Medicare Enrolled
Dr. Nicholas Fidelman, M.D.
Radiation Oncology · San Francisco, CA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Low-engagement
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. Fidelman 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. Fidelman
Dr. Nicholas Fidelman is a radiation oncology specialist in San Francisco, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Fidelman performed 860 Medicare services across 626 unique beneficiaries.
Between the years covered by Open Payments, Dr. Fidelman received a total of $9,363 from 14 pharmaceutical and/or device companies across 59 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in radiation oncology. 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. Fidelman 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
▲ 860 Medicare services
$9,363 industry payments
Medicare Practice Summary
Medicare Utilization ↗860
Medicare services
Bottom 30% in CA for radiation oncology
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
626
Unique beneficiaries
$70
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~45 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. |
137 | $11 | $297 |
| Radiologist review of additional artery image A radiologist reviews an additional image of an artery. This step involves professional interpretation of the imaging data. |
87 | $41 | $204 |
| 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. |
71 | $12 | $79 |
| 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. |
62 | $16 | $100 |
| Radiologist review of stomach or bowel tube placement A radiologist reviews medical images to confirm the correct placement of a tube in the stomach or large bowel. |
44 | $33 | $205 |
| Abdominal drainage tube exchange with imaging guidance A procedure to replace a drainage tube in the abdominal cavity. The exchange is performed while using imaging technology to guide the physician. |
42 | $52 | $3,837 |
| Abdominal fluid drainage with imaging guidance Removal of fluid from the abdominal cavity using imaging technology to guide the procedure. |
41 | $91 | $2,060 |
| Radiologist review of abdominal artery image A radiologist reviews images of the arteries in the abdomen to assess their structure and function. |
40 | $83 | $506 |
| Arterial catheter insertion, initial third order branch Insertion of a tube into an abdominal, pelvic, or leg artery, specifically targeting the initial third order branch. |
33 | $144 | $11,545 |
| 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. |
33 | $87 | $577 |
| Arterial tube insertion, additional vessels This code covers the insertion of a tube into an additional artery in the abdomen, pelvis, or leg during a procedure where other arteries have already been accessed. |
32 | $40 | $1,173 |
| Kidney drainage tube replacement with imaging guidance A radiologist replaces a kidney drainage tube while using imaging guidance to ensure proper placement and reviews the procedure. |
26 | $94 | $3,359 |
| Central venous port insertion A surgical procedure to place a small reservoir under the skin for long-term access to the bloodstream. The device is connected to a vein to allow for repeated medication administration or blood draws. |
25 | $299 | $7,570 |
| 3D radiographic procedure with computerized image postprocessing A radiographic imaging procedure that creates three-dimensional images using computerized processing of the captured data. |
25 | $34 | $209 |
| Vessel or growth occlusion with radiologist review A procedure to block blood flow to growths or obstructed vessels, including review by a radiologist. |
22 | $479 | $58,405 |
| Liver duct drainage tube replacement with imaging guidance A radiologist replaces a drainage tube in the liver ducts while using imaging to guide the procedure and reviews the results. |
17 | $111 | $4,137 |
| Contrast injection through abdominal tube for X-ray A contrast dye is injected into the abdomen through a tube to enhance visibility during an X-ray study. |
17 | $28 | $1,171 |
| Radiologist review of abscess or sinus study A radiologist reviews the images from a study of an abscess or sinus cavity. |
17 | $22 | $142 |
| 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. |
16 | $94 | $2,361 |
| 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. |
13 | $205 | $4,729 |
| Removal of central venous port or pump A procedure to remove a central venous access device, such as a port or pump, from the body. |
13 | $163 | $1,587 |
| Infusion tube insertion with imaging guidance A radiologist inserts an infusion tube into the body while using imaging guidance to ensure proper placement and reviews the procedure. |
12 | $73 | $2,590 |
| Removal of tunneled central venous tube This procedure involves the removal of a catheter that has been surgically placed under the skin and threaded into a large vein. |
12 | $123 | $940 |
| Stomach or large bowel tube replacement with fluoroscopy This procedure involves replacing a feeding tube in the stomach or large intestine. It is performed using fluoroscopic imaging and contrast dye to guide the placement. |
12 | $45 | $3,991 |
| Limited or follow-up CT scan A computed tomography scan that is limited in scope or performed as a follow-up to a previous examination. |
11 | $41 | $254 |
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.
13.1% high complexity
23.0% medium
63.8% routine
Industry Payment Transparency
Open Payments through 2024 ↗$9,363
Total received (2018-2024)
Avg $1,338/year across 7 years
Top 9% in CA for radiation oncology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
14
Companies
59
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
$6,760 (72.2%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$2,574 (27.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$29 (0.3%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$3,464
2023
$2,109
2022
$1,470
2021
$11
2020
$344
2019
$1,470
2018
$495
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
GUERBET LLC
$1,819
GE HEALTHCARE
$1,444
Boston Scientific Corporation
$69
Inari Medical, Inc.
$58
Sirtex Medical Inc
$56
Merck Sharp & Dohme LLC
$18
Top 3 companies account for 96.2% of 2024 payments
All-time payments by company (2018-2024) ›
GUERBET LLC
$4,617
GE HEALTHCARE
$1,444
AstraZeneca Pharmaceuticals LP
$1,074
Sirtex Medical Inc
$1,022
Boston Scientific Corporation
$557
Inari Medical, Inc.
$203
Surefire Medical, Inc.
$115
Biocompatibles, Inc.
$94
Cook Medical LLC
$82
Penumbra, Inc.
$52
AngioDynamics, Inc.
$48
Medtronic, Inc.
$26
Merck Sharp & Dohme LLC
$18
Merck Sharp & Dohme Corporation
$11
Top 3 companies account for 76.2% of all-time payments
Associated products mentioned in payments ›
Allia · COOK MEDICAL GI PRODUCTS · ELUVIA · EMBOLD Fibered · EMPRINT · FLOWTRIEVER CATHETER · FlowTriever · IMFINZI · Interlock · KEYTRUDA · LAVA LES (Liquid Embolic System) · LIPIODOL · Lipiodol · NANOKNIFE · Precision Infusion System · RUBY Coil · S · SIR-Spheres Microspheres · THERASPHERE-BIO · TheraSphere Y90 Glass Microspheres 10 GBq · TheraSphere Y90 Glass Microspheres 7.0 GBq (US Commercial) · WELIREG
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 (72%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 9% for radiation oncology in CA.
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. Fidelman is a mixed practice specialist, with moderate Medicare volume, with low-engagement industry engagement in the top 9% of CA 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. Fidelman experienced with sedation by physician, initial 15 minutes?
Based on Medicare claims data, Dr. Fidelman performed 137 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. Fidelman receive payments from pharmaceutical companies?
Yes. Dr. Fidelman received a total of $9,363 from 14 companies across 59 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. Fidelman's costs compare to other radiation oncologists in San Francisco?
Dr. Fidelman's average Medicare payment per service is $70. 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. Fidelman) 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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