Medicare Enrolled
Dr. Michael Fishman, MD
Pain Medicine · Lebanon, PA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Speaking/Promotional
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. Fishman 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. Fishman
Dr. Michael Fishman is a pain medicine specialist in Lebanon, PA, with 17 years of NPI registration. Based on federal Medicare data, Dr. Fishman performed 2,552 Medicare services across 1,115 unique beneficiaries.
Between the years covered by Open Payments, Dr. Fishman received a total of $661,884 from 59 pharmaceutical and/or device companies across 1427 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pain medicine. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Fishman 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.
✓ 17 years in practice
▲ Top 13% volume in PA
$661,884 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,552
Medicare services
Top 13% in PA for pain medicine
1,115
Unique beneficiaries
$49
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~150 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 |
|---|---|---|---|
| Psychological test administration, first 30 minutes A technician administers psychological or neuropsychological testing for the first 30 minutes. |
569 | $25 | $120 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
470 | $0 | $1 |
| 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. |
404 | $89 | $263 |
| 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. |
231 | $64 | $181 |
| Drug screening test A laboratory test that uses a chemistry analyzer to detect the presence of drugs in a sample. |
171 | $61 | $210 |
| Contrast dye for imaging, lower concentration | 168 | $0 | $2 |
| 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. |
160 | $10 | $110 |
| Definitive drug test using GC/MS or LC/MS A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS. |
109 | $193 | $596 |
| Definitive drug test using GC/MS or LC/MS A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS. |
53 | $242 | $740 |
| 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. |
50 | $113 | $369 |
| Health risk assessment administration and interpretation This procedure involves administering a health risk assessment to a patient and interpreting the results. |
42 | $2 | $12 |
| Assessment of emotional or behavioral problems An evaluation to identify and understand emotional or behavioral issues. This process involves reviewing symptoms and behaviors to determine the nature of the concerns. |
38 | $2 | $65 |
| Spinal drug pump reprogramming and refill A physician electronically adjusts the settings of a spinal drug infusion pump and refills its medication reservoir. |
33 | $68 | $885 |
| Trigger point injection, 3 or more muscles Injection of medication into three or more specific muscle trigger points to relieve pain. |
27 | $42 | $322 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
14 | $164 | $2,307 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
13 | $263 | $4,257 |
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 ↗$661,884
Total received (2018-2024)
Avg $94,555/year across 7 years
Top 0% in PA for pain medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
59
Companies
1,427
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.
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$583,133 (88.1%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$48,200 (7.3%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$17,122 (2.6%)
Financial / Ownership
Ownership or investment interests, royalties, and licensing fees
$13,429 (2.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$54,194
2023
$70,301
2022
$229,016
2021
$112,635
2020
$104,789
2019
$61,170
2018
$29,779
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$37,104
MML US, Inc.
$13,898
BIOTRONIK NRO, Inc.
$2,146
Boston Scientific Corporation
$394
ABBVIE INC.
$241
Abbott Laboratories
$184
Nalu Medical, Inc.
$147
Epimed International, Inc
$42
Saluda Medical Americas, Inc.
$38
Top 3 companies account for 98.1% of 2024 payments
All-time payments by company (2018-2024) ›
Medtronic, Inc.
$408,608
Medtronic USA, Inc.
$152,836
MML US, Inc.
$25,381
Nevro Corp.
$22,585
Abbott Laboratories
$15,208
Aurora Spine, Inc.
$13,429
BIOTRONIK INC.
$4,637
Collegium Pharmaceutical, Inc.
$4,510
BIOTRONIK NRO, Inc.
$2,342
Foundation Fusion Solutions, LLC
$2,031
Vertos Medical, Inc.
$1,646
Relievant Medsystems, Inc.
$1,435
Vertiflex, Inc.
$1,341
Boston Scientific Corporation
$856
Purdue Pharma L.P.
$417
Interventional Pain Technologies Inc.
$400
ABBVIE INC.
$375
Nalu Medical, Inc.
$341
Stimwave Technologies Incorporated
$314
Cerapedics, Inc.
$213
Teva Pharmaceuticals USA, Inc.
$192
SPR Therapeutics, Inc
$191
Lilly USA, LLC
$188
Biohaven Pharmaceuticals, Inc.
$187
Daiichi Sankyo Inc.
$181
Amgen Inc.
$172
Saluda Medical Americas, Inc.
$170
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$142
IBSA Pharma Inc.
$127
Biohaven Pharmaceutical Holding Company Ltd.
$109
SCILEX PHARMACEUTICALS INC.
$109
GRT US Holding, Inc.
$104
TerSera Therapeutics LLC
$99
Novartis Pharmaceuticals Corporation
$94
Kowa Pharmaceuticals America, Inc.
$93
Scilex Pharmaceuticals Inc.
$76
BOSTON SCIENTIFIC CORPORATION
$74
ARBOR PHARMACEUTICALS, INC.
$72
Sentynl Therapeutics, Inc.
$63
AbbVie Inc.
$61
IMPEL PHARMACEUTICALS INC.
$59
Electronic Waveform Lab, Inc.
$45
Epimed International, Inc
$42
Egalet US Inc
$38
SI-BONE, Inc.
$32
PFIZER INC.
$30
Zyla Life Sciences, Inc.
$25
ASSERTIO THERAPEUTICS, Inc.
$23
Fidia Pharma USA Inc.
$21
Ipsen Biopharmaceuticals, Inc
$20
RedHill Biopharma Inc.
$20
Almatica Pharma LLC
$19
Pacira Pharmaceuticals Incorporated
$19
Arbor Pharmaceuticals, Inc.
$15
Zyla Life Sciences
$14
Baudax Bio Inc.
$13
Flowonix Medical Incorporated
$13
Forte Bio-Pharma LLC
$12
Allergan, Inc.
$12
Top 3 companies account for 88.7% of all-time payments
Associated products mentioned in payments ›
ACCURIAN · ADAPTIVESTIM · AIMOVIG · AJOVY · ANJESO · ARYMO ER · Accurian · Aimovig · BELBUCA · BIOTRONIK · Belbuca · COMIRNATY · Catheters and Neeles · Dysport · ELEVATE SPINAL SYSTEM · EMGALITY · ETERNA · Evoke · Evoke SCS · Exclaim SCS Leads · GENERAL - PAIN MANAGEMENT · GENERAL PAIN MANAGEMENT · General - Pain Management · Gralise · HYMOVIS · Horizant · I-FACTOR PEPTIDE ENHANCED BONE GRAFT · INFINION · INJEX · INTELLIS · INTELLIS ADAPTIVESTIM · INTERSTIM · Inflate FX · Intracept · Iovera · KYPHON EXPRESS II KYPHOPAK TRAY · LICART · Lamitrode SCS Leads · Levorphanol · Levorphanol Tartrate · Licart · MYSTIM · Morphabond ER · Movantik · NALOCET · NAPRELAN · NURTEC ODT · Nalu Neurostimulation System · Neuromodulation Dspsbls and Accs · OPTIMIZER · OSTEOCOOL RF ABLATION SYSTEM · Omnia · PRIALT · PROCLAIM · Penta SCS Leads · Prialt · Proclaim Family of SCS IPGs · Proclaim IPG · Prometra II · Prospera · Protege Family of SCS IPGs · QULIPTA · Qutenza · RELISTOR · RESTORE · RESTORESENSORSURESCAN · ReActiv8 · SEGLENTIS · SPECTRA WAVEWRITER · SPRINT PNS System · SPRIX · SUPERION · SYMPROIC · SYNCHROMED · SYNCHROMEDII · Seglentis · Senza · Senza Spinal Cord Stimulation System · SlimTip lead DRG Lead · StimQ Receiver Stimulator Kit Channel A US w/Receiver · Superion ISS · Superion Indirect Decompression System · Swift-Lock SCS · TARGETSTIM · Trudhesa · UBRELVY · VANTA ADAPTIVESTIM · Vanta · WaveWriter Alpha Prime 16 · XTAMPZA · ZIP · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · Zipsor · iFuse Implant · mild Device Kit
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 →
The majority of payments (88%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in pain medicine and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 0% for pain medicine in PA.
Geographic Context
Pain medicines within 10 mi
28
Per 100K population
19.5
County median income
$76,350
Nearest hospital
WELLSPAN GOOD SAMARITAN 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. Fishman is a clinical cardiology specialist, with above-average Medicare volume (top 13% in PA), with speaking/promotional industry engagement in the top 0% of PA peers, with 17 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. Fishman experienced with psychological test administration, first 30 minutes?
Based on Medicare claims data, Dr. Fishman performed 569 psychological test administration, first 30 minutes 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. Fishman receive payments from pharmaceutical companies?
Yes. Dr. Fishman received a total of $661,884 from 59 companies across 1,427 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. Fishman's costs compare to other pain medicines in Lebanon?
Dr. Fishman's average Medicare payment per service is $49. 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. Fishman) 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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