Matthew Alef
Vascular Surgery · Lebanon, NHNPI 1639371610
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (52.1%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 12 manufacturers reported payments, led by Cook Incorporated at 55.9% of the total. Among vascular surgery clinicians in NH with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 61 payments — averaging $406.95 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Cook Incorporated$14K
- Penumbra, Inc.$4K
- Cook Medical LLC$3K
- GE HealthCare$3K
- Bolton Medical Inc$259
- Shape Memory Medical Inc.$187
- plus $683 from 6 others
Across 25 payments — averaging $396.68 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.
- Endologix LLC$10K
What the payments were for
- Consulting fees$2,60010%
- Speaking & faculty fees$12,94052%
- Travel & lodging$5,55222%
- Food & beverage$3,73215%
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 |
|---|---|---|
| Cook Incorporated | 16 | $13,879 |
| Penumbra, Inc. | 3 | $3,908 |
| Cook Medical LLC | 28 | $3,309 |
| GE HealthCare | 2 | $2,600 |
| Bolton Medical Inc | 2 | $259 |
| Shape Memory Medical Inc. | 3 | $187 |
| W. L. Gore & Associates, Inc. | 2 | $166 |
| Endologix LLC | 1 | $156 |
| Angiodynamics, Inc. | 1 | $116 |
| Siemens Medical Solutions USA, Inc. | 1 | $92 |
| Medtronic | 1 | $83 |
| Inari Medical, Inc. | 1 | $69 |
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.
- Cook$5,043
- Zenith Alpha$4,733
- Indigo System$3,908
- Zilver PTX$2,615
- ALLIA$2,600
- Zenith Spiral-Z$1,603
- TREO ABDOMINAL STENT-GRAFT SYSTEM$259
- Torus Stent Graft System$156
- ENDOCROSS Device$156
- Zenith$151
- IMPEDE EMBOLIZATION PLUG$135
- Lunderquist$122
- Auryon Laser System 100-120 Vac$116
How this compares
$24,824 in reported general payments places this provider in the 90th percentile of 43 vascular surgery providers in New Hampshire.
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 |
|---|---|---|
| EliquisApixaban | 17 | $11,774 |
| ClopidogrelClopidogrel Bisulfate | 45 | $415 |
| Atorvastatin Calcium | 11 | $84 |
Paid to pharmacies, not to this prescriber.
Other vascular surgery in Lebanon
- Bjoern SuckowLebanon$101K
- Mark FillingerLebanon$26K
- Richard PowellLebanon$19K
- David KuwayamaLebanon$11K
- Brian NolanLebanon$8K
- Jessica WallaertLebanon$5K
- Jocelyn BeachLebanon$4K
- Jennifer StablefordLebanon$3K
- Nikolaos ZachariasLebanon$2K
- Amy FelstedLebanon$2K
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.