Patricia Fletcher, MD
Vascular Surgery · Bedford, NHNPI 1609869619
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $2,600 of the $4,257 with a category attached, or 61.1%. 12 manufacturers reported payments, led by Shockwave Medical, Inc at 47.6% of the total. Reporting peaked in 2019 at $2,552 and has fallen 84.3% since, to $400 in 2024.
Across 30 payments — averaging $141.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Shockwave Medical, Inc$2K
- Silk Road Medical, Inc.$1K
- Medtronic$292
- Johnson & Johnson$152
- Bolton Medical Inc$124
- W. L. Gore & Associates, Inc.$116
- plus $154 from 6 others
What the payments were for
- Consulting fees$2,60061%
- Travel & lodging$3067%
- Food & beverage$1,24829%
- Education$1042%
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 |
|---|---|---|
| Shockwave Medical, Inc | 2 | $2,028 |
| Silk Road Medical, Inc. | 7 | $1,391 |
| Medtronic | 5 | $292 |
| Johnson & Johnson | 6 | $152 |
| Bolton Medical Inc | 1 | $124 |
| W. L. Gore & Associates, Inc. | 2 | $116 |
| Veryan Medical Incorporated | 1 | $40 |
| Cardiovascular Systems Inc. | 2 | $31 |
| Abbott | 1 | $25 |
| Chiesi USA, Inc. | 1 | $24 |
| Bard Peripheral Vascular, Inc. | 1 | $18 |
| Smith+Nephew | 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.
- Vascular Lithotripsy$2,000
- ENROUTE Transcarotid Neuroprotection System$1,448
- ENHANCE Transcarotid Peripheral Access Kit$1,233
- ENROUTE Transcarotid Stent$869
- ENROUTE .014 Guidewire$762
- ENROUTE Transcarotid Stent System$471
- ENROUTE 0.014 Guidewire$471
- ENDURANT IIS$149
- Grafts$124
- ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter$108
How this compares
$4,257 in reported general payments places this provider in the 70th 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 | 14 | $10,365 |
| Cilostazol | 70 | $1,469 |
| ClopidogrelClopidogrel Bisulfate | 27 | $221 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 13 | $54 |
Paid to pharmacies, not to this prescriber.
Other vascular surgery in Bedford
- Bjoern SuckowLebanon$101K
- Elena FosterManchester$77K
- Mark FillingerLebanon$26K
- Matthew AlefLebanon$25K
- Richard PowellLebanon$19K
- Syed PeeranPortsmouth$15K
- David KuwayamaLebanon$11K
- Normand MillerSalem$8K
- Brian NolanLebanon$8K
- James EstesDover$6K
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.