Peter Bream, MD
Vascular & Interventional Radiology · Greenville, NCNPI 1255428355
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $8,450 of the $10,491 with a category attached, or 80.5%. Bard Peripheral Vascular, Inc. accounts for 82.6% of it on its own, with 13 other manufacturers making up the rest. Reporting peaked in 2021 at $4,275 and has fallen 78.7% since, to $910 in 2025.
Across 38 payments — averaging $276.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Bard Peripheral Vascular, Inc.$9K
- CMS Imaging, Inc.$435
- Medtronic$320
- Boston Scientific$287
- Okami Medical, Inc.$162
- Inari Medical, Inc.$147
- plus $478 from 8 others
Across 1 payment — averaging $34,500 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.
- Bard Peripheral Vascular, Inc.$35K
What the payments were for
- Consulting fees$8,45081%
- Food & beverage$2,00419%
- Education$280%
- Entertainment$90%
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 |
|---|---|---|
| Bard Peripheral Vascular, Inc. | 8 | $8,663 |
| CMS Imaging, Inc. | 5 | $435 |
| Medtronic(3 entities) | 4 | $320 |
| Boston Scientific | 5 | $287 |
| Okami Medical, Inc. | 1 | $162 |
| Inari Medical, Inc. | 2 | $147 |
| Terumo Medical Corporation | 3 | $129 |
| XACT Robotics Ltd | 1 | $129 |
| Trisalus Life Sciences, Inc. | 3 | $66 |
| Sirtex Medical Inc | 1 | $54 |
| Cook Medical LLC | 1 | $32 |
| W. L. Gore & Associates, Inc. | 1 | $28 |
| Penumbra, Inc. | 2 | $27 |
| Angiodynamics, Inc. | 1 | $14 |
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.
- LOBO$162
- Endurant$150
- COVERA$147
- FLOWTRIEVER CATHETER, S$130
- CT THROMBECTOMY SYSTEM KIT$130
- ACE$129
- OSTEOCOOL RF ABLATION$106
How this compares
$10,491 in reported general payments places this provider in the 80th percentile of 106 vascular & interventional radiology providers in North Carolina.
See all vascular & interventional radiology providers in North Carolina →
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.
Other vascular & interventional radiology in Greenville
- Karl ChiangGreenville$2K
- Bradley SwinsonGreenville$2K
- Michael BerryGreenville$1K
- Christopher ThomasGreenville$1K
- Gloria SalazarChapel Hill$364K
- Brian KouriWinston Salem$342K
- Ari IsaacsonChapel Hill$290K
- Nicole KeefeChapel Hill$92K
- William PechterCary$73K
- Stephen LoehrCary$72K
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.