TYLER BARRETT FLEMING

Allopathic & Osteopathic Physicians|Hospitalist WINSTON SALEM, NC NPI 1679917702

General Payments — all program years on this page

$3,490.15

  • Category: General Payments
  • Program years: PY2019–2024
  • Record count: 204
  • As of (CMS publication): 2026-01-23

Latest program year (PY2024): $886.12 across 45 records · disputed records: 0

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

How this figure is 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

Latest program year (PY2024) · sorted by reported total.

Nature of paymentAmountRecords
Food and Beverage $886.1245

By paying entity

Latest program year (PY2024) · sorted by reported total.

By program year

Program yearAmountRecords
2019 $144.7410
2020 $374.0026
2021 $605.7738
2022 $835.1349
2023 $644.3936
2024 $886.1245

Records — PY2024 (45)

Record IDPaying entityAmountDate Nature of paymentDispute statusPublishedSource
1078084108 Janssen Pharmaceuticals, Inc $15.39 03/28/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1078084624 Janssen Pharmaceuticals, Inc $13.94 02/14/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086807335 Novartis Pharmaceuticals Corporation $14.48 01/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086807337 Novartis Pharmaceuticals Corporation $14.60 02/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086807339 Novartis Pharmaceuticals Corporation $14.60 03/26/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086807345 Novartis Pharmaceuticals Corporation $16.71 05/21/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086807347 Novartis Pharmaceuticals Corporation $16.98 06/11/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086807353 Novartis Pharmaceuticals Corporation $16.18 08/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086807355 Novartis Pharmaceuticals Corporation $16.57 09/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086807357 Novartis Pharmaceuticals Corporation $15.19 11/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1092353297 Boston Scientific Corporation $42.32 06/28/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1094006228 Alexion Pharmaceuticals, Inc. $15.56 04/24/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1101594025 E.R. Squibb & Sons, L.L.C. $14.94 06/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1103736033 ABBVIE INC. $27.04 01/03/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1103736035 ABBVIE INC. $27.43 02/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1103736037 ABBVIE INC. $22.33 03/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1103736039 ABBVIE INC. $23.49 05/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1103736041 ABBVIE INC. $19.18 06/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1103736043 ABBVIE INC. $26.75 08/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1103736045 ABBVIE INC. $16.61 09/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104262033 AstraZeneca Pharmaceuticals LP $26.17 06/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105272592 AstraZeneca Pharmaceuticals LP $14.49 01/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118108801 Boehringer Ingelheim Pharmaceuticals, Inc. $21.95 10/02/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118108803 Boehringer Ingelheim Pharmaceuticals, Inc. $31.52 05/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1125193460 Abbott Laboratories $24.94 09/19/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131200675 PFIZER INC. $19.52 11/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131653293 PFIZER INC. $18.37 04/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131653527 PFIZER INC. $19.25 09/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131653531 PFIZER INC. $19.65 12/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131653982 PFIZER INC. $18.77 03/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131653986 PFIZER INC. $17.03 02/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131653991 PFIZER INC. $17.97 01/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131655416 PFIZER INC. $17.00 09/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131655420 PFIZER INC. $19.00 08/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131655753 PFIZER INC. $19.60 07/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141798335 Merck Sharp & Dohme LLC $19.59 10/31/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141798337 Merck Sharp & Dohme LLC $19.59 10/04/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141798531 Merck Sharp & Dohme LLC $15.28 03/11/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141798533 Merck Sharp & Dohme LLC $14.81 01/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141798535 Merck Sharp & Dohme LLC $24.26 08/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141798537 Merck Sharp & Dohme LLC $15.21 12/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141900166 Merck Sharp & Dohme LLC $23.05 08/26/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141900320 Merck Sharp & Dohme LLC $19.41 12/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141901412 Merck Sharp & Dohme LLC $17.36 11/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141945009 Merck Sharp & Dohme LLC $22.04 07/02/2024 Food and Beverage Undisputed 01/23/2026 View at CMS

Provenance & corrections

  • Dataset: CMS Open Payments — General Payments
  • Source: CMS Open Payments dataset (bulk file)
  • Publisher of source data: Centers for Medicare & Medicaid Services
  • 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.