Christopher Alvarez-Breckenridge, MD
Neurological Surgery · Boston, MANPI 1396181640
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 14 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 7 manufacturers reported payments, led by Icotec Medical Inc. at 32.1% of the total. Reporting peaked in 2024 at $492 and has fallen 86.6% since, to $66 in 2025. That places this record below the midpoint for neurological surgery clinicians in MA, where the typical reported total is $3,500.
Across 14 payments — averaging $103.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Icotec Medical Inc.$466
- Novocure Inc.$290
- Kuros Biosciences USA, Inc$236
- Stryker$227
- Johnson & Johnson$105
- Carbofix Spine Inc$66
- plus $62 from 1 others
Across 1 payment — averaging $90,000 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.
- Novocure Israel Ltd$90K
What the payments were for
- Food & beverage$1,451100%
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 |
|---|---|---|
| Icotec Medical Inc. | 3 | $466 |
| Novocure Inc. | 2 | $290 |
| Kuros Biosciences USA, Inc | 1 | $236 |
| Stryker | 4 | $227 |
| Johnson & Johnson | 1 | $105 |
| Carbofix Spine Inc | 1 | $66 |
| Medtronic | 2 | $62 |
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
$1,451 in reported general payments places this provider in the 35th percentile of 183 neurological surgery providers in Massachusetts.
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 neurological surgery in Boston
- Simcha WellerBoston$905K
- Aman PatelBoston$734K
- Alireza AtriBoston$503K
- Myron RolleBoston$290K
- John ChiBoston$280K
- Philipp TausskyBoston$224K
- Robert RichardsonBoston$190K
- Brendon BootBoston$149K
- Muhammad Abd-El-BarrBoston$140K
- Brian NahedBoston$97K
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.