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

DAVID FLETCHER

Allopathic & Osteopathic Physicians Family Medicine

NPI
1548461643
CMS profile
206705
Location
MADISON, GA

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 · PY2019–2025

  • CMS publication 2026-06-30

Latest program year · PY2025

$831.55

46 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

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $831.55 46

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $3,328.19 77
PY2020 $2,191.03 77
PY2021 $1,060.44 72
PY2022 $1,021.69 64
PY2023 $1,066.85 36
PY2024 $1,045.23 50
PY2025 $831.55 46

Payment records · PY2025 (46)

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

Program year 2025 201920202021202220232024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Novo Nordisk Inc $9.21 12/01/2025 Food and Beverage No dispute reported 06/30/2026 1188703414 CMS
ABBVIE INC. $25.58 11/13/2025 Food and Beverage No dispute reported 06/30/2026 1201863552 CMS
Abbott Laboratories $14.74 11/12/2025 Food and Beverage No dispute reported 06/30/2026 1240992619 CMS
Bayer Healthcare Pharmaceuticals Inc. $22.82 11/11/2025 Food and Beverage No dispute reported 06/30/2026 1225537679 CMS
Novo Nordisk Inc $13.71 10/30/2025 Food and Beverage No dispute reported 06/30/2026 1188302248 CMS
Sumitomo Pharma America, Inc. $19.41 10/21/2025 Food and Beverage No dispute reported 06/30/2026 1176649950 CMS
Esperion Therapeutics, Inc. $28.57 10/16/2025 Food and Beverage No dispute reported 06/30/2026 1243958450 CMS
Lilly USA, LLC $15.29 10/14/2025 Food and Beverage No dispute reported 06/30/2026 1186594750 CMS
ABBVIE INC. $15.66 10/13/2025 Food and Beverage No dispute reported 06/30/2026 1201863550 CMS
AstraZeneca Pharmaceuticals LP $18.72 10/09/2025 Food and Beverage No dispute reported 06/30/2026 1207072982 CMS
Bayer Healthcare Pharmaceuticals Inc. $21.56 10/02/2025 Food and Beverage No dispute reported 06/30/2026 1225537681 CMS
Novo Nordisk Inc $11.55 09/30/2025 Food and Beverage No dispute reported 06/30/2026 1188799095 CMS
Vanda Pharmaceuticals Inc. $18.09 09/26/2025 Food and Beverage No dispute reported 06/30/2026 1232963449 CMS
Bayer Healthcare Pharmaceuticals Inc. $20.04 09/05/2025 Food and Beverage No dispute reported 06/30/2026 1225537677 CMS
ABBVIE INC. $13.20 09/04/2025 Food and Beverage No dispute reported 06/30/2026 1201863548 CMS
Lilly USA, LLC $19.97 08/29/2025 Food and Beverage No dispute reported 06/30/2026 1186606576 CMS
ABBVIE INC. $22.54 08/14/2025 Food and Beverage No dispute reported 06/30/2026 1201863546 CMS
Novo Nordisk Inc $21.83 08/11/2025 Food and Beverage No dispute reported 06/30/2026 1188224356 CMS
Takeda Pharmaceuticals U.S.A., Inc. $14.64 08/07/2025 Food and Beverage No dispute reported 06/30/2026 1223817018 CMS
Optinose US, Inc. $18.98 08/01/2025 Food and Beverage No dispute reported 06/30/2026 1163256872 CMS
Novo Nordisk Inc $18.38 07/28/2025 Food and Beverage No dispute reported 06/30/2026 1188137048 CMS
Bayer Healthcare Pharmaceuticals Inc. $19.56 07/22/2025 Food and Beverage No dispute reported 06/30/2026 1225537675 CMS
Senseonics, Incorporated $25.56 07/15/2025 Food and Beverage No dispute reported 06/30/2026 1249761642 CMS
Sumitomo Pharma America, Inc. $19.41 07/07/2025 Food and Beverage No dispute reported 06/30/2026 1176649945 CMS
ABBVIE INC. $15.23 06/30/2025 Food and Beverage No dispute reported 06/30/2026 1201863544 CMS
Novo Nordisk Inc $9.20 06/11/2025 Food and Beverage No dispute reported 06/30/2026 1188161245 CMS
Novo Nordisk Inc $15.17 05/27/2025 Food and Beverage No dispute reported 06/30/2026 1188873115 CMS
ABBVIE INC. $12.47 05/19/2025 Food and Beverage No dispute reported 06/30/2026 1201863542 CMS
Lilly USA, LLC $19.40 05/15/2025 Food and Beverage No dispute reported 06/30/2026 1186606578 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $15.53 05/13/2025 Food and Beverage No dispute reported 06/30/2026 1222829536 CMS
ABBVIE INC. $24.57 05/12/2025 Food and Beverage No dispute reported 06/30/2026 1201863540 CMS
Esperion Therapeutics, Inc. $25.23 05/09/2025 Food and Beverage No dispute reported 06/30/2026 1243958448 CMS
PFIZER INC. $21.05 05/08/2025 Food and Beverage No dispute reported 06/30/2026 1229134772 CMS
Axsome Therapeutics, Inc. $16.12 04/28/2025 Food and Beverage No dispute reported 06/30/2026 1235729376 CMS
ABBVIE INC. $13.55 04/14/2025 Food and Beverage No dispute reported 06/30/2026 1201863538 CMS
Novo Nordisk Inc $23.81 04/07/2025 Food and Beverage No dispute reported 06/30/2026 1188471810 CMS
Bayer Healthcare Pharmaceuticals Inc. $16.23 04/03/2025 Food and Beverage No dispute reported 06/30/2026 1225537673 CMS
Novo Nordisk Inc $15.53 03/17/2025 Food and Beverage No dispute reported 06/30/2026 1188144621 CMS
Corcept Therapeutics $19.07 03/13/2025 Food and Beverage No dispute reported 06/30/2026 1214178995 CMS
AstraZeneca Pharmaceuticals LP $24.06 02/27/2025 Food and Beverage No dispute reported 06/30/2026 1206145455 CMS
Novo Nordisk Inc $17.85 02/27/2025 Food and Beverage No dispute reported 06/30/2026 1188142886 CMS
GlaxoSmithKline, LLC. $17.26 02/20/2025 Food and Beverage No dispute reported 06/30/2026 1191330230 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $15.34 02/18/2025 Food and Beverage No dispute reported 06/30/2026 1222829534 CMS
Lilly USA, LLC $14.53 02/07/2025 Food and Beverage No dispute reported 06/30/2026 1186594748 CMS
Novo Nordisk Inc $16.52 01/16/2025 Food and Beverage No dispute reported 06/30/2026 1188181262 CMS
ABBVIE INC. $14.81 01/07/2025 Food and Beverage No dispute reported 06/30/2026 1201863536 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, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.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.

Cite this record.

Plain
DAVID FLETCHER, NPI 1548461643. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1548461643.
APA 7
IndustryPayments. (2026). DAVID FLETCHER, NPI 1548461643 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1548461643
Bluebook
DAVID FLETCHER, NPI 1548461643, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1548461643.

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