Medicare Enrolled
Dr. Casey Fisher, MD
Pain Medicine (Physical Medicine & Rehabilitation) Physician · Oceanside, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Speaking/Promotional
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. Fisher 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. Fisher
Dr. Casey Fisher is a pain medicine physician in Oceanside, CA, with 17 years of NPI registration. Based on federal Medicare data, Dr. Fisher performed 7,032 Medicare services across 1,905 unique beneficiaries.
Between the years covered by Open Payments, Dr. Fisher received a total of $122,103 from 76 pharmaceutical and/or device companies across 1353 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pain medicine (physical medicine & rehabilitation) physician. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Fisher 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.
✓ 17 years in practice
▲ Top 12% volume in CA
$122,103 industry payments
Medicare Practice Summary
Medicare Utilization ↗7,032
Medicare services
Top 12% in CA for pain medicine (physical medicine & rehabilitation) physician
1,905
Unique beneficiaries
$54
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~414 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 |
|---|---|---|---|
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
1,945 | $0 | $15 |
| 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. |
1,794 | $94 | $562 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
1,219 | $1 | $132 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
411 | $68 | $396 |
| 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. |
248 | $87 | $562 |
| 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. |
123 | $42 | $235 |
| Midazolam injection, per 1 mg Administration of midazolam hydrochloride, a sedative medication, measured in 1 mg increments. |
122 | $0 | $10 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
113 | $46 | $255 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
90 | $373 | $1,101 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
87 | $209 | $798 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
83 | $123 | $722 |
| Trigger point injection, 3 or more muscles Injection of medication into three or more specific muscle trigger points to relieve pain. |
80 | $47 | $271 |
| Contrast dye for imaging (iodine-based) A contrast agent containing 300-399 mg/ml of iodine used to enhance imaging studies. It is administered per milliliter to improve the visibility of internal structures. |
77 | $0 | $4 |
| 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. |
73 | $79 | $433 |
| Injection, fentanyl citrate, 0.1 mg | 68 | $1 | $5 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
63 | $215 | $1,183 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
62 | $109 | $388 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
61 | $206 | $764 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
41 | $0 | $6 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the upper or middle spine while using imaging guidance to ensure accurate placement. |
40 | $231 | $845 |
| Facet joint injection, second level, with imaging An injection into a second spinal facet joint in the upper or middle spine, guided by imaging to ensure accurate placement. |
35 | $116 | $419 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
34 | $164 | $726 |
| Normal saline infusion, 1000 cc Administration of 1000 cc of normal saline solution into a vein. This procedure involves the intravenous delivery of a sterile saltwater solution. |
33 | $2 | $15 |
| Destruction of nerve branches of knee using imaging guidance | 24 | $318 | $998 |
| Facet joint nerve destruction, single joint This procedure uses imaging guidance to destroy the nerves supplying a single upper or middle spinal facet joint. It is performed to interrupt pain signals from that specific joint. |
24 | $340 | $1,094 |
| Spinal injection with imaging guidance A procedure where medication is injected into the middle or upper part of the spinal canal. Imaging technology is used to guide the needle to the correct location. |
20 | $222 | $1,131 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional upper or middle spinal facet joint. |
20 | $221 | $868 |
| Electronic analysis of implanted neurostimulator with complex programming This procedure involves the electronic evaluation of an implanted neurostimulator generator. It includes complex programming of spinal cord or peripheral nerve stimulators. |
15 | $46 | $122 |
| Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level | 14 | $107 | $382 |
| Knee nerve block injection with imaging guidance An injection of anesthetic and/or steroid medication into a nerve branch of the knee, performed using imaging guidance to ensure accurate placement. |
13 | $182 | $628 |
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.
0.5% high complexity
58.4% medium
41.2% routine
Industry Payment Transparency
Open Payments through 2024 ↗$122,103
Total received (2018-2024)
Avg $17,443/year across 7 years
Top 2% in CA for pain medicine (physical medicine & rehabilitation) physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
76
Companies
1,353
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.
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$86,711 (71.0%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$28,172 (23.1%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$7,220 (5.9%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$3,950
2023
$10,553
2022
$10,373
2021
$16,998
2020
$7,207
2019
$46,144
2018
$26,879
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Nevro Corp.
$1,362
Medtronic, Inc.
$679
ABBVIE INC.
$318
SI-BONE, INC.
$254
Collegium Pharmaceutical, Inc.
$223
Merz Pharmaceuticals, LLC
$209
Boston Scientific Corporation
$197
Nalu Medical, Inc.
$155
Curonix LLC
$137
PAINTEQ LLC
$86
SPR Therapeutics, Inc
$55
SCILEX PHARMACEUTICALS INC.
$41
Forte Bio-Pharma LLC
$39
Abbott Laboratories
$36
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$36
Lundbeck LLC
$21
Virtus Pharmaceuticals LLC
$20
PFIZER INC.
$19
Vertos Medical, Inc.
$18
Azurity Pharmaceuticals, Inc.
$17
Teva Pharmaceuticals USA, Inc.
$15
Lilly USA, LLC
$13
Top 3 companies account for 59.7% of 2024 payments
All-time payments by company (2018-2024) ›
Nevro Corp.
$53,556
BioDelivery Sciences International, Inc.
$43,650
Vertiflex, Inc.
$2,986
Relievant Medsystems, Inc.
$2,350
Medtronic, Inc.
$2,146
Medtronic USA, Inc.
$1,505
Abbott Laboratories
$1,413
BIODELIVERY SCIENCES INTERNATIONAL, INC.
$1,181
Spinal Simplicity, LLC
$1,109
Boston Scientific Corporation
$988
ABBVIE INC.
$968
Collegium Pharmaceutical, Inc.
$909
Vertos Medical, Inc.
$896
Merz Pharmaceuticals, LLC
$707
BOSTON SCIENTIFIC CORPORATION
$685
PAINTEQ LLC
$576
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$496
Nalu Medical, Inc.
$337
ARBOR PHARMACEUTICALS, INC.
$325
SI-BONE, INC.
$254
Lundbeck LLC
$251
Daiichi Sankyo Inc.
$236
AbbVie Inc.
$226
Lilly USA, LLC
$224
Allergan, Inc.
$222
Amgen Inc.
$215
PFIZER INC.
$196
West Therapeutics Development, LLC
$185
Stimwave Technologies Incorporated
$185
Zyla Life Sciences
$181
Teva Pharmaceuticals USA, Inc.
$180
Takeda Pharmaceuticals U.S.A., Inc.
$174
Curonix LLC
$172
INSYS Therapeutics Inc
$157
Kowa Pharmaceuticals America, Inc.
$154
Stryker Corporation
$140
Egalet US Inc
$124
Indivior Inc.
$124
SI-BONE, Inc.
$124
Scilex Pharmaceuticals Inc.
$116
Azurity Pharmaceuticals, Inc.
$83
Shionogi Inc
$78
Merz North America, Inc.
$78
TerSera Therapeutics LLC
$75
SCILEX PHARMACEUTICALS INC.
$71
Biohaven Pharmaceuticals, Inc.
$70
SPR Therapeutics, Inc
$70
Flexion Therapeutics, Inc.
$61
Arbor Pharmaceuticals, Inc.
$58
Purdue Pharma L.P.
$57
Radius Health, Inc.
$55
BIOTISSUE HOLDINGS, INC.
$53
Neuronetics, Inc.
$53
Biohaven Pharmaceutical Holding Company Ltd.
$52
IBSA Pharma Inc.
$45
IMPEL PHARMACEUTICALS INC.
$43
FIDIA PHARMA USA INC.
$42
Forte Bio-Pharma LLC
$39
MERZ NORTH AMERICA, INC.
$38
Fidia Pharma USA Inc.
$38
Pacira Therapeutics, Inc.
$38
Almatica Pharma LLC
$32
Pernix Therapeutics Holdings, Inc.
$28
Horizon Pharma plc
$27
Zyla Life Sciences, Inc.
$26
Virtus Pharmaceuticals LLC
$20
Vertical Pharmaceuticals, LLC
$19
Jazz Pharmaceuticals Inc.
$18
DePuy Synthes Sales Inc.
$17
Horizon Therapeutics plc
$16
Kaleo, Inc.
$16
Nuvectra Corporation
$14
Vision Quest Industries Inc.
$14
AstraZeneca Pharmaceuticals LP
$12
Assertio Therapeutics, Inc.
$12
RedHill Biopharma Inc.
$12
Top 3 companies account for 82.1% of all-time payments
Associated products mentioned in payments ›
AJOVY · ARYMO ER · Aimovig · Algovita · Amitiza · Axium INS DRG IPG · Axium Sheath Braided DRG · BELBUCA · BOTOX · BUNAVAIL 2.1 mg 30-count box · Belbuca · COMIRNATY · EMGALITY · EVZIO · FORTEO · GENERAL THERAPIES · GENERAL PAIN MANAGEMENT · GENERAL - PAIN MANAGEMENT · GENERAL PAIN MANAGEMENT · GRALISE · General - Therapies · HA MINUTEMAN G3-R · HORIZANT · HYALGAN · HYMOVIS · Horizant · Hymovis · INJECTAFER · INTELLIS · INTELLIS ADAPTIVESTIM · IVS - MULTIGEN 2RF · Intracept · LEVORPHANOL TARTRATE · LORZONE · LUCEMYRA · LYRICA · Lazanda · Licart · MOVANTIK · Morphabond ER · Movantik · NALOCET · NAPRELAN · NEOX · NEUROSTAR TMS THERAPY · NEUROSTAR TMS THERAPY SYSTEM · NURTEC ODT · Nalu Neurostimulation System · NuDyn · ORTHOVISC · OSTEOCOOL RF ABLATION · Omnia · PAINTEQ · PENNSAID · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · PRIALT · PROCLAIM · PRODIGY · PlasmaBlade · Prialt · Proclaim Family of SCS IPGs · Prodigy Family of SCS IPGs · QULIPTA · RELISTOR · RESTORE · REYVOW · SCS IPGs · SEGLENTIS · SPRINT PNS System · SPRIX · SUBLOCADE · SUBOXONE SUBLINGUAL FILM · SUBSYS · SUPERION · SYMPROIC · SYNCHROMED · SYNCHROMEDII · SYNDROS · Seglentis · Senza · Senza Spinal Cord Stimulation System · StimQ Receiver Stimulator Kit Channel A US w/Receiver · Superion · Superion ISS · Superion Indirect Decompression System · Symproic · Trudhesa · Tymlos · UBRELVY · VANTA ADAPTIVESTIM · VYEPTI · WAVEWRITER ALPHA · XEOMIN · XTAMPZA · XTAMPZAER · Xeomin · Xtampza ER · ZIPSOR · ZOHYDRO ER · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · Zilretta · iFuse Implant · mild Device Kit
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 (71%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in pain medicine (physical medicine & rehabilitation) physician and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 2% for pain medicine (physical medicine & rehabilitation) physician in CA.
Geographic Context
Pain medicine physicians within 10 mi
10
Per 100K population
0.3
County median income
$102,285
Nearest hospital
TRI-CITY MEDICAL CENTER
0.0 mi
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. Fisher is a clinical cardiology specialist, with above-average Medicare volume (top 12% in CA), with speaking/promotional industry engagement in the top 2% of CA peers, with 17 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. Fisher experienced with dexamethasone injection (steroid)?
Based on Medicare claims data, Dr. Fisher performed 1,945 dexamethasone injection (steroid) 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. Fisher receive payments from pharmaceutical companies?
Yes. Dr. Fisher received a total of $122,103 from 76 companies across 1,353 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. Fisher's costs compare to other pain medicine physicians in Oceanside?
Dr. Fisher's average Medicare payment per service is $54. 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. Fisher) 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.
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