Bryan Thomas, MD
Surgery · Charleston, SCNPI 1689802761
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (52.2%), travel and lodging and speaking fees — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 83.3% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2021 at $9,010 and has fallen 81.5% since, to $1,663 in 2025. Among surgery clinicians in SC with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 63 payments — averaging $304.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$16K
- Globus Medical$2K
- Medtronic$1K
- AbbVie$153
- Novo Nordisk$115
- Kvk-tech, Inc.$71
- plus $92 from 4 others
What the payments were for
- Speaking & faculty fees$2,50013%
- Travel & lodging$5,05726%
- Food & beverage$1,4247%
- Education$10,00052%
- Gifts$1791%
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 |
|---|---|---|
| Intuitive Surgical | 31 | $15,967 |
| Globus Medical | 11 | $1,546 |
| Medtronic | 6 | $1,216 |
| AbbVie(2 entities) | 4 | $153 |
| Novo Nordisk | 6 | $115 |
| Kvk-tech, Inc. | 1 | $71 |
| Stryker | 1 | $36 |
| Abbott | 1 | $26 |
| Endo Pharmaceuticals Inc. | 1 | $15 |
| Heron Therapeutics, Inc. | 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.
- Da Vinci Surgical System$15,279
- ALIF$1,344
- PIVOX Oblique Lateral Spinal System$1,108
- MaXcess$125
How this compares
$19,160 in reported general payments places this provider in the 90th percentile of 553 surgery 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 |
|---|---|---|
| Omeprazole | 12 | $185 |
| Ondansetron OdtOndansetron | 14 | $89 |
Paid to pharmacies, not to this prescriber.
Other surgery in Charleston
- Chitharanjan PullattranaCharleston$408K
- Steven KahnCharleston$197K
- Nicolas PopeCharleston$59K
- Virgilio GeorgeCharleston$19K
- Ahmad AlqassiehCharleston$16K
- Walter BlessingCharleston$15K
- David McCabeCharleston$15K
- Ari KramerSpartanburg$502K
- John ScottGreenville$242K
- Jason CundiffGreenville$235K
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.