John Bream, MD

Procedures

From CMS Care Compare, which counts the procedures a clinician billed to Original Medicare and Medicare Advantage over a recent 12-month period. CMS reports a fixed list of common procedures, so this is not everything the clinician does. Counts of 10 or fewer are given as a range, because CMS withholds small numbers.

The percentile compares how often this clinician performed the procedure with other clinicians who performed it, as CMS calculates it. It measures volume, not outcomes or skill.

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

• Firsthealth Moore Regional Hospital Hospital · Pinehurst, NC
• Novant Health Forsyth Medical Center Hospital · Winston-Salem, NC · listed as Novant Health Thomasville Medical Center, LLC
• Novant Health Thomasville Medical Center Hospital · Thomasville, NC · listed as Novant Health Thomasville Medical Center, LLC
• The Outer Banks Hospital, Inc Hospital · Nags Head, NC · listed as The Outer Banks Hospital Inc
• Vidant Chowan Hospital Hospital · Edenton, NC

Colleagues at Sandhills Emergency Physicians PA

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 26 clinicians in the practice; 12 are shown here.

• Zachary Bohlmann, PA-C Physician Assistant · Pinehurst, NC
• Alexander Chatham, MD Emergency Medicine Physician · Temple, TX
• John Alexander Cook, MD Emergency Medicine Physician · Fort Bragg, NC
• Carlin Corsino, DO Emergency Medicine Physician · Pinehurst, NC
• Amanda Emard, MD General Practice Physician · Fort Bragg, NC
• Benjamin Turner Gold, MD Emergency Medicine Physician · Augusta, GA
• Dr. Bret Harley Gustafson, MD Emergency Medicine Physician · Pinehurst, NC
• Dr. Wayne Lindsay, DO General Practice Physician · San Antonio, TX
• Mrs. Tammy Gail Lucas, AG-ACNP, ENP, WHNP Family Nurse Practitioner · Fayetteville, NC
• Dr. David Ong, MD Emergency Medicine Physician · Wilmington, NC
• Adarsh Vasudeva Rao Emergency Medicine Physician · Pinehurst, NC
• Dr. Maria Nicole Saffell, MD Emergency Medicine Physician · Nags Head, NC

Other providers in Salisbury

• Michael Ambrose, MD

  Individual Emergency Medicine Physician · NPI 1548829542

  612 Mocksville Ave, Salisbury, NC 28144-2732 · (704) 210-5000

• Carolina Medicorp Enterprises Inc

  Organization Emergency Medicine Physician · NPI 1497148506

  1904 Jake Alexander Blvd W, Salisbury, NC 28147-1178 · (704) 638-1551

• Dr. Debra T Cooper, MD

  Individual Emergency Medicine Physician · NPI 1629118526

  612 Mocksville Ave Novant Health Rowan Medical Ctr, Salisbury, NC 28144-2732 · (704) 210-6718

• Dr. Joseph Cruz, DO

  Individual Emergency Medicine Physician · NPI 1417219239

  612 Mocksville Ave, Salisbury, NC 28144-2732 · (704) 210-5335

• Edmund D D'Orazio, MD

  Individual Emergency Medicine Physician · NPI 1659322113

  1601 Brenner Ave, Salisbury, NC 28144-2515 · (704) 638-9000