Dr. Nicholas Bremer, M.D.
What this data tells you about Dr. Bremer
Dr. Nicholas Bremer is a pain medicine in Fernandina Beach, FL, with 19 years in practice. Based on federal Medicare data, Dr. Bremer performed 3,630 Medicare services across 1,071 unique beneficiaries.
Between the years covered by Open Payments, Dr. Bremer received a total of $88,269 from 42 pharmaceutical and/or device companies across 534 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pain medicine. 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. Bremer is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
Medicare Practice Summary
Medicare Utilization ↗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) | 2,000 | $0 | $1 |
| Steroid injection (triamcinolone) | 508 | $1 | $4 |
| Office visit, established patient (30-39 min) | 244 | $87 | $509 |
| New patient office visit (45-59 min) | 135 | $116 | $668 |
| Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 67 | $208 | $1,211 |
| Drug screening test | 64 | $61 | $249 |
| Injection of substance into lower spine canal using imaging guidance | 57 | $193 | $1,259 |
| Injection of lower or sacral spine facet joint using imaging guidance, single level | 52 | $185 | $1,326 |
| Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level | 50 | $85 | $441 |
| Injection of lower or sacral spine facet joint using imaging guidance, second level | 46 | $102 | $696 |
| Injection of substance into middle or upper spine canal using imaging guidance | 43 | $179 | $1,030 |
| Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance | 42 | $139 | $810 |
| Ultrasonic guidance for needle placement | 38 | $45 | $231 |
| Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 37 | $485 | $3,377 |
| Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint | 36 | $266 | $1,834 |
| Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 34 | $242 | $988 |
| Fluoroscopic guidance for needle placement | 33 | $85 | $455 |
| Joint injection, major joint | 30 | $46 | $270 |
| Injection of upper or middle spine facet joint using imaging guidance, single level | 27 | $173 | $1,397 |
| Injection of upper or middle spine facet joint using imaging guidance, second level | 24 | $84 | $724 |
| Administration of psychological or neuropsychological test, first 30 minutes | 18 | $16 | $176 |
| Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 17 | $758 | $14,780 |
| Office visit, established patient (20-29 min) | 15 | $62 | $359 |
| Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 13 | $153 | $626 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
Associated products mentioned in payments ›
The majority of payments (68%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 1% for pain medicine in FL.
Geographic Context
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 measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Bremer is a mixed practice specialist, with moderate Medicare volume, and high industry engagement (consulting-driven, top 1%), with 19 years of practice experience.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Bremer experienced with dexamethasone injection (steroid)?
Does Dr. Bremer receive payments from pharmaceutical companies?
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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. The Transparency Score measures 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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