Medicare Enrolled

Dr. Christopher Fincke, M.D.

Gastroenterology · Fredericksburg, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Speaking/Promotional
205 W WINDCREST ST STE 130, Fredericksburg, TX 78624
8309901404
In practice since 2006 (20 years)
NPI: 1164492443 verify on NPPES ↗
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. Fincke 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. Fincke? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Fincke

Dr. Christopher Fincke is a gastroenterology in Fredericksburg, TX, with 20 years in practice. Based on federal Medicare data, Dr. Fincke performed 1,525 Medicare services across 1,317 unique beneficiaries.

Between the years covered by Open Payments, Dr. Fincke received a total of $27,981 from 42 pharmaceutical and/or device companies across 368 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. 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. Fincke is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years in practice▲ Top 12% volume in TX$ $27,981 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,525
Medicare services
Top 12% in TX for gastroenterology
1,317
Unique beneficiaries
$98
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~76 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.

ProcedureVolumeAvg. paidAvg. submitted
Office visit, established patient (30-39 min)428$95$277
Upper GI endoscopy with biopsy267$34$438
Removal of polyps or growths of large bowel using an endoscope with mechanical snare203$185$795
Colonoscopy with biopsy184$42$656
Insertion of guide wire with dilation of esophagus using a flexible endoscope105$92$493
New patient office visit (45-59 min)101$124$418
Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare63$124$570
Colorectal cancer screening; colonoscopy on individual at high risk34$160$562
Initial hospital admission, high complexity19$136$515
Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope17$173$1,046
Insertion of stent into pancreatic or bile duct using a flexible endoscope15$323$1,241
Diagnostic exam of large bowel using a flexible endoscope15$123$562
Initial hospital admission, moderate complexity14$102$335
Review by radiologist of image from tube placement into bile duct using an endoscope13$18$242
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk13$171$561
Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope12$151$755
Removal of stone or debris from bile or pancreatic duct using a flexible endoscope11$100$1,293
Hospital follow-up visit, moderate complexity11$62$180
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.
1.0% high complexity
34.6% medium
64.5% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$27,981
Total received (2018-2024)
Avg $3,997/year across 7 years
Top 9% in TX for gastroenterology
42
Companies
368
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
$21,614 (77.2%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$6,367 (22.8%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$2,138
2023
$1,230
2022
$1,101
2021
$1,130
2020
$660
2019
$681
2018
$21,041

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Allergan Inc.
$13,179
Synergy Pharmaceuticals Inc
$7,254
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$1,236
Phathom Pharmaceuticals, Inc.
$1,181
ABBVIE INC.
$1,140
Boston Scientific Corporation
$655
AbbVie, Inc.
$367
AbbVie Inc.
$353
PFIZER INC.
$282
Olympus America Inc.
$278
Janssen Biotech, Inc.
$194
Celgene Corporation
$174
Shionogi Inc
$146
QOL Medical, LLC
$145
Gilead Sciences, Inc.
$130
Regeneron Healthcare Solutions, Inc.
$124
E.R. Squibb & Sons, L.L.C.
$122
Takeda Pharmaceuticals U.S.A., Inc.
$112
Romark Laboratories, LC
$109
BOSTON SCIENTIFIC CORPORATION
$101
GENZYME CORPORATION
$65
Merck Sharp & Dohme LLC
$52
Merck Sharp & Dohme Corporation
$51
Ironwood Pharmaceuticals, Inc
$51
Ardelyx, Inc.
$45
NESTLE HEALTHCARE NUTRITION INC.
$43
CONMED Corporation
$42
Braintree Laboratories, Inc.
$40
UCB, Inc.
$35
RedHill Biopharma Inc.
$35
Prometheus Laboratories Inc.
$30
Nestle HealthCare Nutrition Inc.
$30
Enterra Medical, Inc.
$24
Madrigal Pharmaceuticals
$24
IRONWOOD PHARMACEUTICALS, INC
$21
Covidien LP
$21
Alnylam Pharmaceuticals Inc.
$18
Micro-tech Endoscopy USA, Inc.
$17
Exact Sciences Corporation
$15
ARALEZ PHARMACEUTICALS US INC.
$13
AstraZeneca Pharmaceuticals LP
$13
Cook Medical LLC
$12
Top 3 companies account for 77.4% of total payments
Associated products mentioned in payments ›
ALINIA · Agile Esophageal · Alinia · Apollo 2-0 Polypropylene Endobariatric Suture · Barrx · CAPTIVATOR COLD · CONMED DILATION · CONMED GENERATORS · CREON · Cimzia · Cologuard Collection Kit · Creon · DIFICID · DUPIXENT · Dexilant · ENTYVIO · EOHILIA · ERCP V-System · EXALT MODEL D CONTROLLER · EXALT Model D · Epclusa · GATTEX · GENERAL ENDOCHOICE · GENERAL HEMOSTASIS · GIVLAARI · Guidewire · HUMIRA · Humira · IBSRELA · INFLECTRA · Instinct · LINZESS · Linzess · MAVYRET · MOVANTIK · Mavyret · Movantik · Mulpleta · ORISE · RESMETIROM · RESOLUTION CLIP · RINVOQ · Resolution 360 ULTRA Clip · Resolution Clip · SKYRIZI · SPYGLASS · SPYSCOPE · STELARA · SUCRAID · SUTAB · Sucraid · Symproic · TREMFYA · TRULANCE · Talicia · Trulance · VELSIPITY · VIBERZI · VISIGLIDE · VOQUEZNA · WIDE-EYE Polyptrap · XELJANZ · XIFAXAN · XIFAXANIBSD · ZENPEP · ZEPOSIA · ZONTIVITY
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 (77%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in gastroenterology and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 9% for gastroenterology in TX.

Equivalent to $1,835 per 100 Medicare services performed
Looking for a gastroenterology in Fredericksburg?
Compare gastroenterologys in the Fredericksburg area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Gastroenterologys within 10 mi
6
Per 100K population
22.1
County median income
$67,799
Nearest hospital
HILL COUNTRY MEMORIAL HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Fincke is a clinical cardiology specialist, with above-average Medicare volume (top 12% in TX), and high industry engagement (speaking/promotional, top 9%), with 20 years of practice experience.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Fincke experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Fincke performed 428 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. Fincke receive payments from pharmaceutical companies?
Yes. Dr. Fincke received a total of $27,981 from 42 companies across 368 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. Fincke's costs compare to other gastroenterologys in Fredericksburg?
Dr. Fincke's average Medicare payment per service is $98. 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. Fincke) 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 →
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. The Transparency Score measures 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

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →