Krystle Tuano, MD
Plastic and Reconstructive Surgery · Boston, MANPI 1245657261
Payments from drug & device makers
What this record shows
This record is dominated by grants: $12,500 of the $19,808 with a category attached, or 63.1%. Acumed LLC accounts for 63.1% of it on its own, with 17 other manufacturers making up the rest. Reporting peaked in 2022 at $13,460 and has fallen 89.7% since, to $1,391 in 2025.
Across 56 payments — averaging $353.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acumed LLC$13K
- Trimed, Inc.$3K
- BD$1K
- Integra Lifesciences Corporation$493
- Axogen$355
- Sonex Health, Inc.$333
- plus $2K from 12 others
What the payments were for
- Speaking & faculty fees$1,1006%
- Grants$12,50063%
- Travel & lodging$6233%
- Food & beverage$5,58528%
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 |
|---|---|---|
| Acumed LLC | 1 | $12,500 |
| Trimed, Inc. | 23 | $2,982 |
| BD | 2 | $1,247 |
| Integra Lifesciences Corporation | 5 | $493 |
| Axogen | 2 | $355 |
| Sonex Health, Inc. | 1 | $333 |
| Solventum Corporation | 5 | $320 |
| Urgo Medical North America, LLC | 1 | $280 |
| TELA Bio, Inc. | 2 | $256 |
| AbbVie | 3 | $197 |
| Kerecis Limited | 2 | $182 |
| Davol Inc. | 1 | $129 |
| Innovation Technologies Inc | 1 | $125 |
| Biocomposites Inc | 2 | $125 |
| Endo Pharmaceuticals Inc. | 1 | $116 |
| Illuminoss Medical, Inc. | 1 | $114 |
| Kairos Surgical Inc | 2 | $40 |
| Skeletal Dynamics Inc | 1 | $16 |
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.
- Tools - WFS$1,750
- INTEGRA$966
- Kerecis Omega3 Marigen$422
- AVANCE NERVE GRAFT$355
- ULTRAGUIDECTR$333
- ULTRAGUIDETFR$333
- INTEGRA DERMAL REGENERATION TEMPLATE$322
- PRIMATRIX$322
- VASHE WOUND SOLUTION 250 ML (8.5 FL OZ) FLIP TOP CAP$280
- Phasix Mesh$276
- OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex)$256
- V.A.C. GRANUFOAM$148
- V.A.C. ULTA$148
- Kerecis Omega3 SurgiClose$141
- Kerecis Omega3 GraftGuide$141
- V.A.C. VERAFLO$129
- PREVENA$129
- V.A.C. VERAFLO CLEANSE CHOICE$129
- Irrisept$125
- XIAFLEX$116
How this compares
$19,808 in reported general payments places this provider in the 85th percentile of 67 plastic and reconstructive surgery providers in Massachusetts.
See all plastic and reconstructive 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 plastic and reconstructive surgery in Boston
- Kyle EberlinBoston$445K
- Dennis OrgillBoston$87K
- Jonathan FriedstatBoston$59K
- Ashley BoustanyBoston$46K
- Devin O'Brien-CoonBoston$34K
- Jonathan BekiszBoston$23K
- Christopher HomsyBoston$12K
- Arthur CelestinBoston$6K
- Eleanor TomczykBoston$6K
- Frank LauBoston$5K
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.