Medicare Enrolled

Dr. Zachary Fellows, M.D.

Obesity Medicine · Carlsbad, CA
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Low-engagement
6120 PASEO DEL NORTE STE L2, Carlsbad, CA 92011
7608914687
In practice since 2014 (11 years)
NPI: 1154733152 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. Fellows 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 →
Are you Dr. Fellows? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Fellows

Dr. Zachary Fellows is an obesity medicine specialist in Carlsbad, CA, with 11 years of NPI registration. Based on federal Medicare data, Dr. Fellows performed 15,178 Medicare services across 807 unique beneficiaries.

Between the years covered by Open Payments, Dr. Fellows received a total of $18,998 from 39 pharmaceutical and/or device companies across 764 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in obesity medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Fellows 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.

✓ 11 years in practice ▲ Top 7% volume in CA $18,998 industry payments

Medicare Practice Summary

Medicare Utilization ↗
15,178
Medicare services
Top 7% in CA for obesity medicine
807
Unique beneficiaries
$18
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~1,380 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
Golimumab infusion (Simponi Aria)
Administration of golimumab medication directly into a vein. This code specifies the dosage amount of 1 milligram for intravenous delivery.
13,200 $10 $30
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
777 $109 $250
Steroid injection (triamcinolone)
A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered.
577 $1 $15
Intravenous infusion, 1 hour or less
Administration of medication or fluid directly into a vein for therapeutic, preventive, or diagnostic purposes. The procedure lasts one hour or less.
120 $67 $300
Limited ultrasound of joint or extremity
A focused ultrasound exam of a specific joint or other structure in the arm or leg, excluding blood vessels.
81 $37 $200
Joint fluid aspiration or injection, small joint
Removal of fluid from a small joint or injection of medication into a small joint.
61 $38 $140
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
60 $160 $279
Telephone medical discussion, 11-20 minutes
A phone conversation with a physician lasting between 11 and 20 minutes.
60 $67 $200
New patient office visit, complex (60-74 min) 57 $181 $400
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
46 $67 $243
Ultrasound-guided small joint aspiration or injection
This procedure involves removing fluid from or injecting medication into a small joint while using ultrasound imaging to guide the needle placement.
37 $62 $411
Ultrasound-guided large joint aspiration or injection
This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint.
36 $106 $489
Ultrasound-guided joint aspiration or injection
Removal of fluid from or injection into a medium-sized joint using ultrasound guidance to ensure accurate placement.
30 $93 $493
Telephone medical discussion, 21-30 minutes
A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone.
24 $102 $250
Joint fluid aspiration or injection, medium joint
Removal of fluid from a medium-sized joint or injection of medication into the joint space.
12 $44 $173
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.
87.8% high complexity
5.8% medium
6.4% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$18,998
Total received (2018-2024)
Avg $3,166/year across 6 years
Top 33% in CA for obesity medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
39
Companies
764
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.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$17,044 (89.7%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$1,916 (10.1%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$37 (0.2%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$3,553
2023
$3,861
2022
$5,614
2021
$4,021
2020
$1,934
2018
$15

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Kyowa Kirin, Inc.
$1,916
Amgen Inc.
$348
Lilly USA, LLC
$235
Boehringer Ingelheim Pharmaceuticals, Inc.
$212
ABBVIE INC.
$181
GlaxoSmithKline, LLC.
$134
ANI Pharmaceuticals, Inc.
$102
Janssen Biotech, Inc.
$93
UCB, Inc.
$39
Mallinckrodt Hospital Products Inc.
$39
Genentech USA, Inc.
$34
Fresenius Kabi USA, LLC
$32
Octapharma USA, Inc.
$30
Aurinia Pharma U.S., Inc.
$29
Pacira Pharmaceuticals Incorporated
$26
Kiniksa Pharmaceuticals International, plc
$25
AstraZeneca Pharmaceuticals LP
$22
SOBI, INC
$19
GENZYME CORPORATION
$19
Biogen, Inc.
$18
Top 3 companies account for 70.3% of 2024 payments
All-time payments by company (2018-2024) ›
Amgen Inc.
$5,490
Kyowa Kirin, Inc.
$1,936
Boehringer Ingelheim Pharmaceuticals, Inc.
$1,687
Janssen Biotech, Inc.
$1,353
ABBVIE INC.
$1,281
UCB, Inc.
$949
AbbVie Inc.
$679
GlaxoSmithKline, LLC.
$588
Novartis Pharmaceuticals Corporation
$514
AstraZeneca Pharmaceuticals LP
$493
PFIZER INC.
$454
Lilly USA, LLC
$409
Aurinia Pharma U.S., Inc.
$406
ANI Pharmaceuticals, Inc.
$370
Mallinckrodt Hospital Products Inc.
$304
Alexion Pharmaceuticals, Inc.
$295
Horizon Therapeutics plc
$242
Fresenius Kabi USA, LLC
$187
E.R. Squibb & Sons, L.L.C.
$184
Genentech USA, Inc.
$137
Exeltis, USA Inc.
$137
Sobi, Inc
$131
Octapharma USA, Inc.
$110
Organon LLC
$88
SOBI, INC
$84
Merck Sharp & Dohme LLC
$79
Merck Sharp & Dohme Corporation
$74
Pacira Therapeutics, Inc.
$61
Bioventus LLC
$44
Ultragenyx Pharmaceutical Inc.
$43
Sandoz Inc.
$31
Pacira Pharmaceuticals Incorporated
$26
Kiniksa Pharmaceuticals International, plc
$25
Gilead Sciences, Inc.
$20
GENZYME CORPORATION
$19
Celltrion USA Inc.
$18
NeuroMetrix Inc
$18
Biogen, Inc.
$18
Novo Nordisk Inc
$15
Top 3 companies account for 48.0% of all-time payments
Associated products mentioned in payments ›
ACTHAR · AMJEVITA · AVSOLA · Actemra · Arcalyst · BELSOMRA · BENLYSTA · COSENTYX · Cimzia · Crysvita · Durolane · EVENITY · Enbrel · Exogen Ultrasound Bone Healing System · FLUMIST · HADLIMA · HUMIRA · HYRIMOZ · IDACIO · ILARIS · Iovera · KEVZARA · KINERET · KRYSTEXXA · Kineret · LUPKYNIS · OCTAGAM IMMUNE GLOBULIN (HUMAN) · OFEV · OLUMIANT · ORENCIA · Otezla · Ozempic · PANZYGA · PENNSAID · PURIFIED CORTROPHIN GEL · Prolia · RAYOS · REMICADE · RENFLEXIS · RINVOQ · Rituxan · SAPHNELO · SIMPONI ARIA · SKYRIZI · STRENSIQ · Strensiq · TALTZ · TAVNEOS · TOFIDENCE · TREMFYA · Tavneos · XELJANZ · YUFLYMA · Zilretta
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 →

Most payments (90%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an obesity medicine specialist in Carlsbad?
Compare obesity medicines in the Carlsbad area by procedure volume, costs, and industry payment transparency.
Browse obesity medicines nearby

Geographic Context

Obesity medicines within 10 mi
1
Per 100K population
0.0
County median income
$102,285
Nearest hospital
SCRIPPS MEMORIAL HOSPITAL - ENCINITAS
4.1 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. Fellows is a mixed practice specialist, with above-average Medicare volume (top 7% in CA), with low-engagement industry engagement.

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

Frequently Asked Questions

Is Dr. Fellows experienced with golimumab infusion (simponi aria)?
Based on Medicare claims data, Dr. Fellows performed 13,200 golimumab infusion (simponi aria) 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. Fellows receive payments from pharmaceutical companies?
Yes. Dr. Fellows received a total of $18,998 from 39 companies across 764 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. Fellows's costs compare to other obesity medicines in Carlsbad?
Dr. Fellows's average Medicare payment per service is $18. 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. Fellows) 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 →
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 →