Dmitry Nepomnayshy, MD
Surgery · Burlington, MANPI 1891878401
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $21,825 of the $29,769 with a category attached, or 73.3%. Microline Surgical Inc accounts for 73.3% of it on its own, with 5 other manufacturers making up the rest. 2025 is the largest year on record at $13,610, more than ten times the $20 reported in 2019. Among surgery clinicians in MA 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 $763.31 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Microline Surgical Inc$22K
- Intuitive Surgical$6K
- Olympus America Inc.$1K
- Medtronic$418
- KARL Storz Endoscopy-america$20
- Baxter Healthcare$17
What the payments were for
- Consulting fees$21,82573%
- Speaking & faculty fees$1,3004%
- Travel & lodging$1,4885%
- Food & beverage$1,1564%
- Education$4,00013%
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 |
|---|---|---|
| Microline Surgical Inc | 11 | $21,825 |
| Intuitive Surgical | 16 | $6,168 |
| Olympus America Inc. | 2 | $1,320 |
| Medtronic | 8 | $418 |
| KARL Storz Endoscopy-america | 1 | $20 |
| Baxter Healthcare | 1 | $17 |
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.
- DAVINCI XI$4,000
- Da Vinci Surgical System$1,910
- Signia$170
How this compares
$29,769 in reported general payments places this provider in the 95th percentile of 694 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 surgery in Burlington
- Reuben ShinBurlington$158K
- Michael TarnoffBoston$1.4M
- Omar KudsiBoston$886K
- Philip CohenBrockton$280K
- Ankit MehtaBoston$278K
- Mark ConradMethuen$187K
- James HermenegildoFall River$178K
- Richard EngelmanSpringfield$167K
- Richard BirkettBeverly$93K
- Johannes KratzBoston$79K
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.