Patrick Swier, MD
Plastic Surgery · Lewes, DENPI 1306843453
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 10 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 5 manufacturers reported payments, led by Sientra, Inc. at 52.7% of the total. Reporting peaked in 2021 at $197 and has fallen 88.4% since, to $23 in 2022.
Across 10 payments — averaging $24.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sientra, Inc.$128
- Merz North America, Inc.$60
- Endo Pharmaceuticals Inc.$23
- AbbVie$20
- Pacira Pharmaceuticals Incorporated$11
What the payments were for
- Food & beverage$243100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Sientra, Inc. | 5 | $128 |
| Merz North America, Inc. | 2 | $60 |
| Endo Pharmaceuticals Inc. | 1 | $23 |
| AbbVie | 1 | $20 |
| Pacira Pharmaceuticals Incorporated | 1 | $11 |
How this compares
Too few plastic surgery providers in Delawareto place this figure against a meaningful peer group, so we don't.
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 | 138 | $935 |
| Mupirocin | 74 | $585 |
| Triamcinolone Acetonide | 20 | $465 |
| Ondansetron Hcl | 35 | $184 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 20 | $130 |
| Silver Sulfadiazine | 16 | $94 |
| Tramadol Hcl | 27 | $90 |
| Gabapentin | 32 | $87 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 13 | $50 |
Paid to pharmacies, not to this prescriber.
Other plastic surgery in Lewes
- Lawrence ChangNewark$160K
- John GillespiWilmington$5K
- John DanyoWilmington$2K
- Katheryn WarrenNewark$1K
- Edward CatersonWilmington$976
- Abdollah MalekNewark$608
- Joseph NapoliWilmington$581
- Joseph ThorntonNewark$363
- Mario AycartWilmington$85
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.