Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official record

Reflects CMS Open Payments as of 2026-07-26T04:22:22Z. CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

Covered recipient · General Payments record

JAMES P FISCHER

Allopathic & Osteopathic Physicians Internal Medicine

NPI
1023113321
CMS profile
677443
Location
PALM HARBOR, FL

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

General Payments · PY2019–2024

  • CMS publication 2026-06-30

Latest program year · PY2024

$640.45

26 records · 0 disputed

“Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.”

— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated
  • This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): (records>=3 OR total>=100) AND records>=2 AND NPI identity (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $640.45 26

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $302.13 17
PY2020 $51.52 4
PY2021 $93.99 1
PY2023 $117.83 6
PY2024 $640.45 26

Payment records · PY2024 (26)

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

Program year 2024 2019202020212023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Merck Sharp & Dohme LLC $19.73 11/21/2024 Food and Beverage No dispute reported 06/30/2026 1141577707 CMS
ABBVIE INC. $23.74 11/14/2024 Food and Beverage No dispute reported 06/30/2026 1103731459 CMS
Alafair Biosciences, Inc. $146.49 11/01/2024 Food and Beverage No dispute reported 06/30/2026 1138674850 CMS
ABBVIE INC. $16.87 10/29/2024 Food and Beverage No dispute reported 06/30/2026 1103731457 CMS
AstraZeneca Pharmaceuticals LP $18.04 10/25/2024 Food and Beverage No dispute reported 06/30/2026 1105331811 CMS
Lundbeck LLC $18.37 10/21/2024 Food and Beverage No dispute reported 06/30/2026 1145915561 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $16.40 10/04/2024 Food and Beverage No dispute reported 06/30/2026 1153495500 CMS
PFIZER INC. $14.39 10/02/2024 Food and Beverage No dispute reported 06/30/2026 1131929728 CMS
Novartis Pharmaceuticals Corporation $13.19 09/30/2024 Food and Beverage No dispute reported 06/30/2026 1086950467 CMS
Acella Pharmaceuticals, LLC $13.70 09/23/2024 Food and Beverage No dispute reported 06/30/2026 1126635676 CMS
PFIZER INC. $22.79 09/23/2024 Food and Beverage No dispute reported 06/30/2026 1132033029 CMS
Sumitomo Pharma America, Inc. $15.12 09/12/2024 Food and Beverage No dispute reported 06/30/2026 1148851129 CMS
GlaxoSmithKline, LLC. $25.36 09/06/2024 Food and Beverage No dispute reported 06/30/2026 1116246826 CMS
ABBVIE INC. $13.35 09/05/2024 Food and Beverage No dispute reported 06/30/2026 1103731455 CMS
PFIZER INC. $17.02 09/03/2024 Food and Beverage No dispute reported 06/30/2026 1131839154 CMS
Novo Nordisk Inc $17.21 08/27/2024 Food and Beverage No dispute reported 06/30/2026 1096621326 CMS
Dexcom, Inc. $21.02 08/19/2024 Food and Beverage No dispute reported 06/30/2026 1153305793 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $17.60 08/03/2024 Food and Beverage No dispute reported 06/30/2026 1153517886 CMS
Novartis Pharmaceuticals Corporation $13.97 07/30/2024 Food and Beverage No dispute reported 06/30/2026 1086950461 CMS
Phathom Pharmaceuticals, Inc. $69.49 06/20/2024 Food and Beverage No dispute reported 06/30/2026 1151061239 CMS
Bayer Healthcare Pharmaceuticals Inc. $17.16 06/11/2024 Food and Beverage No dispute reported 06/30/2026 1086215177 CMS
ABBVIE INC. $18.71 05/30/2024 Food and Beverage No dispute reported 06/30/2026 1103731453 CMS
ABBVIE INC. $14.57 03/20/2024 Food and Beverage No dispute reported 06/30/2026 1103731451 CMS
Amgen Inc. $21.30 03/04/2024 Food and Beverage No dispute reported 06/30/2026 1117251348 CMS
Phathom Pharmaceuticals, Inc. $14.85 02/20/2024 Food and Beverage No dispute reported 06/30/2026 1151061237 CMS
Amgen Inc. $20.01 01/22/2024 Food and Beverage No dispute reported 06/30/2026 1117251346 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2019, 2020, 2021, 2023, 2024
Source files
Dataset page · Bulk file · PY2019 , PY2020 , PY2021 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P06302026_06032026.csv

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Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.

Cite this record.

Plain
JAMES P FISCHER, NPI 1023113321. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1023113321.
APA 7
IndustryPayments. (2026). JAMES P FISCHER, NPI 1023113321 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1023113321
Bluebook
JAMES P FISCHER, NPI 1023113321, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1023113321.

Source: Centers for Medicare & Medicaid Services, Open Payments.