David Bruno, MD
Surgery · Richmond, VANPI 1992823710
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (51.6%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 6 manufacturers reported payments, led by La Jolla Pharmaceutical Company at 55.4% of the total. Reporting peaked in 2023 at $2,622 and has fallen 99.0% since, to $26 in 2025.
Across 16 payments — averaging $281.97 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- La Jolla Pharmaceutical Company$2K
- Intuitive Surgical$1K
- Transmedics, Inc.$442
- Organox Ltd$153
- Mirum Pharmaceuticals, Inc.$141
- Abbott$26
Across 8 payments — averaging $7647.38 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.
- Transmedics, Inc.$61K
What the payments were for
- Consulting fees$2,32852%
- Travel & lodging$1,46733%
- Food & beverage$71716%
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 |
|---|---|---|
| La Jolla Pharmaceutical Company | 3 | $2,499 |
| Intuitive Surgical | 9 | $1,251 |
| Transmedics, Inc. | 1 | $442 |
| Organox Ltd | 1 | $153 |
| Mirum Pharmaceuticals, Inc. | 1 | $141 |
| Abbott | 1 | $26 |
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.
- GIAPREZA$2,454
- Da Vinci Surgical System$995
- ORGAN CARE SYSTEM$442
- METRA$153
- Livmarli$141
How this compares
$4,512 in reported general payments places this provider in the 70th percentile of 675 surgery providers in Virginia.
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 surgery in Richmond
- Raymond MakhoulRichmond$1.5M
- Kandace McGuireRichmond$82K
- Alfredo CarbonellRichmond$63K
- Ralph LaymanRichmond$62K
- Stephanie GoldbergRichmond$33K
- Guilherme Rocha CamposRichmond$32K
- Marlon LevyRichmond$18K
- Carly AllredRichmond$18K
- Zobair YounossiFalls Church$1.2M
- Yassar YoussefNorfolk$1M
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.