Medicare Enrolled

Dr. Layne Fielder, M.D.

Dermatology · Niceville, FL
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
4400 HIGHWAY 20 E, Niceville, FL 32578
8508974900
In practice since 2007 (18 years)
NPI: 1740472380 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. Fielder 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. Fielder? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Fielder

Dr. Layne Fielder is a dermatology specialist in Niceville, FL, with 18 years of NPI registration. Based on federal Medicare data, Dr. Fielder performed 9,356 Medicare services across 5,042 unique beneficiaries.

Between the years covered by Open Payments, Dr. Fielder received a total of $6,710 from 30 pharmaceutical and/or device companies across 214 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in dermatology. 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. Fielder 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.

✓ 18 years in practice ▲ Top 17% volume in FL $6,710 industry payments

Florida License Status

FL DOH · MQA
1
Active license
None
Board action on record
0
Recent admin complaints
Profession License # Status Expires Board Action
Medical Doctor 119126 Clear January 31, 2028
Data from Florida Department of Health Medical Quality Assurance. License records are public under Chapter 119, Florida Statutes. Verify directly on FL DOH →

Medicare Practice Summary

Medicare Utilization ↗
9,356
Medicare services
Top 17% in FL for dermatology
5,042
Unique beneficiaries
$38
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~520 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
Destruction of precancerous skin growths, 2-14 3,762 $5 $11
Office visit, established patient (20-29 min) 1,550 $60 $157
Destruction of precancerous skin growth, 1 1,096 $38 $116
Office visit, established patient (30-39 min) 418 $86 $222
Tissue pathology examination, moderate complexity 352 $26 $58
Destruction of skin growths (warts/lesions), 1-14 321 $76 $195
Destruction of precancer skin growth, 15 or more growths 271 $126 $293
Skin biopsy, tangential 259 $58 $174
Steroid injection (triamcinolone) 250 $1 $2
Office visit, established patient (10-19 min) 138 $37 $98
Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm 87 $75 $211
Destruction of skin growth, 15 or more growths 77 $97 $228
Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm 64 $113 $310
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm 63 $91 $237
New patient office visit (30-44 min) 57 $72 $196
Drug injection, under skin or into muscle 49 $10 $28
Acne surgery 44 $74 $200
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm 43 $79 $213
Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm 42 $92 $240
Injection into skin growth, 1-7 growths 37 $36 $99
Biopsy of related skin growth, each additional growth 32 $37 $87
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm 31 $104 $272
Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm 31 $100 $255
Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm 26 $142 $328
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm 23 $99 $241
Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm 23 $148 $487
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 22 $214 $527
Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm 21 $131 $313
Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm 21 $141 $358
Biopsy of ear 20 $54 $168
Methotrexate sodium, 50 mg 20 $2 $4
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less 19 $165 $456
Administration of chemotherapy into growth, 1-7 18 $51 $142
New patient office or other outpatient visit, 15-29 minutes 18 $52 $126
Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm 16 $86 $299
Punch biopsy, first skin growth 13 $95 $217
Shaving of skin growth of body, arms, or legs, more than 2.0 cm 11 $110 $264
Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm 11 $107 $289
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
7.2% medium
92.3% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$6,710
Total received (2018-2024)
Avg $959/year across 7 years
Top 25% in FL for dermatology
30
Companies
214
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
$4,259 (63.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$2,450 (36.5%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,306
2023
$270
2022
$583
2021
$450
2020
$715
2019
$631
2018
$2,754

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Biofrontera Inc.
$2,246
Regeneron Healthcare Solutions, Inc.
$552
ABBVIE INC.
$477
PFIZER INC.
$357
Novartis Pharmaceuticals Corporation
$349
Sun Pharmaceutical Industries Inc.
$307
Janssen Biotech, Inc.
$283
GENZYME CORPORATION
$281
Galderma Laboratories, L.P.
$255
Lilly USA, LLC
$244
LEO Pharma Inc.
$225
UCB, Inc.
$173
SUN PHARMACEUTICAL INDUSTRIES INC.
$159
AbbVie, Inc.
$127
E.R. Squibb & Sons, L.L.C.
$112
Amgen Inc.
$68
REVANCE THERAPEUTICS, INC.
$64
AbbVie Inc.
$56
MERZ NORTH AMERICA, INC.
$50
Ortho Dermatologics, a division of Bausch Health US, LLC
$50
Taro Pharmaceuticals USA, Inc.
$45
Incyte Corporation
$42
Celgene Corporation
$36
DERMIRA, INC.
$33
Allergan, Inc.
$29
Mayne Pharma Inc.
$23
DUSA Pharmaceuticals, Inc.
$21
VYNE Pharmaceuticals Inc.
$19
Boehringer Ingelheim Pharmaceuticals, Inc.
$15
EPI Health, LLC
$12
Top 3 companies account for 48.8% of total payments
Associated products mentioned in payments ›
0.25% · 20% · ABSORICA LD · ADBRY · AMELUZ · AMZEEQ · ARAZLO · Absorica LD · Ameluz · BOTOX · BOTOX COSMETIC · Bimzelx · CIBINQO · CLODERM · COSENTYX · Cimzia · DAXXIFY · DERMATITIS - DISEASE · DORYX · DUOBRII · DUPIXENT · DUPIXENT DUPILUMAB INJECTION · EBGLYSS · ENSTILAR · EUCRISA · Humira · ILUMYA · Ilumya · LIBTAYO · Levulan Kerastick (aminolevulinic acid HCl) for Topical Solution · ODOMZO · OPZELURA · Otezla · QBREXZA · RINVOQ · SKYRIZI · SPEVIGO · Sotyktu · TALTZ · TOPICORT (desoximetasone) Topical Spray · TREMFYA · Winlevi
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 (64%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $72 per 100 Medicare services performed
Looking for a dermatology specialist in Niceville?
Compare dermatologists in the Niceville area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Dermatologists within 10 mi
15
Per 100K population
7.0
County median income
$79,097
Nearest hospital
HCA FLORIDA TWIN CITIES HOSPITAL
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. Fielder is a clinical cardiology specialist, with above-average Medicare volume (top 17% in FL), with low-engagement industry engagement, with 18 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

Is Dr. Fielder experienced with destruction of precancerous skin growths, 2-14?
Based on Medicare claims data, Dr. Fielder performed 3,762 destruction of precancerous skin growths, 2-14 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. Fielder receive payments from pharmaceutical companies?
Yes. Dr. Fielder received a total of $6,710 from 30 companies across 214 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. Fielder's costs compare to other dermatologists in Niceville?
Dr. Fielder's average Medicare payment per service is $38. 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. Fielder) 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. 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.

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 →