Medicare Enrolled

Dr. Peter Bream, MD

Radiation Oncology · Greenville, NC
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Consulting-driven
2101 W ARLINGTON BLVD STE 210, Greenville, NC 27834
2529317638
In practice since 2006 (19 years)
NPI: 1255428355 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Bream from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Bream

Dr. Peter Bream is a radiation oncology specialist in Greenville, NC, with 19 years of NPI registration. Based on federal Medicare data, Dr. Bream performed 202 Medicare services across 199 unique beneficiaries.

Between the years covered by Open Payments, Dr. Bream received a total of $10,015 from 15 pharmaceutical and/or device companies across 32 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in radiation oncology. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Bream is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice ▲ 202 Medicare services $10,015 industry payments

Medicare Practice Summary

Medicare Utilization ↗
202
Medicare services
Bottom 6% in NC for radiation oncology
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
199
Unique beneficiaries
$46
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~11 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Sedation by physician, initial 15 minutes
Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older.
 60 $9 $151
Ultrasound guidance for blood vessel access
Use of ultrasound imaging to help locate and access a blood vessel. This guidance assists healthcare providers in performing procedures such as inserting IV lines or drawing blood.
 25 $11 $52
CT scan of chest blood vessels with contrast
A CT scan that uses contrast dye to create detailed images of the blood vessels in the chest.
 24 $58 $273
CT scan of abdominal and pelvic blood vessels with contrast
A computed tomography scan that uses contrast dye to visualize the blood vessels in the abdomen and pelvis.
 24 $73 $326
Fluoroscopic guidance for central vein access device
Use of live X-ray imaging to guide the placement or removal of a central vein access device.
 24 $14 $57
Ultrasound guidance for needle placement
Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure.
 19 $23 $116
Stomach tube insertion with fluoroscopy and contrast
A tube is placed into the stomach while using live X-ray imaging and a contrast dye to guide the procedure.
 14 $152 $3,028
Insertion of tunneled central venous catheter for infusion, age 5+
A surgical procedure to place a long-term catheter into a large vein for delivering medications or fluids. The catheter is tunneled under the skin to reduce infection risk and provide stable access for patients aged 5 and older.
 12 $194 $2,187
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
5.9% high complexity
45.5% medium
48.5% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$10,015
Total received (2018-2024)
Avg $1,431/year across 7 years
Top 7% in NC for radiation oncology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
15
Companies
32
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$8,467 (84.5%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,520 (15.2%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$28 (0.3%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$237
2023
$711
2022
$209
2021
$4,275
2020
$3,600
2019
$549
2018
$434

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Inari Medical, Inc.
$147
Boston Scientific Corporation
$38
Bard Peripheral Vascular, Inc.
$30
AngioDynamics, Inc.
$14
CMS Imaging, Inc.
$9
Top 3 companies account for 90.5% of 2024 payments
All-time payments by company (2018-2024) ›
Bard Peripheral Vascular, Inc.
$8,507
Boston Scientific Corporation
$287
Cook Medical LLC
$248
Medtronic USA, Inc.
$186
Medtronic Vascular, Inc.
$167
Inari Medical, Inc.
$147
XACT Robotics Ltd
$129
Cook Incorporated
$94
TriSalus Life Sciences, Inc.
$66
Sirtex Medical Inc
$54
Medtronic, Inc.
$48
Penumbra, Inc.
$31
W. L. Gore & Associates, Inc.
$28
AngioDynamics, Inc.
$14
CMS Imaging, Inc.
$9
Top 3 companies account for 90.3% of all-time payments
Associated products mentioned in payments ›
ABRE · ACE · COOK MEDICAL CATHETERS · COOK MEDICAL THORACIC · COOK MEDICAL WIRE GUIDES · Endurant · FLOWTRIEVER CATHETER · FLUENCY · GENERAL VASCULAR INTERVENTION · KYPHON Balloon Kyphoplasty · MVP · OSTEOCOOL RF ABLATION · Penumbra Ruby Coil · PowerPort M.R.I. Implantable Port · S · SIR-Spheres Microspheres · TORNADO · TRINAV INFUSION SYSTEM · VENACURE 1470 PRO · VIABAHN Endoprosthesis · WaveWriter Alpha Prime 16
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

The majority of payments (84%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 7% for radiation oncology in NC.

Looking for a radiation oncology specialist in Greenville?
Compare radiation oncologists in the Greenville area by procedure volume, costs, and industry payment transparency.
Browse radiation oncologists nearby

Geographic Context

Radiation oncologists within 10 mi
56
Per 100K population
32.5
County median income
$58,851
Nearest hospital
ECU HEALTH MEDICAL CENTER
0.0 mi

Data Sources

Provider Registry ✓ NPPES Weekly updates
Medicare Enrollment ✓ PECOS Monthly updates
Practice Data ✓ Medicare Util. Annual (CY lag)
Industry Payments ✓ Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Bream is a mixed practice specialist, with moderate Medicare volume, with consulting-driven industry engagement in the top 7% of NC peers, with 19 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Bream experienced with sedation by physician, initial 15 minutes?
Based on Medicare claims data, Dr. Bream performed 60 sedation by physician, initial 15 minutes services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Bream receive payments from pharmaceutical companies?
Yes. Dr. Bream received a total of $10,015 from 15 companies across 32 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Bream's costs compare to other radiation oncologists in Greenville?
Dr. Bream's average Medicare payment per service is $46. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Bream) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →

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About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →