Karl Breuing, MD
Plastic Surgery · Providence, RINPI 1720044472
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $110,417 of the $123,042 with a category attached, or 89.7%. AbbVie accounts for 75.8% of it on its own, with 3 other manufacturers making up the rest. Reporting peaked in 2019 at $46,516 and has fallen 67.8% since, to $15,000 in 2025. Among plastic surgery clinicians in RI 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 99 payments — averaging $1242.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$93K
- KCI USA, Inc.$19K
- TELA Bio, Inc.$11K
- Stryker$12
What the payments were for
- Consulting fees$110,41790%
- Travel & lodging$9,0107%
- Food & beverage$3,6113%
- Education$30%
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) | 69 | $93,234 |
| KCI USA, Inc. | 14 | $18,698 |
| TELA Bio, Inc. | 15 | $11,098 |
| Stryker | 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.
- NATRELLE SALINE-FILLED BREAST IMPLANTS$30,405
- NATRELLE$29,559
- REVOLVE$14,334
- ALLODERM$14,000
- VAC VERAFLO$13,120
- OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex)$6,765
- Ovitex$4,145
- ARTIA$1,400
- ACTIVAC$458
- ABTHERA$171
How this compares
$123,042 in reported general payments places this provider in the 95th percentile of 26 plastic surgery providers in Rhode Island.
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 surgery in Providence
- Richard ZienowiczProvidence$14K
- David ChiProvidence$14K
- Reena BhattProvidence$7K
- Patrick SullivanProvidence$2K
- Mimi BorrelliProvidence$2K
- Brian TempleProvidence$2K
- Jonathan BrowerProvidence$1K
- Mohamed Diya SabbaghProvidence$905
- Lauren RousselProvidence$772
- Erik HoyProvidence$715
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.