James Lettera, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Fairfield, CTNPI 1700825593
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $15,500 of the $23,174 with a category attached, or 66.9%. Globus Medical accounts for 92.3% of it on its own, with 13 other manufacturers making up the rest. Reporting peaked in 2022 at $8,968 and has fallen 94.1% since, to $528 in 2024.
Across 61 payments — averaging $379.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$21K
- Johnson & Johnson$720
- 4web, Inc.$500
- Medtronic$179
- Lilly USA, LLC$89
- E.r. Squibb & Sons, L.L.C.$80
- plus $214 from 8 others
What the payments were for
- Consulting fees$1,0705%
- Speaking & faculty fees$15,50067%
- Travel & lodging$5,34723%
- Food & beverage$1,2575%
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 |
|---|---|---|
| Globus Medical(2 entities) | 29 | $21,392 |
| Johnson & Johnson | 2 | $720 |
| 4web, Inc. | 1 | $500 |
| Medtronic(2 entities) | 5 | $179 |
| Lilly USA, LLC | 5 | $89 |
| E.r. Squibb & Sons, L.L.C. | 5 | $80 |
| Amgen | 3 | $61 |
| Boehringer Ingelheim | 3 | $40 |
| Biodelivery Sciences International, Inc. | 2 | $32 |
| AstraZeneca | 2 | $27 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $16 |
| Merck | 1 | $14 |
| Avanos Medical | 1 | $13 |
| Kls-martin L.p. | 1 | $10 |
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.
- CORBEL$10,365
- INDEPENDENCE$8,659
- ALIF$1,789
- SPINE TRUSS SYSTEM$500
- Signia$125
- RELINE$102
How this compares
$23,174 in reported general payments places this provider in the 85th percentile of 70 thoracic surgery (cardiothoracic vascular surgery) providers in Connecticut.
See all thoracic surgery (cardiothoracic vascular surgery) providers in Connecticut →
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 thoracic surgery (cardiothoracic vascular surgery) in Fairfield
- Arshad QuadriW. Hartford$626K
- M Clive RobinsonBridgeport$496K
- Justin BlasbergNew Haven$468K
- Marc PelletierNew Haven$151K
- Colleen PietrasNew Haven$68K
- Michael EbrightStamford$67K
- Prashanth VallabhajosyulaNew Haven$36K
- Dustin WaltersFarmington$36K
- Daniel BoffaNew Haven$26K
- Daniel FuscoFarmington$23K
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.