Medicare Enrolled
Dr. Margaret Fischer, M.D., FAAP, FACC
Clinical Cardiac Electrophysiology Physician · Gettysburg, PA
Practice pattern: Electrophysiology & Remote
— Practice combining electrophysiology and remote services
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. Fischer 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. Fischer
Dr. Margaret Fischer is a clinical cardiac electrophysiology physician in Gettysburg, PA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Fischer performed 1,776 Medicare services across 1,219 unique beneficiaries.
Between the years covered by Open Payments, Dr. Fischer received a total of $7,369 from 14 pharmaceutical and/or device companies across 128 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in clinical cardiac electrophysiology physician. 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. Fischer 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
▲ 1,776 Medicare services
$7,369 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,776
Medicare services
Bottom 35% in PA for clinical cardiac electrophysiology physician
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
1,219
Unique beneficiaries
$100
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~89 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 |
|---|---|---|---|
| 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. |
381 | $12 | $62 |
| 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. |
250 | $102 | $292 |
| Remote cardiac rhythm monitor evaluation, up to 30 days Review and analysis of data from a remote cardiac rhythm monitoring system over a period of up to 30 days. |
124 | $21 | $93 |
| Remote monitoring of implantable heart rhythm device Evaluation of data transmitted remotely from an implantable cardiovascular monitor, such as a loop recorder or subcutaneous cardiac rhythm monitor, over a period up to 30 days. |
123 | $34 | $173 |
| New patient office visit, complex (60-74 min) | 74 | $178 | $520 |
| Remote pacemaker/defibrillator monitoring, 90 days Remote evaluation of a pacemaker or implantable defibrillator system within 90 days of the last check. |
65 | $20 | $96 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
52 | $73 | $285 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
50 | $149 | $398 |
| Pacemaker insertion with heart chamber electrodes A surgical procedure to implant a pacemaker device and place electrodes into the upper and lower chambers of the heart to regulate heart rhythm. |
49 | $418 | $1,498 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
47 | $143 | $486 |
| Remote pacemaker monitoring, 90 days Remote assessment of a pacemaker system, including single, dual, multiple lead, or leadless devices, performed up to 90 days apart. |
44 | $24 | $113 |
| Radiologist review of arm or leg vein image A radiologist reviews an image of a vein in one arm or leg. |
43 | $40 | $120 |
| Continuous external EKG monitoring, 8-15 days Continuous external electrocardiogram monitoring over a period of 8 to 15 days, including analysis and reporting of heart rhythm. |
43 | $231 | $979 |
| External EKG monitoring, 8-15 days Continuous external electrocardiogram recording and review over a period of 8 to 15 days to monitor heart rhythm. |
43 | $23 | $95 |
| Pacemaker system evaluation Assessment of a pacemaker device, including single, dual, multiple lead, or leadless systems. |
37 | $44 | $196 |
| 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. |
33 | $74 | $206 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
31 | $114 | $330 |
| Atrial fibrillation ablation with pulmonary vein isolation A procedure to treat atrial fibrillation by mapping the heart's electrical activity and destroying tissue causing irregular contractions. This is done by isolating the pulmonary veins using catheter-based destruction. |
30 | $826 | $4,067 |
| Programming of dual lead implantable defibrillator system Adjustment and testing of the settings for an implanted heart device with two leads to ensure proper function. |
26 | $90 | $352 |
| Cardiac rhythm monitor evaluation Review and analysis of data recorded by a cardiac rhythm monitoring device to assess heart activity. |
26 | $38 | $164 |
| Cardiac rhythm monitor programming Adjustment and configuration of an implanted cardiac rhythm monitoring device to ensure proper operation and data collection. |
23 | $46 | $201 |
| Insertion of implantable heart rhythm monitor A small device is placed under the skin to continuously record the heart's electrical activity. This helps detect irregular heart rhythms that may not appear during a standard office visit. |
21 | $60 | $416 |
| Remote evaluation of implantable defibrillator system Remote assessment of a single, dual, or multiple lead implantable defibrillator system within 90 days of the previous evaluation. |
20 | $31 | $185 |
| Removal of subcutaneous heart rhythm monitor This procedure involves the removal of a heart rhythm monitor that has been implanted under the skin. It is a minor surgical intervention to extract the device. |
19 | $48 | $330 |
| Implantable defibrillator system check A check of the implanted defibrillator device to ensure it is functioning correctly. This evaluation covers single, dual, or multiple lead systems. |
19 | $62 | $254 |
| Removal and replacement of dual lead permanent pacemaker This procedure involves removing an existing permanent pacemaker with two leads and replacing it with a new device. It is performed to update or repair the heart rhythm management system. |
17 | $297 | $1,122 |
| Insertion of implantable defibrillator system A surgical procedure to place an implantable cardioverter-defibrillator (ICD) device into the body. The device is connected to the heart to monitor heart rhythm and deliver shocks if dangerous arrhythmias occur. |
17 | $771 | $2,460 |
| External shock to heart to regulate heart beat A procedure that delivers an electric shock to the heart from outside the body to restore a normal heart rhythm. |
17 | $95 | $411 |
| 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. |
15 | $139 | $406 |
| Catheter ablation for abnormal heart rhythm A procedure where catheters are inserted to destroy tissue causing irregular heartbeats. |
14 | $276 | $1,321 |
| Insertion of left lower heart electrode for pacemaker or defibrillator A procedure to place an electrode in the lower part of the left side of the heart. This electrode is used to connect a pacemaker or defibrillator to help regulate the heart's rhythm. |
12 | $400 | $1,256 |
| Continuous external EKG monitoring, 1 week Recording, analysis, and interpretation of a continuous external electrocardiogram performed over a period of more than one week. |
11 | $235 | $1,060 |
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.
22.6% high complexity
0.0% medium
77.4% routine
Industry Payment Transparency
Open Payments through 2024 ↗$7,369
Total received (2018-2024)
Avg $1,053/year across 7 years
Bottom 32% in PA for clinical cardiac electrophysiology physician
14
Companies
128
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
$7,369 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$392
2023
$2,713
2022
$381
2021
$648
2020
$1,827
2019
$739
2018
$671
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Biosense Webster, Inc.
$233
Abbott Laboratories
$54
Boston Scientific Corporation
$33
Medtronic, Inc.
$28
PFIZER INC.
$27
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$17
Top 3 companies account for 81.6% of 2024 payments
All-time payments by company (2018-2024) ›
Abbott Laboratories
$4,479
Medtronic Vascular, Inc.
$971
Medtronic, Inc.
$834
Biosense Webster, Inc.
$524
Boston Scientific Corporation
$162
Impulse Dynamics (USA) Inc.
$120
Janssen Pharmaceuticals, Inc
$95
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$43
BIOTRONIK INC.
$35
CARDIVA MEDICAL, INC.
$29
PFIZER INC.
$27
BOSTON SCIENTIFIC CORPORATION
$19
Baylis Medical Company Inc
$18
SANOFI-AVENTIS U.S. LLC
$14
Top 3 companies account for 85.3% of all-time payments
Associated products mentioned in payments ›
ASSURITY · AVEIR · AZURE XT DR MRI SURESCAN · Advisa · Allure Quadra RF CRT Pacemaker · Anthem CRT Pacemaker · Arctic Front · Azure · CARDIVA VASCADE MVP VVCS 6-12F · CARTO 3 · CONFIRM RX · Capsure · Claria MRI · Confidense · DURATA · ENSITE · ENSITE PRECISION · Ensite Cardiac Mapping System · JOT DX · LUX DX · LUX-Dx Insertable Cardiac Monitor · LifeVest · MICRA · MULTAQ · Micra · NA · OPTIMIZER · Optimizer · Paceart · Performa · QUADRA ASSURA · Reveal LINQ · SQ RX PULSE GENERATOR · TENDRIL · TactiCath Quartz CFA Catheter · VIGILANT · VYNDAQEL · VersaCross Access Solution · Visia AF · WATCHMAN · WATCHMAN Access System · XARELTO
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.
Geographic Context
Clinical cardiac electrophysiology physicians within 10 mi
3
Per 100K population
2.9
County median income
$81,071
Nearest hospital
GETTYSBURG HOSPITAL
0.0 mi
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. Fischer is an electrophysiology & remote specialist, with moderate Medicare volume, with low-engagement industry engagement, 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. Fischer experienced with electrocardiogram (ekg), 12-lead?
Based on Medicare claims data, Dr. Fischer performed 381 electrocardiogram (ekg), 12-lead 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. Fischer receive payments from pharmaceutical companies?
Yes. Dr. Fischer received a total of $7,369 from 14 companies across 128 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. Fischer's costs compare to other clinical cardiac electrophysiology physicians in Gettysburg?
Dr. Fischer's average Medicare payment per service is $100. 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. Fischer) 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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