Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

MELISSA C FISCHER

Allopathic & Osteopathic Physicians Urology Urogynecology and Reconstructive Pelvic Surgery

NPI
1326067067
CMS profile
150422
Location
ROYAL OAK, MI

General Payments · PY2018–2024

$8,411.48

  • Reported across 203 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$734.50

21 records · 0 disputed

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

How these totals are calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. 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 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $734.50 21

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $525.41 36
PY2019 $3,373.12 44
PY2020 $413.22 8
PY2021 $1,020.86 31
PY2022 $1,117.50 31
PY2023 $1,226.87 32
PY2024 $734.50 21

Payment records · PY2024 (21)

Sorted by paying entity, then date · as published by CMS

Program year 2024 201820192020202120222023 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
ABBVIE INC. $13.11 07/29/2024 Food and Beverage Undisputed 01/23/2026 1103731573 CMS
AstraZeneca Pharmaceuticals LP $13.60 03/12/2024 Food and Beverage Undisputed 01/23/2026 1104762684 CMS
AstraZeneca Pharmaceuticals LP $18.94 05/14/2024 Food and Beverage Undisputed 01/23/2026 1105586988 CMS
AstraZeneca Pharmaceuticals LP $17.19 11/12/2024 Food and Beverage Undisputed 01/23/2026 1105812081 CMS
Axonics, Inc. $20.38 04/16/2024 Food and Beverage Undisputed 01/23/2026 1142364783 CMS
Axonics, Inc. $96.56 04/30/2024 Food and Beverage Undisputed 01/23/2026 1142364785 CMS
Boston Scientific Corporation $82.45 05/30/2024 Food and Beverage Undisputed 01/23/2026 1092519497 CMS
COLOPLAST CORP $20.97 04/25/2024 Food and Beverage Undisputed 01/23/2026 1117431336 CMS
Dendreon Pharmaceuticals LLC $33.64 01/09/2024 Food and Beverage Undisputed 01/23/2026 1149315638 CMS
Dendreon Pharmaceuticals LLC $29.84 04/17/2024 Food and Beverage Undisputed 01/23/2026 1149315640 CMS
Dendreon Pharmaceuticals LLC $33.45 06/05/2024 Food and Beverage Undisputed 01/23/2026 1149315642 CMS
Dendreon Pharmaceuticals LLC $15.47 06/25/2024 Food and Beverage Undisputed 01/23/2026 1149315644 CMS
Dendreon Pharmaceuticals LLC $18.28 11/26/2024 Food and Beverage Undisputed 01/23/2026 1149315646 CMS
IMMUNITYBIO, INC. $24.49 05/21/2024 Food and Beverage Undisputed 01/23/2026 1125508408 CMS
Janssen Biotech, Inc. $16.36 05/22/2024 Food and Beverage Undisputed 01/23/2026 1078762241 CMS
Medtronic, Inc. $163.62 01/09/2024 Food and Beverage Undisputed 01/23/2026 1119265280 CMS
Medtronic, Inc. $8.15 04/19/2024 Food and Beverage Undisputed 01/23/2026 1119265282 CMS
Merck Sharp & Dohme LLC $34.60 08/13/2024 Food and Beverage Undisputed 01/23/2026 1141738783 CMS
Novartis Pharmaceuticals Corporation $27.26 08/27/2024 Food and Beverage Undisputed 01/23/2026 1086950663 CMS
Tempus AI, Inc $23.71 01/23/2024 Food and Beverage Undisputed 01/23/2026 1150164583 CMS
UROGEN PHARMA, INC. $22.43 03/19/2024 Food and Beverage Undisputed 01/23/2026 1137920577 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

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.