Medicare Enrolled
Dr. James Fisco, D.O.
Family Medicine · Springboro, OH
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. Fisco 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. Fisco?
Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Fisco
Dr. James Fisco is a family medicine specialist in Springboro, OH, with 21 years of NPI registration. Based on federal Medicare data, Dr. Fisco performed 985 Medicare services across 601 unique beneficiaries.
Between the years covered by Open Payments, Dr. Fisco received a total of $13,732 from 56 pharmaceutical and/or device companies across 1048 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. Fisco 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.
✓ 21 years in practice
▲ Top 23% volume in OH
$13,732 industry payments
Medicare Practice Summary
Medicare Utilization ↗985
Medicare services
Top 23% in OH for family medicine
601
Unique beneficiaries
$65
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~47 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. |
332 | $73 | $198 |
| 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. |
284 | $55 | $140 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
70 | $123 | $202 |
| 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. |
68 | $10 | $41 |
| Annual depression screening | 48 | $17 | $28 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
38 | $29 | $42 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
29 | $2 | $5 |
| 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. |
25 | $72 | $108 |
| 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. |
22 | $282 | $425 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
22 | $29 | $42 |
| 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. |
20 | $35 | $85 |
| 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. |
15 | $209 | $386 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
12 | $76 | $114 |
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 ↗$13,732
Total received (2018-2024)
Avg $1,962/year across 7 years
Top 3% in OH for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
56
Companies
1,048
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
$13,732 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,677
2023
$2,923
2022
$2,318
2021
$1,823
2020
$1,221
2019
$1,852
2018
$918
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$463
AstraZeneca Pharmaceuticals LP
$458
Novo Nordisk Inc
$233
Bayer Healthcare Pharmaceuticals Inc.
$160
PFIZER INC.
$148
Lilly USA, LLC
$136
Astellas Pharma US Inc
$135
Boehringer Ingelheim Pharmaceuticals, Inc.
$132
Corium, LLC
$118
Janssen Pharmaceuticals, Inc
$84
Grifols USA, LLC
$80
Abbott Laboratories
$73
Exact Sciences Corporation
$73
Amgen Inc.
$55
Corcept Therapeutics
$54
Esperion Therapeutics, Inc.
$50
Otsuka America Pharmaceutical, Inc.
$40
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$33
Eisai Inc.
$23
GlaxoSmithKline, LLC.
$18
Tempus AI, Inc
$17
AIMMUNE THERAPEUTICS, INC.
$17
Dexcom, Inc.
$17
Takeda Pharmaceuticals U.S.A., Inc.
$16
Novartis Pharmaceuticals Corporation
$16
Currax Pharmaceuticals LLC
$15
Merck Sharp & Dohme LLC
$13
Top 3 companies account for 43.1% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$1,406
Janssen Pharmaceuticals, Inc
$1,391
AstraZeneca Pharmaceuticals LP
$1,357
ABBVIE INC.
$1,208
Amgen Inc.
$817
Boehringer Ingelheim Pharmaceuticals, Inc.
$657
Lilly USA, LLC
$563
PFIZER INC.
$530
UCB, Inc.
$458
Relievant Medsystems, Inc.
$438
Bayer Healthcare Pharmaceuticals Inc.
$426
Kowa Pharmaceuticals America, Inc.
$299
Corium, LLC
$298
SANOFI-AVENTIS U.S. LLC
$254
Abbott Laboratories
$252
Astellas Pharma US Inc
$240
Merck Sharp & Dohme Corporation
$237
Amarin Pharma Inc.
$228
AbbVie Inc.
$223
Takeda Pharmaceuticals U.S.A., Inc.
$204
Bayer HealthCare Pharmaceuticals Inc.
$201
Novartis Pharmaceuticals Corporation
$190
Exact Sciences Corporation
$159
Esperion Therapeutics, Inc.
$132
GlaxoSmithKline, LLC.
$121
Currax Pharmaceuticals LLC
$121
Almatica Pharma LLC
$114
Merck Sharp & Dohme LLC
$113
Otsuka America Pharmaceutical, Inc.
$111
Antares Pharma, Inc.
$99
Clarus Therapeutics Inc.
$90
Grifols USA, LLC
$80
Allergan, Inc.
$64
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$61
IDORSIA PHARMACEUTICALS US INC
$59
Corcept Therapeutics
$54
Acerus Pharmaceuticals Corporation
$51
Shire North American Group Inc
$49
Eisai Inc.
$39
Teva Pharmaceuticals USA, Inc.
$37
Allergan Inc.
$34
AbbVie, Inc.
$32
Biohaven Pharmaceutical Holding Company Ltd.
$28
Nestle HealthCare Nutrition Inc.
$21
Scilex Pharmaceuticals Inc.
$20
Regeneron Healthcare Solutions, Inc.
$17
Tempus AI, Inc
$17
AIMMUNE THERAPEUTICS, INC.
$17
Medtronic MiniMed, Inc.
$17
Dexcom, Inc.
$17
Boston Scientific Corporation
$16
Zyla Life Sciences
$12
Bausch Health US, LLC
$12
Purdue Pharma L.P.
$12
Biohaven Pharmaceuticals, Inc.
$12
Orexigen Therapeutics, Inc.
$11
Top 3 companies account for 30.3% of all-time payments
Associated products mentioned in payments ›
ADVAIR · AIRSUPRA · AJOVY · ANDEXXA · APLENZIN · Aimovig · Amitiza · Azstarys · BELSOMRA · BEXSERO · BREZTRI · BREZTRI AEROSPHERE · CHANTIX · COLOGUARD · CONTRAVE · Cimzia · Cologuard Collection Kit · Dayvigo · Dexcom G6 Transmitter · EMGALITY · ENTRESTO · EUCRISA · EVENITY · FARXIGA · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre 2 · GARDASIL · GRALISE · INVOKANA · Intracept · JANUVIA · JARDIANCE · JATENZO · Kerendia · Korlym · LEQVIO · LINZESS · LIVALO · LYRICA · Leqembi · Livalo · MOUNJARO · MYDAYIS · MYRBETRIQ · NEXLETOL · NURTEC ODT · Natesto · OFEV · OTREXUP · Otezla · Ozempic · PAXLOVID · PNEUMOVAX 23 · PRALUENT · PRALUENT ALIROCUMAB INJECTION · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · Prolastin-C Liquid · Prolia · QULIPTA · QUVIVIQ · QVAR · REXULTI · ROTATEQ · RYBELSUS · Repatha · Rybelsus · SEGLENTIS · SHINGRIX · SOLIQUA 100/33 · SPIRIVA · SPIRIVA RESPIMAT · STEGLATRO · SYMBICORT · SYMPROIC · SYNJARDY · SYNTHROID · Saxenda · Seglentis · Synthroid · TOUJEO · TOVIAZ · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · Tresiba · Trintellix · UBRELVY · VAXELIS · VESICARE · VRAYLAR · VYVANSE · Vascepa · Veozah · Vyvanse · Wegovy · XARELTO · XIFAXAN · XYOSTED · ZENPEP · ZEPBOUND · ZORVOLEX · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · iPro2
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 3% for family medicine in OH.
Geographic Context
Family medicine physicians within 10 mi
760
Per 100K population
308.5
County median income
$107,843
Nearest hospital
ATRIUM MEDICAL CENTER
4.1 mi
4.1 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. Fisco is a clinical cardiology specialist, with above-average Medicare volume (top 23% in OH), with low-engagement industry engagement in the top 3% of OH peers, with 21 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. Fisco experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Fisco performed 332 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. Fisco receive payments from pharmaceutical companies?
Yes. Dr. Fisco received a total of $13,732 from 56 companies across 1,048 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. Fisco's costs compare to other family medicine physicians in Springboro?
Dr. Fisco'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. Fisco) 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 →
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 Springboro
Browse family medicine physicians in Springboro ranked by procedure volume and transparency data.
Highest volume
Top Family Medicine Physicians in OH
Family medicine physicians ranked by total Medicare services performed statewide.
Industry payments
Pharma Payments to Family Medicine Physicians in OH
Which OH family medicine physicians receive the most from drug and device companies.
By company
Novo Nordisk Inc Payments to Doctors
See all physicians who received payments from Novo Nordisk Inc.
By company
Janssen Pharmaceuticals, Inc Payments to Doctors
See all physicians who received payments from Janssen Pharmaceuticals, Inc.
By company
AstraZeneca Pharmaceuticals LP Payments to Doctors
See all physicians who received payments from AstraZeneca Pharmaceuticals LP.
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.
Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology