Raphael Bueno, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Boston, MANPI 1982695540
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (34.7%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 7 manufacturers reported payments, led by Medtronic at 26.7% of the total. Reporting peaked in 2019 at $3,095 and has fallen 83.2% since, to $518 in 2025.
Across 38 payments — averaging $266.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$3K
- Regeneron$2K
- F. Hoffmann-la Roche AG$2K
- Intuitive Surgical$1K
- Siemens Medical Solutions USA, Inc.$1K
- Baxter Healthcare$280
- plus $160 from 1 others
Across 29 payments — averaging $48,223 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.
- Genentech, Inc.$649K
- Merck$404K
- Siemens Medical Solutions USA, Inc.$174K
- Verastem, Inc.$111K
- Intuitive Surgical Operations, Inc.$60K
What the payments were for
- Consulting fees$3,51535%
- Speaking & faculty fees$1,50015%
- Travel & lodging$3,48134%
- Food & beverage$1,63716%
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 |
|---|---|---|
| Medtronic | 17 | $2,708 |
| Regeneron | 1 | $2,355 |
| F. Hoffmann-la Roche AG | 5 | $2,041 |
| Intuitive Surgical | 10 | $1,348 |
| Siemens Medical Solutions USA, Inc. | 2 | $1,241 |
| Baxter Healthcare | 2 | $280 |
| Johnson & Johnson | 1 | $160 |
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.
- LIBTAYO$2,355
- DUPIXENT$2,355
- LigaSure$2,222
- Non-Covered Product$1,977
- Da Vinci Surgical System$1,229
- COSEAL$280
- MONARCH$160
How this compares
$10,134 in reported general payments places this provider in the 65th percentile of 171 thoracic surgery (cardiothoracic vascular surgery) providers in Massachusetts.
See all thoracic surgery (cardiothoracic vascular surgery) providers in Massachusetts →
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 thoracic surgery (cardiothoracic vascular surgery) in Boston
- Lana Schumacher BealBoston$254K
- Sidney LevitskyBoston$248K
- Robert ThurerBoston$229K
- Margaret MarshallBoston$122K
- Pedro del NidoBoston$119K
- Akinobu ItohBoston$102K
- Amy HackmannBoston$80K
- Nathaniel LangerBoston$79K
- David DalessandroBoston$77K
- Joren MadsenBoston$65K
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.