Medicare Enrolled
Dr. David Fletcher, M.D.
Family Medicine · Madison, GA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Fletcher 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. Fletcher?
Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Fletcher
Dr. David Fletcher is a family medicine specialist in Madison, GA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Fletcher performed 1,830 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Fletcher received a total of $10,539 from 57 pharmaceutical and/or device companies across 431 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Fletcher 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 of NPI registration
▲ Top 20% volume in GA
$10,539 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗1,830
Medicare services
Top 20% in GA for family medicine
Not available
Unique patients (not deduplicated)
$52
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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 |
|---|---|---|---|
| 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. |
492 | $82 | $221 |
| 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. |
249 | $55 | $160 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
220 | $3 | $18 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
146 | $10 | $50 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
118 | $119 | $230 |
| Annual depression screening | 117 | $17 | $35 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
97 | $16 | $42 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
65 | $72 | $175 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
53 | $10 | $40 |
| COVID-19 viral test, non-CDC A laboratory test to detect the SARS-CoV-2 virus (COVID-19) using any technique and targeting multiple types or subtypes. This specific code is for tests performed by laboratories that are not the CDC. |
50 | $50 | $150 |
| Annual intensive behavioral therapy for cardiovascular disease, 15 minutes A yearly, in-person session focused on intensive behavioral therapy to help manage cardiovascular disease. The session lasts for 15 minutes and is conducted with the patient individually. |
41 | $24 | $51 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
31 | $70 | $223 |
| Methylprednisolone injection, up to 125 mg An injection of methylprednisolone sodium succinate, a corticosteroid medication, with a dosage of up to 125 mg. |
27 | $4 | $15 |
| 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. |
24 | $105 | $350 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
24 | $155 | $340 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
17 | $155 | $329 |
| Strep A rapid test A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation. |
16 | $15 | $42 |
| Routine 12-lead ECG screening A standard 12-lead electrocardiogram performed as part of an initial preventive physical examination. The service includes both the performance of the test and the physician's interpretation and report. |
16 | $7 | $50 |
| Stool test for blood to screen for colon tumors A test that analyzes a stool sample to detect hidden blood, which is used to screen for colon tumors. |
14 | $4 | $12 |
| Obesity behavioral counseling, 15 minutes A 15-minute face-to-face session focused on behavioral counseling to help manage obesity. |
13 | $24 | $51 |
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. These counts do not measure clinical quality or years of experience.
Industry Payment Transparency
Open Payments through 2024 ↗$10,539
Total received (2018-2024)
Avg $1,506/year across 7 years
Top 5% in GA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
57
Companies
431
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,045
2023
$1,067
2022
$1,022
2021
$1,060
2020
$2,191
2019
$3,328
2018
$825
Payments by company (2024)
SHIELD THERAPEUTICS INC
$358
Novo Nordisk Inc
$140
Lilly USA, LLC
$111
ABBVIE INC.
$59
AstraZeneca Pharmaceuticals LP
$53
GlaxoSmithKline, LLC.
$53
Dexcom, Inc.
$47
Astellas Pharma US Inc
$41
Corcept Therapeutics
$37
PFIZER INC.
$32
Edwards Lifesciences Corporation
$30
Esperion Therapeutics, Inc.
$20
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$18
IDORSIA PHARMACEUTICALS US INC
$17
Bayer Healthcare Pharmaceuticals Inc.
$16
Exact Sciences Corporation
$14
Top 3 companies account for 58.2% of 2024 payments
All-time payments by company (2018-2024) ›
PFIZER INC.
$3,751
Novo Nordisk Inc
$824
Lilly USA, LLC
$450
Shield Therapeutics Inc
$398
AstraZeneca Pharmaceuticals LP
$391
SHIELD THERAPEUTICS INC
$358
AbbVie Inc.
$334
ABBVIE INC.
$292
Amarin Pharma Inc.
$278
Amgen Inc.
$255
Janssen Pharmaceuticals, Inc
$232
GlaxoSmithKline, LLC.
$215
Takeda Pharmaceuticals U.S.A., Inc.
$212
Boehringer Ingelheim Pharmaceuticals, Inc.
$187
Supernus Pharmaceuticals, Inc.
$155
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$151
Kowa Pharmaceuticals America, Inc.
$139
Allergan, Inc.
$135
Vanda Pharmaceuticals Inc.
$123
Bayer HealthCare Pharmaceuticals Inc.
$107
Biohaven Pharmaceuticals, Inc.
$102
Biohaven Pharmaceutical Holding Company Ltd.
$102
SANOFI-AVENTIS U.S. LLC
$97
Astellas Pharma US Inc
$83
Bayer Healthcare Pharmaceuticals Inc.
$78
Teva Pharmaceuticals USA, Inc.
$78
IDORSIA PHARMACEUTICALS US INC
$66
Esperion Therapeutics, Inc.
$65
AbbVie, Inc.
$65
kaleo, Inc.
$65
Abbott Laboratories
$61
Dexcom, Inc.
$60
Genentech USA, Inc.
$57
Allergan Inc.
$43
Shire North American Group Inc
$42
Grifols USA, LLC
$40
Amneal Pharmaceuticals LLC
$38
Corcept Therapeutics
$37
Merck Sharp & Dohme Corporation
$36
Horizon Therapeutics plc
$35
Edwards Lifesciences Corporation
$30
Zimmer Biomet Holdings, Inc.
$29
SANOFI PASTEUR INC.
$24
Xeris Pharmaceuticals, Inc.
$20
Mylan Specialty L.P.
$19
Nuvectra Corporation
$19
SCYNEXIS, Inc.
$19
Optinose US, Inc.
$19
Novartis Pharmaceuticals Corporation
$17
Medtronic, Inc.
$16
Ironshore Pharmaceuticals Inc.
$16
LINUS HEALTH, INC.
$15
Exact Sciences Corporation
$14
Eisai Inc.
$13
ARBOR PHARMACEUTICALS, INC.
$12
Hikma Pharmaceuticals USA
$12
DEXCOM, INC.
$11
Top 3 companies account for 47.7% of all-time payments
Associated products mentioned in payments ›
ACCRUFER · ADACEL · AIRSUPRA · AJOVY · AUVI-Q · Aimovig · AirDuo Digihaler · Algovita · Amitiza · Androgel · ArmonAir Digihaler · BASAGLAR · BREZTRI · BYSTOLIC · CHANTIX · CLOSUREFAST · COLOGUARD · CORE COGNITIVE EVALUATION · Cologuard Collection Kit · DEXCOM G6 TRANSMITTER · DUEXIS · Dayvigo · Dexcom G6 Transmitter · EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) · ELIQUIS · EMGALITY · EMVERM · EVENITY · FARXIGA · FreeStyle Libre · FreeStyle Libre 2 · GVOKE HYPOPEN · HETLIOZ · HUMIRA · Hetlioz · Horizant · INVOKANA · JANUVIA · JARDIANCE · JORNAY PM · Kerendia · Korlym · LEQVIO · LINZESS · LYRICA · Livalo · MOUNJARO · Mitigare · NEXLETOL · NUCALA · NURTEC ODT · Otezla · Ozempic · PENNSAID · PENTACEL · PREVNAR 20 · Polaris Deformity Spinal System · Prolastin-C · Prolia · QELBREE · QULIPTA · QUVIVIQ · QVAR · REYVOW · RYBELSUS · Rybelsus · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SYNTHROID · Saxenda · Synthroid · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TROKENDI XR · TRULICITY · Tresiba · Trintellix · UBRELVY · UNITHROID · Uloric · VRAYLAR · VYNDAMAX · VYVANSE · Vascepa · Veozah · Victoza · Wegovy · XARELTO · XIFAXAN · Xhance · Xofluza · Yupelri
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Family medicine physicians in nearby ZIP areas
112
County median income
$85,692
Nearest hospital to ZIP centroid (approximate)
MORGAN MEDICAL CENTER
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | 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. Fletcher is a clinical cardiology specialist, with above-average Medicare volume (top 20% in GA), 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. Fletcher experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Fletcher performed 492 office visit, established patient (30-39 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Fletcher receive payments from pharmaceutical companies?
Yes. Dr. Fletcher received a total of $10,539 from 57 companies across 431 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Fletcher's costs compare to other family medicine physicians in Madison?
Dr. Fletcher's average Medicare payment per service is $52. 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. Fletcher) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
Explore related providers
Specialty guide
Understanding Family Medicine
Common procedures, typical costs, and what industry payments mean in family medicine.
Same specialty & city
Family Medicine Physicians in Madison
Browse family medicine physicians in Madison ranked by procedure volume and transparency data.
Highest volume
Top Family Medicine Physicians in GA
Family medicine physicians ranked by total Medicare services performed statewide.
Industry payments
Pharma Payments to Family Medicine Physicians in GA
Which GA family medicine physicians receive the most from drug and device companies.
By company
PFIZER INC. Payments to Doctors
See all physicians who received payments from PFIZER INC.
By company
Novo Nordisk Inc Payments to Doctors
See all physicians who received payments from Novo Nordisk Inc.
By company
Lilly USA, LLC Payments to Doctors
See all physicians who received payments from Lilly USA, LLC.
About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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.
Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology