Syed Peeran, MD
Vascular Surgery · Portsmouth, NHNPI 1255593828
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $9,393 of the $14,681 with a category attached, or 64.0%. It is spread thinly across 38 manufacturers, the largest accounting for just 20.4%. Reporting peaked in 2024 at $4,838 and has fallen 76.8% since, to $1,125 in 2025.
Across 154 payments — averaging $95.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Janssen Scientific Affairs, LLC$3K
- Siemens Medical Solutions USA, Inc.$1K
- W. L. Gore & Associates, Inc.$1K
- Silk Road Medical, Inc.$1K
- GE HealthCare$1K
- Medtronic$953
- plus $6K from 32 others
What the payments were for
- Consulting fees$3,00020%
- Travel & lodging$2,21915%
- Food & beverage$9,39364%
- Gifts$700%
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 |
|---|---|---|
| Janssen Scientific Affairs, LLC | 5 | $3,000 |
| Siemens Medical Solutions USA, Inc. | 9 | $1,268 |
| W. L. Gore & Associates, Inc. | 13 | $1,049 |
| Silk Road Medical, Inc. | 11 | $1,043 |
| GE HealthCare | 1 | $1,040 |
| Medtronic(2 entities) | 19 | $953 |
| Endologix LLC | 11 | $900 |
| Shockwave Medical, Inc | 10 | $664 |
| Inari Medical, Inc. | 7 | $600 |
| Boston Scientific | 6 | $380 |
| Abbott | 3 | $377 |
| Abiomed | 7 | $343 |
| Cardiovascular Systems Inc. | 3 | $322 |
| Organogenesis Inc. | 4 | $253 |
| Bard Peripheral Vascular, Inc. | 3 | $235 |
| Lemaitre Vascular, Inc. | 4 | $234 |
| Cvrx, Inc. | 1 | $192 |
| Elutia, Inc. | 2 | $190 |
| Stryker | 1 | $176 |
| Sanofi-aventis U.S. LLC | 1 | $148 |
| Atricure, Inc. | 3 | $144 |
| Angiodynamics, Inc. | 2 | $133 |
| Penumbra, Inc. | 4 | $129 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 6 | $124 |
| Smith+Nephew | 3 | $112 |
| Novo Nordisk | 1 | $110 |
| Johnson & Johnson | 1 | $95 |
| Livanova USA, Inc. | 1 | $93 |
| Tactile Systems Technology Inc | 3 | $84 |
| BD | 1 | $70 |
| Veryan Medical Incorporated | 1 | $52 |
| Haemonetics Corporation | 1 | $39 |
| Grifols USA, LLC | 1 | $31 |
| Mimedx Group, Inc. | 1 | $23 |
| Terumo Medical Corporation | 1 | $23 |
| Edwards Lifesciences | 1 | $22 |
| Lifenet Health | 1 | $15 |
| Avenu Medical 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.
- ENROUTE Transcarotid Neuroprotection System$812
- FLOWTRIEVER CATHETER, S$590
- CT THROMBECTOMY SYSTEM KIT$590
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter$581
- ENROUTE Transcarotid Stent$580
- Artis pheno$563
- Ovation$382
- ENHANCE Transcarotid Peripheral Access Kit$369
- Impella$266
- Alto Abdominal Stent Graft System$252
- ENDURANT IIS$243
- Peripheral Orbital Atherectomy System$238
- ENROUTE Transcarotid Stent System$232
- ENROUTE 0.014 Guidewire$232
- MitraClip$194
- Barostim Neo System$192
- Avalus$165
- Epic Stented Tissue Valve$161
- ECM Patch,Pouch$148
- EMBOLD Fibered$148
How this compares
$14,681 in reported general payments places this provider in the 85th 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 |
|---|---|---|
| ClopidogrelClopidogrel Bisulfate | 14 | $45 |
Paid to pharmacies, not to this prescriber.
Other vascular surgery in Portsmouth
- Wilmer JonesPortsmouth$3K
- Tolulope AkinyemiPortsmouth$176
- Bjoern SuckowLebanon$101K
- Elena FosterManchester$77K
- Mark FillingerLebanon$26K
- Matthew AlefLebanon$25K
- Richard PowellLebanon$19K
- David KuwayamaLebanon$11K
- Normand MillerSalem$8K
- Brian NolanLebanon$8K
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.