Earl Lett, MD
Plastic and Reconstructive Surgery · Mount Juliet, TNNPI 1790757755
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (38.7%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. AbbVie accounts for 65.7% of it on its own, with 28 other manufacturers making up the rest. Reporting peaked in 2019 at $9,700 and has fallen 66.2% since, to $3,283 in 2025. Among plastic and reconstructive surgery clinicians in TN 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 273 payments — averaging $107.39 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$19K
- Stryker$7K
- Mentor Worldwide LLC$511
- Biofrontera Inc.$466
- Smith+Nephew$463
- Merz North America, Inc.$294
- plus $2K from 23 others
Across 1 payment — averaging $50.00 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.
- AbbVie$50
What the payments were for
- Consulting fees$10,38235%
- Speaking & faculty fees$11,35339%
- Travel & lodging$1,0884%
- Food & beverage$5,12817%
- Education$170%
- Gifts$1,3505%
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 |
|---|---|---|
| AbbVie(2 entities) | 139 | $19,259 |
| Stryker | 8 | $6,611 |
| Mentor Worldwide LLC | 23 | $511 |
| Biofrontera Inc. | 2 | $466 |
| Smith+Nephew | 36 | $463 |
| Merz North America, Inc. | 4 | $294 |
| Solta Medical, A Division Of Bausch Health US, LLC | 8 | $283 |
| Medtronic | 2 | $213 |
| Integra Lifesciences Corporation | 6 | $138 |
| Kerecis Limited | 2 | $131 |
| Musculoskeletal Transplant Foundation Inc. | 7 | $128 |
| KCI USA, Inc. | 1 | $105 |
| TELA Bio, Inc. | 4 | $97 |
| Lifenet Health | 6 | $88 |
| Aroa Biosurgery Incorporated | 2 | $80 |
| Acera Surgical, Inc. | 3 | $60 |
| Revance Therapeutics, Inc. | 2 | $55 |
| Galderma Laboratories, L.p. | 3 | $52 |
| Acell, Inc. | 1 | $40 |
| Avita Medical Americas, LLC | 2 | $39 |
| Motiva USA, LLC | 2 | $39 |
| Sientra, Inc. | 2 | $35 |
| Polynovo North America LLC | 2 | $32 |
| Johnson & Johnson | 1 | $19 |
| Osiris Therapeutics Inc. | 1 | $18 |
| Davol Inc. | 1 | $17 |
| Novo Nordisk | 1 | $17 |
| Solventum Corporation | 1 | $17 |
| Triad Life Sciences Inc. | 1 | $12 |
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.
- DERMACELL$5,382
- BOTOX$4,499
- NATRELLE$1,350
- ALLODERM$911
- SPY TECHNOLOGY$800
- AMELUZ$466
- BF-RhodoLED$466
- 1788$285
- V-LOC 180$179
- MENTOR MemoryGel Resterilizable Gel Sizer$119
- Kerecis Omega3 Wound$113
- SNAP$105
- ARTOURA Breast Tissue Expander$105
How this compares
$29,318 in reported general payments places this provider in the 95th percentile of 77 plastic and reconstructive surgery providers in Tennessee.
See all plastic and reconstructive surgery providers in Tennessee →
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 plastic and reconstructive surgery in Mount Juliet
- William HickersonMemphis$833K
- Daniel HatefNashville$673K
- Mark BrzezienskiChattanooga$32K
- Robert WallaceMemphis$21K
- Lois WagstromNashville$19K
- Jordi Puente EspelNashville$16K
- David LoKnoxville$13K
- Roberto LachicaMemphis$13K
- Tom GallaherPowell$12K
- Jason RehmChattanooga$10K
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.