Karl Fuller
Physician Assistant · West Springfield, MANPI 1043255821
Payments from drug & device makers
Across 32 payments — averaging $26.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$235
- Nevro Corp.$148
- Vertos Medical, Inc.$94
- Painteq LLC$71
- Medtronic$47
- SPR Therapeutics, Inc$47
- plus $213 from 9 others
What the payments were for
- Food & beverage$84399%
- Education$121%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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) | 10 | $235 |
| Nevro Corp. | 4 | $148 |
| Vertos Medical, Inc. | 1 | $94 |
| Painteq LLC | 3 | $71 |
| Medtronic | 2 | $47 |
| SPR Therapeutics, Inc | 1 | $47 |
| Redhill Biopharma Inc. | 2 | $36 |
| Bioventus LLC | 2 | $35 |
| Lundbeck LLC | 1 | $27 |
| Averitas Pharma Inc. | 1 | $24 |
| Relievant Medsystems, Inc. | 1 | $24 |
| Curonix LLC | 1 | $24 |
| Johnson & Johnson | 1 | $16 |
| Azurity Pharmaceuticals, Inc. | 1 | $15 |
| Almatica Pharma LLC | 1 | $12 |
How this compares
$855 in reported general payments places this provider in the 85th percentile of 3,507 physician assistant 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Nucynta ErTapentadol Hcl | 24 | $31,655 |
| OxycontinOxycodone Hcl | 22 | $11,443 |
| Buprenorphine | 19 | $3,517 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 125 | $2,877 |
| Gabapentin | 214 | $2,815 |
| Oxycodone Hcl | 122 | $1,851 |
| Morphine Sulfate ErMorphine Sulfate | 80 | $1,714 |
| Lidocaine | 24 | $1,205 |
| Fentanyl | 21 | $1,052 |
| Tramadol Hcl | 184 | $1,013 |
| Pregabalin | 68 | $883 |
| Morphine Sulfate | 29 | $502 |
| Tizanidine Hcl | 46 | $465 |
| Methocarbamol | 39 | $382 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 31 | $324 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in West Springfield
- Christopher MasseyWilbraham$190K
- Lizabeth O ConnorEverett$182K
- Kimberly ComeauSwampscott$120K
- Stacey PanasciSpringfield$113K
- Jason RandWaltham$99K
- Karen ChunEast Boston$70K
- David PeckhamQuincy$61K
- Leslie SmithSpringfield$49K
- Andrea MilliganBoston$46K
- Lauren RousseauBoston$42K
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.