philadelphia
- Neil TaunkPhiladelphia$203K
- Wenyin ShiPhiladelphia$119K
- Kevin NeadPhiladelphia$50K
- Adam DickerPhiladelphia$46K
- Tinatin ChabrashviliPhiladelphia$39K
- Sameera KumarPhiladelphia$29K
- Joshua MeyerPhiladelphia$25K
- Abigail BermanPhiladelphia$25K
- Michelle Alonso-BasantaPhiladelphia$23K
- Andy MinnPhiladelphia$22K
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.