Dr. James Fleming, MD
What this data tells you about Dr. Fleming
Dr. James Fleming is an orthopaedic surgery of the spine physician in Chillicothe, OH, with 20 years of NPI registration. Based on federal Medicare data, Dr. Fleming performed 305 Medicare services across 270 unique beneficiaries.
Between the years covered by Open Payments, Dr. Fleming received a total of $122,299 from 20 pharmaceutical and/or device companies across 320 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopaedic surgery of the spine physician. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Fleming 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.
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 |
|---|---|---|---|
| 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. |
95 | $50 | $86 |
| 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. |
43 | $103 | $172 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
31 | $26 | $54 |
| Spine fusion with cage or mesh device insertion A surgical procedure to fuse spine bones by inserting a cage or mesh device into the disc space. |
19 | $205 | $804 |
| 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. |
17 | $72 | $114 |
| Spinal stabilization device placement, 3-6 segments Surgical placement of a device to stabilize three to six vertebrae in the back. |
14 | $586 | $2,317 |
| Computer-assisted spinal procedure A surgical or diagnostic procedure involving the spine that utilizes computer technology to assist with planning, navigation, or execution. |
14 | $185 | $707 |
| Lower back spinal fusion with bone and disc removal A surgical procedure to fuse vertebrae in the lower back. It involves removing part of the spine bone and a disc to stabilize the area. |
13 | $1,440 | $5,622 |
| Partial removal of spine bone with nerve release during fusion This procedure involves removing part of the bone in a single segment of the lower spine to release the spinal cord or nerves, performed during a spinal fusion. |
13 | $206 | $785 |
| 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. |
13 | $47 | $117 |
| Graft of donor bone to spine | 11 | $88 | $337 |
| Spinal fusion with disc removal and nerve release, 1 disc This surgery connects two or more vertebrae in the upper spine to stabilize the area. It involves removing a damaged disc and relieving pressure on the spinal cord or nerve. |
11 | $1,358 | $5,173 |
| Partial removal of spine bone with nerve release, 1 segment A surgical procedure involving the partial removal of a bone segment in the spine to relieve pressure on the spinal cord or nerves. This is performed on a single spinal segment. |
11 | $708 | $3,344 |
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)
All-time payments by company (2018-2024) ›
Associated products mentioned in payments ›
The majority of payments (94%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 9% for orthopaedic surgery of the spine physician in OH.
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 reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Fleming is a clinical cardiology specialist, with moderate Medicare volume, with consulting-driven industry engagement in the top 9% of OH 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
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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. 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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