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

DAVID FLETCHER

Allopathic & Osteopathic Physicians Family Medicine

NPI
1548461643
CMS profile
206705
Location
MADISON, GA

General Payments · PY2018–2024

$10,538.88

  • Reported across 431 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,045.23

50 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 $1,045.23 50

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $825.45 55
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

Payment records · PY2024 (50)

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. $15.55 03/05/2024 Food and Beverage Undisputed 01/23/2026 1103736293 CMS
ABBVIE INC. $14.24 05/17/2024 Food and Beverage Undisputed 01/23/2026 1103736295 CMS
ABBVIE INC. $14.68 08/12/2024 Food and Beverage Undisputed 01/23/2026 1103736297 CMS
ABBVIE INC. $14.44 10/15/2024 Food and Beverage Undisputed 01/23/2026 1103736299 CMS
Astellas Pharma US Inc $21.33 02/09/2024 Food and Beverage Undisputed 01/23/2026 1139279450 CMS
Astellas Pharma US Inc $19.89 05/29/2024 Food and Beverage Undisputed 01/23/2026 1139350477 CMS
AstraZeneca Pharmaceuticals LP $19.79 02/29/2024 Food and Beverage Undisputed 01/23/2026 1105340293 CMS
AstraZeneca Pharmaceuticals LP $19.31 07/30/2024 Food and Beverage Undisputed 01/23/2026 1105515441 CMS
AstraZeneca Pharmaceuticals LP $13.80 10/03/2024 Food and Beverage Undisputed 01/23/2026 1104480222 CMS
Bayer Healthcare Pharmaceuticals Inc. $16.37 06/29/2024 Food and Beverage Undisputed 01/23/2026 1086123036 CMS
Corcept Therapeutics $19.11 09/20/2024 Food and Beverage Undisputed 01/23/2026 1117751216 CMS
Corcept Therapeutics $17.80 10/11/2024 Food and Beverage Undisputed 01/23/2026 1117751248 CMS
Dexcom, Inc. $22.86 01/20/2024 Food and Beverage Undisputed 01/23/2026 1153294933 CMS
Dexcom, Inc. $24.05 05/19/2024 Food and Beverage Undisputed 01/23/2026 1153294935 CMS
Edwards Lifesciences Corporation $30.41 11/27/2024 Food and Beverage Undisputed 01/23/2026 1138863497 CMS
Esperion Therapeutics, Inc. $19.67 06/21/2024 Food and Beverage Undisputed 01/23/2026 1129434948 CMS
Exact Sciences Corporation $14.30 12/10/2024 Food and Beverage Undisputed 01/23/2026 1114658906 CMS
GlaxoSmithKline, LLC. $19.28 03/11/2024 Food and Beverage Undisputed 01/23/2026 1116445380 CMS
GlaxoSmithKline, LLC. $18.67 04/15/2024 Food and Beverage Undisputed 01/23/2026 1116652511 CMS
GlaxoSmithKline, LLC. $14.77 08/02/2024 Food and Beverage Undisputed 01/23/2026 1116117401 CMS
IDORSIA PHARMACEUTICALS US INC $16.90 10/08/2024 Food and Beverage Undisputed 01/23/2026 1146782106 CMS
Lilly USA, LLC $19.99 01/19/2024 Food and Beverage Undisputed 01/23/2026 1136149282 CMS
Lilly USA, LLC $24.84 02/28/2024 Food and Beverage Undisputed 01/23/2026 1136136086 CMS
Lilly USA, LLC $22.57 03/19/2024 Food and Beverage Undisputed 01/23/2026 1136162113 CMS
Lilly USA, LLC $24.42 05/07/2024 Food and Beverage Undisputed 01/23/2026 1136137539 CMS
Lilly USA, LLC $18.86 08/19/2024 Food and Beverage Undisputed 01/23/2026 1136135003 CMS
Novo Nordisk Inc $24.21 01/08/2024 Food and Beverage Undisputed 01/23/2026 1096704872 CMS
Novo Nordisk Inc $19.98 03/05/2024 Food and Beverage Undisputed 01/23/2026 1097684749 CMS
Novo Nordisk Inc $9.56 03/21/2024 Food and Beverage Undisputed 01/23/2026 1096622962 CMS
Novo Nordisk Inc $7.56 03/25/2024 Food and Beverage Undisputed 01/23/2026 1097502669 CMS
Novo Nordisk Inc $9.48 06/13/2024 Food and Beverage Undisputed 01/23/2026 1096847559 CMS
Novo Nordisk Inc $20.39 07/15/2024 Food and Beverage Undisputed 01/23/2026 1097563426 CMS
Novo Nordisk Inc $1.78 09/30/2024 Food and Beverage Undisputed 01/23/2026 1096698144 CMS
Novo Nordisk Inc $16.44 09/30/2024 Food and Beverage Undisputed 01/23/2026 1097700582 CMS
Novo Nordisk Inc $16.00 10/24/2024 Food and Beverage Undisputed 01/23/2026 1097518632 CMS
Novo Nordisk Inc $14.37 10/28/2024 Food and Beverage Undisputed 01/23/2026 1096597758 CMS
PFIZER INC. $13.86 02/05/2024 Food and Beverage Undisputed 01/23/2026 1132041713 CMS
PFIZER INC. $18.25 07/01/2024 Food and Beverage Undisputed 01/23/2026 1132064748 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $17.50 03/29/2024 Food and Beverage Undisputed 01/23/2026 1153708343 CMS
SHIELD THERAPEUTICS INC $59.43 01/16/2024 Food and Beverage Undisputed 01/23/2026 1150116695 CMS
SHIELD THERAPEUTICS INC $59.43 01/16/2024 Food and Beverage Undisputed 01/23/2026 1150116697 CMS
SHIELD THERAPEUTICS INC $11.06 02/02/2024 Food and Beverage Undisputed 01/23/2026 1150119341 CMS
SHIELD THERAPEUTICS INC $11.06 02/02/2024 Food and Beverage Undisputed 01/23/2026 1150119343 CMS
SHIELD THERAPEUTICS INC $77.90 02/06/2024 Food and Beverage Undisputed 01/23/2026 1150119694 CMS
SHIELD THERAPEUTICS INC $77.90 02/06/2024 Food and Beverage Undisputed 01/23/2026 1150119696 CMS
SHIELD THERAPEUTICS INC $12.21 03/28/2024 Food and Beverage Undisputed 01/23/2026 1150125551 CMS
SHIELD THERAPEUTICS INC $12.21 03/28/2024 Food and Beverage Undisputed 01/23/2026 1150125553 CMS
SHIELD THERAPEUTICS INC $10.58 04/19/2024 Food and Beverage Undisputed 01/23/2026 1150127557 CMS
SHIELD THERAPEUTICS INC $12.76 05/15/2024 Food and Beverage Undisputed 01/23/2026 1150131030 CMS
SHIELD THERAPEUTICS INC $13.41 06/13/2024 Food and Beverage Undisputed 01/23/2026 1150134701 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.