Nicholas Bremer, MD
Pain Medicine · Fernandina Beach, FLNPI 1083778468
Payments from drug & device makers
Across 501 payments — averaging $163.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$53K
- Boston Scientific$11K
- Medtronic$6K
- Flowonix Medical Incorporated$5K
- Stryker$1K
- Nalu Medical, Inc.$1K
- plus $5K from 34 others
Across 1 payment — averaging $17.87 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.
- Saluda Medical Americas, Inc.$18
What the payments were for
- Consulting fees$31,59648%
- Speaking & faculty fees$2,8004%
- Travel & lodging$13,34220%
- Food & beverage$15,48723%
- Education$2210%
- Entertainment$2,7434%
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.
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.
- Neuromodulation Dspsbls and Accs$17,340
- Proclaim Family of SCS IPGs$11,983
- GENERAL PAIN MANAGEMENT$6,712
- Prometra II$4,919
- PROCLAIM$3,338
- INTELLIS ADAPTIVESTIM$1,573
- KYPHON EXPRESS II KYPHOPAK TRAY$1,417
- SPECTRA WAVEWRITER$1,295
- IVS - VERTEBRAL AUGMENTATION PRODUCTS$1,143
- Nalu Neurostimulation System$931
- INTELLIS$850
- NA$555
- SPRINT PNS System$500
- GENERAL - THERAPIES$386
- KYPHON Balloon Kyphoplasty$367
- Axium$341
- Evoke$282
- ETERNA$279
- Intracept$258
- PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A$256
How this compares
$81,888 in reported general payments places this provider in the 95th percentile of 596 pain medicine providers in Florida.
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 596 | $18,138 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 389 | $9,466 |
| Pregabalin | 209 | $5,440 |
| Gabapentin | 144 | $3,135 |
| Oxycodone Hcl | 132 | $1,680 |
| Tizanidine Hcl | 76 | $1,294 |
| Tramadol Hcl | 182 | $1,233 |
| Buprenorphine Hcl | 35 | $1,140 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 24 | $865 |
| Baclofen | 46 | $818 |
| Amitriptyline Hcl | 40 | $619 |
| Lidocaine | 12 | $528 |
| Morphine Sulfate ErMorphine Sulfate | 22 | $522 |
| Duloxetine Hcl | 24 | $487 |
| Morphine Sulfate | 15 | $292 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Fernandina Beach
- Anand PatelOrmond Beach$20.4M
- Julio PaezClermont$2.3M
- Joseph PergolizziNaples$2.1M
- Abel MurilloMiami$1.6M
- George MonluxPalm Coast$1.3M
- Ferdinand FormosoJacksonville$1M
- Cesar LassalleOrlando$1M
- Robert GuirguisTampa$895K
- Ashraf HannaClearwater$608K
- Peter MichaelCoral Gables$496K
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.