Thomas Brammer
Family Medicine · Garner, NCNPI 1861453466
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 75 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 24 manufacturers, the largest accounting for just 13.4% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $683 and has fallen 83.8% since, to $110 in 2025.
Across 75 payments — averaging $16.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$169
- Gilead$169
- Novo Nordisk$160
- Boston Scientific$156
- Amgen$108
- Boehringer Ingelheim$81
- plus $420 from 18 others
What the payments were for
- Food & beverage$1,264100%
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 |
|---|---|---|
| Abbott | 9 | $169 |
| Gilead | 4 | $169 |
| Novo Nordisk | 13 | $160 |
| Boston Scientific | 3 | $156 |
| Amgen | 8 | $108 |
| Boehringer Ingelheim | 5 | $81 |
| Johnson & Johnson | 5 | $60 |
| Takeda Pharmaceuticals U.S.A., Inc. | 5 | $48 |
| AbbVie | 3 | $45 |
| Amarin Pharma, Inc. | 3 | $40 |
| Merck | 3 | $37 |
| Sanofi-aventis U.S. LLC | 2 | $25 |
| Jazz Pharmaceuticals Inc. | 1 | $24 |
| Astellas Pharma US Inc | 1 | $17 |
| Dynavax Technologies Corporation | 1 | $15 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $15 |
| Bausch Health US, LLC | 1 | $13 |
| Medtronic | 1 | $12 |
| Shire North American Group Inc | 1 | $12 |
| Kowa Pharmaceuticals America, Inc. | 1 | $12 |
| Therapeuticsmd, Inc. | 1 | $12 |
| AstraZeneca | 1 | $12 |
| GSK | 1 | $11 |
| Pfizer | 1 | $11 |
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.
- Descovy$125
How this compares
$1,264 in reported general payments places this provider in the 70th percentile of 3,444 family medicine providers in North Carolina.
Other family medicine in Garner
- Domingo Rodriguez-CueGarner$253K
- William CromwellRaleigh$879K
- Steve VacalisGastonia$693K
- David DundeeWinston Salem$633K
- Kevin SodenCharlotte$558K
- Brian ForrestApex$398K
- Joseph KonenCharlotte$322K
- Richard RachimaCharlotte$294K
- Dimitrios HondrosCharlotte$275K
- Christopher ChaoCary$201K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.