Victoria Bruegel, MD
Hand Surgery · North Dartmouth, MANPI 1396929550
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (38.9%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 5 manufacturers reported payments, led by Arthrex at 43.8% of the total. Reporting peaked in 2022 at $3,289 and has fallen 97.1% since, to $96 in 2024.
Across 18 payments — averaging $342.94 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$3K
- Axogen$3K
- Kairos Surgical Inc$586
- Checkpoint Surgical, Inc$175
- Integra Lifesciences Corporation$22
What the payments were for
- Travel & lodging$2,25437%
- Food & beverage$1,51925%
- Education$2,40039%
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 |
|---|---|---|
| Arthrex | 4 | $2,702 |
| Axogen | 8 | $2,687 |
| Kairos Surgical Inc | 3 | $586 |
| Checkpoint Surgical, Inc | 2 | $175 |
| Integra Lifesciences Corporation | 1 | $22 |
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
$6,173 in reported general payments places this provider in the 70th percentile of 68 hand 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Naloxone Hcl | 43 | $2,549 |
| Ibuprofen | 111 | $304 |
| Ondansetron Hcl | 72 | $238 |
| Oxycodone Hcl | 78 | $228 |
| Methylprednisolone | 18 | $170 |
| Tramadol Hcl | 26 | $44 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 11 | $31 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in North Dartmouth
- Andrew JawaWaltham$2.6M
- George DyerBoston$362K
- Andrew PalmerProvincetown$264K
- Branden EarpBoston$74K
- Chaitanya MudgalBoston$46K
- Charles CassidyBoston$44K
- Bruce LeslieNewton$32K
- Peter ProkopisPeabody$27K
- Stella LeeNewburyport$21K
- Philip BlazarBoston$21K
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.