Mark Brzezienski, MD
Plastic and Reconstructive Surgery · Chattanooga, TNNPI 1487621926
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (58.1%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. 18 manufacturers reported payments, led by Pacira Pharmaceuticals Incorporated at 44.2% of the total. Reporting peaked in 2021 at $14,163 and has fallen 64.0% since, to $5,092 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 73 payments — averaging $431.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pacira Pharmaceuticals Incorporated$14K
- Mentor Worldwide LLC$9K
- AbbVie$4K
- Alpha Orthopedic Systems$1K
- Musculoskeletal Transplant Foundation Inc.$1K
- RTI Surgical, Inc$851
- plus $1K from 12 others
Across 267 payments — averaging $1499.65 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.
- Mentor Worldwide LLC$288K
- AbbVie$106K
- Medical Device Business Services, Inc.$7K
What the payments were for
- Consulting fees$18,33158%
- Speaking & faculty fees$6,80022%
- Travel & lodging$2,1127%
- Food & beverage$3,08810%
- Education$1,2004%
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 |
|---|---|---|
| Pacira Pharmaceuticals Incorporated | 6 | $13,946 |
| Mentor Worldwide LLC | 21 | $8,952 |
| AbbVie(2 entities) | 17 | $4,341 |
| Alpha Orthopedic Systems | 1 | $1,200 |
| Musculoskeletal Transplant Foundation Inc. | 3 | $1,093 |
| RTI Surgical, Inc | 4 | $851 |
| Merz North America, Inc. | 3 | $228 |
| Somavac Medical Solutions, Inc. | 3 | $205 |
| Stryker | 3 | $194 |
| Abbott | 1 | $174 |
| Axogen | 2 | $144 |
| Integra Lifesciences Corporation | 3 | $47 |
| Globus Medical | 1 | $41 |
| Smoky Mountain Surgical LLC | 1 | $33 |
| Smith+Nephew | 1 | $22 |
| Medtronic | 1 | $22 |
| Sientra, Inc. | 1 | $22 |
| Galderma Laboratories, L.p. | 1 | $15 |
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.
- EXPAREL$13,946
- NATRELLE SALINE-FILLED BREAST IMPLANTS$2,237
- ARTIA$1,700
- CORTIVA ALLOGRAFT DERMIS$757
- ETERNA$174
- SMARTLOCK$126
- MemoryGel Breast Implants$125
How this compares
$31,530 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Cephalexin | 78 | $366 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 45 | $105 |
| Gabapentin | 17 | $95 |
| Hydroxyzine Hcl | 39 | $88 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 32 | $87 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 12 | $62 |
| Tramadol Hcl | 26 | $35 |
Paid to pharmacies, not to this prescriber.
Other plastic and reconstructive surgery in Chattanooga
- Jason RehmChattanooga$10K
- Todd ThurstonChattanooga$2K
- Jimmy WaldropChattanooga$2K
- Stewart LittleChattanooga$2K
- William HickersonMemphis$833K
- Daniel HatefNashville$673K
- Earl LettMount Juliet$29K
- Robert WallaceMemphis$21K
- Lois WagstromNashville$19K
- Jordi Puente EspelNashville$16K
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.