Richard Bernat, MD
Plastic Surgery within the Head & Neck · Pittsburgh, PANPI 1447218649
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 21 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 11 manufacturers reported payments, led by Acclarent, Inc at 43.8% of the total. Reporting peaked in 2019 at $253 and has fallen 85.3% since, to $37 in 2025. That places this record below the midpoint for plastic surgery within the head & neck clinicians in PA, where the typical reported total is $1,397.
Across 21 payments — averaging $23.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acclarent, Inc$215
- Stryker$60
- Sanofi$43
- Aerin Medical Inc.$40
- Smith+Nephew$27
- Inspire Medical Systems, Inc.$22
- plus $83 from 5 others
What the payments were for
- Food & beverage$491100%
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 |
|---|---|---|
| Acclarent, Inc | 6 | $215 |
| Stryker | 3 | $60 |
| Sanofi | 3 | $43 |
| Aerin Medical Inc. | 2 | $40 |
| Smith+Nephew | 1 | $27 |
| Inspire Medical Systems, Inc. | 1 | $22 |
| Tactile Systems Technology Inc | 1 | $21 |
| Pacira Therapeutics, Inc. | 1 | $19 |
| Integra Lifesciences Corporation | 1 | $16 |
| Regeneron Healthcare Solutions, Inc. | 1 | $15 |
| Davol Inc. | 1 | $12 |
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.
How this compares
$491 in reported general payments places this provider in the 35th percentile of 20 plastic surgery within the head & neck providers in Pennsylvania.
See all plastic surgery within the head & neck providers in Pennsylvania →
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 |
|---|---|---|
| Cevimeline Hcl | 49 | $8,064 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 35 | $4,806 |
| Ipratropium Bromide | 151 | $4,227 |
| Fluticasone Propionate | 129 | $1,420 |
| Famotidine | 159 | $1,266 |
| Pantoprazole Sodium | 123 | $866 |
| Montelukast Sodium | 71 | $572 |
| Levocetirizine Dihydrochloride | 60 | $549 |
| Neomycin-Polymyxin-DexamethNeomycin/Polymyxin B/Dexametha | 30 | $496 |
| Clobetasol Propionate | 21 | $312 |
| Azelastine Hcl | 12 | $232 |
| Gabapentin | 16 | $181 |
| Prednisone | 48 | $122 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 11 | $108 |
| Ciprofloxacin Hcl | 17 | $92 |
Paid to pharmacies, not to this prescriber.
Other plastic surgery within the head & neck in Pittsburgh
- Joshua SmithPittsburgh$462
- Sumeet MathurJohnstown$17K
- Joseph SmithExton$8K
- Christopher RassekhPhiladelphia$5K
- John GallagherLanghorne$4K
- Alison YuPhiladelphia$3K
- Aarti AgarwalPhiladelphia$3K
- Neel SangalLancaster$3K
- Benjamin ChackLanghorne$2K
- Gunnar BergqvistErie$2K
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.