Medicare Enrolled
Dr. Paul Fiacco, M.D.
Family Medicine · East Syracuse, NY
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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. Fiacco 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. Fiacco
Dr. Paul Fiacco is a family medicine specialist in East Syracuse, NY, with 20 years of NPI registration. Based on federal Medicare data, Dr. Fiacco performed 6,405 Medicare services across 3,479 unique beneficiaries.
Between the years covered by Open Payments, Dr. Fiacco received a total of $5,923 from 45 pharmaceutical and/or device companies across 405 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. 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. Fiacco 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.
✓ 20 years in practice
▲ Top 2% volume in NY
$5,923 industry payments
Medicare Practice Summary
Medicare Utilization ↗6,405
Medicare services
Top 2% in NY for family medicine
3,479
Unique beneficiaries
$29
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~320 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 |
|---|---|---|---|
| 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. |
818 | $82 | $180 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
606 | $8 | $25 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
537 | $10 | $50 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
518 | $8 | $30 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
479 | $13 | $35 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
470 | $9 | $28 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
468 | $16 | $40 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
361 | $41 | $80 |
| 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. |
164 | $59 | $130 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
164 | $32 | $75 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
159 | $123 | $200 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
155 | $9 | $25 |
| 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. |
152 | $10 | $65 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
144 | $1 | $10 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
126 | $3 | $15 |
| C-peptide level test A blood test that measures the amount of C-peptide, a protein produced along with insulin, to help evaluate insulin production and diabetes management. |
101 | $20 | $56 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
89 | $30 | $55 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
77 | $67 | $70 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
69 | $1 | $25 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
59 | $19 | $65 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
55 | $15 | $90 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
52 | $8 | $25 |
| 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. |
46 | $10 | $75 |
| Prothrombin time test (blood clotting) A laboratory test that measures how long it takes for blood to clot. This procedure evaluates the body's coagulation process. |
43 | $4 | $15 |
| Urine microalbumin test (kidney screening) A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage. |
42 | $6 | $8 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
30 | $13 | $37 |
| Drug test with direct observation A drug screening test performed under direct observation to ensure the sample is provided correctly. This method is used to verify the integrity of the specimen collection process. |
29 | $12 | $25 |
| Iron level test | 28 | $6 | $20 |
| COVID-19 vaccine administration Administration of a single dose of the coronavirus vaccine. |
28 | $38 | $60 |
| Natriuretic peptide level test A blood test that measures the level of natriuretic peptide, a protein produced by the heart and blood vessels. |
27 | $38 | $50 |
| Sed rate test (inflammation marker) This automated test measures how quickly red blood cells settle in a tube to detect inflammation in the body. |
25 | $3 | $10 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
22 | $15 | $35 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
19 | $49 | $220 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
18 | $282 | $350 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
18 | $30 | $55 |
| COVID-19 amplified DNA/RNA probe detection A laboratory test that uses amplified DNA or RNA probes to detect the presence of severe acute respiratory syndrome coronavirus 2 (COVID-19) antigen. |
17 | $50 | $80 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
16 | $4 | $17 |
| Fecal immunochemical test (FIT), 1-3 simultaneous A screening test that uses a stool sample to detect hidden blood in the feces, helping to identify potential colorectal cancer. |
16 | $18 | $25 |
| 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. |
15 | $20 | $95 |
| 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. |
15 | $158 | $250 |
| Influenza virus nucleic acid detection test A laboratory test that uses nucleic acid technology to detect multiple types of influenza virus. |
14 | $94 | $190 |
| COVID-19 vaccine (Pfizer bivalent) Administration of a 30 mcg dose of the SARS-CoV-2 vaccine via intramuscular injection. |
14 | $119 | $150 |
| COVID-19 vaccine (Moderna bivalent) An intramuscular injection of the SARS-CoV-2 vaccine containing 50 micrograms in a 0.5 mL dose. |
14 | $143 | $175 |
| X-ray of lower and sacral spine, minimum of 4 views An X-ray imaging test of the lower back and sacrum using at least four different angles to visualize the bones and joints. |
13 | $27 | $115 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
13 | $27 | $70 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
13 | $196 | $449 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
12 | $9 | $55 |
| Influenza vaccine, quadrivalent, 0.5 ml dosage | 12 | $20 | $25 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
12 | $40 | $110 |
| Retinal photography (fundus photo) This procedure involves taking photographs of the retina, the light-sensitive tissue at the back of the eye. It is used to document the condition of the eye's interior structures. |
11 | $23 | $110 |
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.
Industry Payment Transparency
Open Payments through 2024 ↗$5,923
Total received (2018-2024)
Avg $846/year across 7 years
Top 10% in NY for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
45
Companies
405
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
$5,898 (99.6%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$25 (0.4%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,823
2023
$2,277
2022
$764
2021
$647
2020
$169
2019
$59
2018
$183
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$273
PFIZER INC.
$245
Amgen Inc.
$215
GlaxoSmithKline, LLC.
$184
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$154
Novartis Pharmaceuticals Corporation
$105
Bayer Healthcare Pharmaceuticals Inc.
$89
Astellas Pharma US Inc
$71
Lilly USA, LLC
$65
Janssen Pharmaceuticals, Inc
$64
SHIELD THERAPEUTICS INC
$53
Exact Sciences Corporation
$49
UCB, Inc.
$43
AstraZeneca Pharmaceuticals LP
$43
Novo Nordisk Inc
$38
Esperion Therapeutics, Inc.
$32
SANOFI-AVENTIS U.S. LLC
$28
Axsome Therapeutics, Inc.
$24
IBSA Pharma Inc.
$21
Collegium Pharmaceutical, Inc.
$14
Otsuka America Pharmaceutical, Inc.
$14
Top 3 companies account for 40.2% of 2024 payments
All-time payments by company (2018-2024) ›
ABBVIE INC.
$742
Amgen Inc.
$525
GlaxoSmithKline, LLC.
$503
PFIZER INC.
$500
Novartis Pharmaceuticals Corporation
$312
Novo Nordisk Inc
$291
ITI, Inc.
$280
Astellas Pharma US Inc
$235
Teva Pharmaceuticals USA, Inc.
$217
Bayer Healthcare Pharmaceuticals Inc.
$185
Takeda Pharmaceuticals U.S.A., Inc.
$165
AbbVie Inc.
$164
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$154
Boehringer Ingelheim Pharmaceuticals, Inc.
$144
Lilly USA, LLC
$118
Amarin Pharma Inc.
$103
Exact Sciences Corporation
$97
AstraZeneca Pharmaceuticals LP
$94
Janssen Pharmaceuticals, Inc
$94
Merck Sharp & Dohme LLC
$87
MannKind Corporation
$73
Daiichi Sankyo Inc.
$68
Biohaven Pharmaceuticals, Inc.
$68
Biohaven Pharmaceutical Holding Company Ltd.
$66
Bayer HealthCare Pharmaceuticals Inc.
$56
SHIELD THERAPEUTICS INC
$53
SANOFI-AVENTIS U.S. LLC
$51
Corcept Therapeutics
$51
Allergan Inc.
$48
Allergan, Inc.
$46
Esperion Therapeutics, Inc.
$45
UCB, Inc.
$43
IBSA Pharma Inc.
$35
Nestle HealthCare Nutrition Inc.
$28
Currax Pharmaceuticals LLC
$25
Shield Therapeutics Inc
$24
Axsome Therapeutics, Inc.
$24
Axonics Modulation Technologies, Inc.
$19
Collegium Pharmaceutical, Inc.
$14
Otsuka America Pharmaceutical, Inc.
$14
Corium, LLC
$14
Blueprint Medicines Corporation
$14
Sunovion Pharmaceuticals Inc.
$13
Merck Sharp & Dohme Corporation
$12
Neuronetics, Inc.
$9
Top 3 companies account for 29.9% of all-time payments
Associated products mentioned in payments ›
ACCRUFER · AFREZZA · AIRSUPRA · AJOVY · ANORO · ANORO ELLIPTA · AREXVY · AUSTEDO · Aimovig · AirDuo Digihaler · Ajovy · Auvelity · Axonics r-SNM System · Azstarys · BELSOMRA · BEXSERO · Belbuca · CAPLYTA · COMIRNATY · CREON · Cologuard Collection Kit · ELIQUIS · ENTRESTO · EVENITY · FARXIGA · INJECTAFER · JARDIANCE · Kerendia · Korlym · LEQVIO · LINZESS · Licart · MYRBETRIQ · Myrbetriq · NEUROSTAR TMS THERAPY · NEXLETOL · NURTEC ODT · Nayzilam · Otezla · Ozempic · PAXLOVID · PRALUENT · PREVNAR 13 · PREVNAR 20 · QULIPTA · REXULTI · Repatha · Rybelsus · SHINGRIX · STEGLATRO · SYMBICORT · SYNTHROID · Saxenda · TOUJEO · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · TRUMENBA · TZIELD · Tirosint · UBRELVY · Utibron · VERQUVO · VESICARE · VIBERZI · VRAYLAR · VYVANSE · Vascepa · Veozah · Wegovy · XARELTO · ZENPEP
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 10% for family medicine in NY.
Geographic Context
Family medicine physicians within 10 mi
297
Per 100K population
63.0
County median income
$74,740
Nearest hospital
ST JOSEPH'S HOSPITAL HEALTH CENTER
5.7 mi
5.7 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 reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Fiacco is a clinical cardiology specialist, with above-average Medicare volume (top 2% in NY), with low-engagement industry engagement in the top 10% of NY peers, with 20 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. Fiacco experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Fiacco performed 818 office visit, established patient (30-39 min) 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. Fiacco receive payments from pharmaceutical companies?
Yes. Dr. Fiacco received a total of $5,923 from 45 companies across 405 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. Fiacco's costs compare to other family medicine physicians in East Syracuse?
Dr. Fiacco's average Medicare payment per service is $29. 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. Fiacco) 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 →
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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. 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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