Dr. Adam Fier, DO
What this data tells you about Dr. Fier
Dr. Adam Fier is an anesthesiology specialist in Melbourne, FL, with 19 years of NPI registration. Based on federal Medicare data, Dr. Fier performed 502 Medicare services across 490 unique beneficiaries.
Between the years covered by Open Payments, Dr. Fier received a total of $18,856 from 21 pharmaceutical and/or device companies across 51 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in anesthesiology. 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. Fier 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.
Florida License Status
FL DOH · MQA| Profession | License # | Status | Expires | Board Action |
|---|---|---|---|---|
| Osteopathic Physician | 10956 | Clear | March 31, 2028 | — |
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 |
|---|---|---|---|
| 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. |
82 | $12 | $137 |
| Arterial line insertion A tube is inserted into an artery through the skin to allow for blood sampling or infusion. |
77 | $36 | $314 |
| Anesthesia for endoscopic procedure on esophagus, stomach, or upper small bowel Administration of anesthesia during an endoscopic procedure involving the esophagus, stomach, or upper small bowel. |
44 | $69 | $939 |
| Anesthesia for upper abdomen procedure Administration of anesthesia for surgical procedures performed on the upper abdomen. |
31 | $143 | $1,965 |
| Anesthesia for extensive spine surgery Administration of anesthesia during major surgical procedures involving the spine. |
24 | $245 | $3,759 |
| Anesthesia for colonoscopy Administration of anesthesia during an examination of the colon using an endoscope. |
22 | $57 | $881 |
| Anesthesia for bowel endoscopy Administration of anesthesia during a procedure to examine the small and large bowel using an endoscope. |
18 | $78 | $1,161 |
| Anesthesia for urinary system procedure via urethra Administration of anesthesia for a surgical procedure on the urinary system performed through the urethra. |
17 | $67 | $993 |
| Anesthesia for total knee replacement Administration of anesthesia during a total knee joint replacement procedure. |
17 | $135 | $2,234 |
| Anesthesia for x-ray or radiation therapy Administration of anesthesia during x-ray or radiation therapy procedures. |
17 | $85 | $1,311 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
17 | $85 | $612 |
| Anesthesia for large bowel endoscopy Administration of anesthesia during a procedure to examine the large bowel using an endoscope. |
16 | $63 | $842 |
| Brachial plexus injection with anesthetic and/or steroid An injection of an anesthetic agent and/or steroid into the brachial plexus nerve bundle in the arm. |
16 | $57 | $667 |
| Anesthesia for heart and large blood vessel procedure Administration of anesthesia during surgical procedures involving the heart and major blood vessels. |
15 | $233 | $3,029 |
| Echocardiogram, transthoracic An ultrasound test that uses sound waves to create images of the heart's blood flow, valves, and chambers. |
15 | $14 | $167 |
| Anesthesia for lower leg, ankle, or foot bone procedure Administration of anesthesia during surgical procedures involving the bones of the lower leg, ankle, or foot. |
14 | $112 | $1,565 |
| Insertion of non-tunneled central venous catheter A procedure to place a central venous catheter for infusion in patients aged 5 years or older. The catheter is inserted directly into a large vein without being tunneled under the skin. |
14 | $69 | $706 |
| Anesthesia for skin procedures on arms, legs, or front body This code covers anesthesia services provided for surgical procedures performed on the skin of the arms, legs, or anterior trunk. |
12 | $69 | $1,094 |
| Anesthesia for x-ray of brain, heart, or chest artery Administration of anesthesia during an x-ray procedure involving the arteries of the brain, heart, or chest. |
12 | $153 | $2,455 |
| Anesthesia for lower abdomen procedure Administration of anesthesia for surgical procedures performed on the lower abdomen. |
11 | $121 | $1,828 |
| Anesthesia for total hip replacement Administration of anesthesia during a total hip replacement surgery. This code covers the anesthetic services provided for the procedure. |
11 | $189 | $2,162 |
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 (93%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in anesthesiology and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 2% for anesthesiology 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. Fier is a mixed practice specialist, with above-average Medicare volume (top 11% in FL), with speaking/promotional industry engagement in the top 2% of FL peers, with 19 years of NPI registration.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
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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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