Medicare Enrolled

Dr. Michael Flierl, M.D.

Adult Reconstructive Orthopaedic Surgery Physician · Troy, MI
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
1350 KIRTS BLVD, Troy, MI 48084
2482449426
Registered in NPPES since 2010
NPI: 1043535552 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. Flierl 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. Flierl

Dr. Michael Flierl is an adult reconstructive orthopaedic surgery physician in Troy, MI, with 16 years of NPI registration. Based on federal Medicare data, Dr. Flierl performed 3,488 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Flierl received a total of $43,880 from 11 pharmaceutical and/or device companies across 101 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. Flierl 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.

✓ 16 years of NPI registration ▲ Top 7% volume in MI $43,880 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
3,488
Medicare services
Top 7% in MI for adult reconstructive orthopaedic surgery physician
Not available
Unique patients (not deduplicated)
$65
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
Steroid injection (triamcinolone)
A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered.
1,528 $1 $7
Knee X-ray, 3 views
An X-ray imaging test of the knee joint that captures three different angles to evaluate the bones and surrounding structures.
345 $29 $91
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.
265 $91 $252
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 $66 $172
Knee X-ray, 4 or more views
An imaging test using X-rays to create multiple pictures of the knee joint from different angles.
246 $35 $101
Hip X-ray, 1 view
An X-ray image of the hip joint taken from a single angle to visualize the bones and surrounding structures.
217 $24 $76
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
180 $53 $208
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.
123 $115 $385
Knee X-ray, 1-2 views
An X-ray imaging test of the knee joint using one to two different angles to visualize the bones and surrounding structures.
114 $24 $77
Total knee replacement 53 $1,063 $4,400
X-ray for bone length assessment
An X-ray image is taken to measure and evaluate the length of bones.
53 $35 $91
Total hip replacement
Surgical procedure to replace the thigh bone and hip joint with artificial components.
40 $1,068 $4,400
Hyaluronan intra-articular injection
An injection of hyaluronan or a derivative into a joint to provide lubrication and cushioning.
35 $554 $2,000
X-ray of both hips, 2 views
An X-ray imaging test that captures two views of both hip joints to evaluate bone structure and alignment.
15 $31 $101
Knee joint replacement
Surgical procedure to replace a knee joint with an artificial implant.
14 $919 $3,500
Hip X-ray, 2-3 views
An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures.
11 $38 $105
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.
3.1% high complexity
50.0% medium
47.0% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$43,880
Total received (2018-2024)
Avg $6,269/year across 7 years
Top 27% in MI for adult reconstructive orthopaedic surgery physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
11
Companies
101
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
$476
2023
$6,876
2022
$186
2021
$15,437
2020
$19,470
2019
$940
2018
$495

Payments by company (2024)

Hikma Pharmaceuticals USA
$305
MEDACTA USA, INC.
$170
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Medical Device Business Services, Inc.
$20,322
DePuy Synthes Products, Inc.
$12,949
Zimmer Biomet Holdings, Inc.
$7,236
DePuy Synthes Sales Inc.
$1,895
Stryker Corporation
$861
Hikma Pharmaceuticals USA
$305
MEDACTA USA, INC.
$170
Flexion Therapeutics, Inc.
$75
AXOGEN
$36
KCI USA, Inc.
$17
Endo Pharmaceuticals Inc.
$13
Top 3 companies account for 92.3% of all-time payments
Associated products mentioned in payments ›
ACCOLADE · ATTUNE · Arcos · AxoGuard Nerve Protector · COMBOGESIC IV · G7 · GMK Sphere Revision System · MAKO · PD-Knee-New Product · PREVENA RESTOR ARTHROFORM · Persona · Quatro Link · REUNION · ROSA · TRIATHLON · TRIDENT · TRITANIUM · Velys · XIAFLEX · Zilretta
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 →
Looking for an adult reconstructive orthopaedic surgery physician in Troy?
Compare adult reconstructive orthopaedic surgery physicians in the Troy area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Adult reconstructive orthopaedic surgery physicians in nearby ZIP areas
14
County median income
$95,296
Nearest hospital to ZIP centroid (approximate)
BEAUMONT HOSPITAL ROYAL OAK
2.9 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. Flierl is a clinical cardiology specialist, with above-average Medicare volume (top 7% in MI), with 16 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. Flierl experienced with steroid injection (triamcinolone)?
Based on Medicare claims data, Dr. Flierl performed 1,528 steroid injection (triamcinolone) 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. Flierl receive payments from pharmaceutical companies?
Yes. Dr. Flierl received a total of $43,880 from 11 companies across 101 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. Flierl's costs compare to other adult reconstructive orthopaedic surgery physicians in Troy?
Dr. Flierl's average Medicare payment per service is $65. 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. Flierl) 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 →
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.

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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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →