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

Covered recipient · General Payments record

DOUGLAS R FLETCHER

Allopathic & Osteopathic Physicians Internal Medicine Pulmonary Disease

NPI
1740236090
CMS profile
214676
Location
MIDDLETOWN, NY

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.

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General Payments · PY2022 · Entire year

$1,004.94

49 records · 0 disputed

Summary and payment records

  • CMS publication 2026-06-30
Read the payment records

“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.
  • Methodology & Data — sourcing, labeling, and limitations.

Provider summaries generated . 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 ↗

By nature of payment

PY2022 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $924.94 48
Education $80.00 1

By paying entity

PY2022 · entire year · sorted by reported total

Page 1 of 1; records 1–49 of 49 matching records. This page contains 49 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.

IndustryPayments · General Payments

DOUGLAS R FLETCHER

NPI 1740236090 · CMS profile ID 214676

Allopathic & Osteopathic Physicians / Internal Medicine / Pulmonary Disease

MIDDLETOWN, NY

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.

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.

General Payments, PY2022; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types

Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00

Page 1 of 1; records 1–49 of 49 matching records. This page contains 49 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1740236090?year=2022&recipient=provider#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/df01c2f8-dc1f-4e79-96cb-8208beaf143c

Cite these filtered records

The citation includes this program year, filters, data edition, and page of results.

Plain
DOUGLAS R FLETCHER, NPI 1740236090, CMS profile ID 214676. General Payments, PY2022; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 1; records 1–49 of 49 matching records. This page contains 49 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1740236090?year=2022&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/df01c2f8-dc1f-4e79-96cb-8208beaf143c.
APA 7
IndustryPayments. (2026). DOUGLAS R FLETCHER, NPI 1740236090, CMS profile ID 214676. General Payments, PY2022; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 1; records 1–49 of 49 matching records. This page contains 49 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1740236090?year=2022&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/df01c2f8-dc1f-4e79-96cb-8208beaf143c.
Bluebook
DOUGLAS R FLETCHER, NPI 1740236090, CMS profile ID 214676, IndustryPayments, General Payments, PY2022; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types (Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00). Page 1 of 1; records 1–49 of 49 matching records. This page contains 49 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/df01c2f8-dc1f-4e79-96cb-8208beaf143c. https://industrypayments.org/provider/npi-1740236090?year=2022&recipient=provider#records-h.

Centers for Medicare & Medicaid Services, Open Payments

Citation formats are provided for reference; check the requirements of your publication.

Payment records · PY2022

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

General Payments · PY2022 · Physicians and non-physician practitioners · CMS publication 2026-06-30

49 matching records · $1,004.94 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 49 matching records (CSV)

CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.

Showing records 1–49 of 49.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
AstraZeneca Pharmaceuticals LP $15.2112/21/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 914981819 CMS
GENZYME CORPORATION $29.2712/16/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 938810385 CMS
Regeneron Healthcare Solutions, Inc. $29.2212/13/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 927166203 CMS
Actelion Pharmaceuticals US, Inc. $18.0111/28/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 885404685 CMS
Takeda Pharmaceuticals U.S.A., Inc. $17.3611/21/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 955636795 CMS
Mylan Specialty L.P. $16.4911/17/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963936099 CMS
Regeneron Healthcare Solutions, Inc. $29.1911/15/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 927166199 CMS
Grifols USA, LLC $19.5111/11/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 918702527 CMS
Regeneron Healthcare Solutions, Inc. $26.7610/26/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 927166195 CMS
GlaxoSmithKline, LLC. $21.3010/22/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 944776457 CMS
Baxter Healthcare $20.9010/17/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 888405189 CMS
GENZYME CORPORATION $23.9910/14/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 938810365 CMS
Philips Electronics North America Corporation $16.0310/14/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 945613541 CMS
GlaxoSmithKline, LLC. $26.3810/12/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 944776461 CMS
GENZYME CORPORATION $24.2810/06/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 938810361 CMS
Regeneron Healthcare Solutions, Inc. $21.5209/30/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 927166191 CMS
Genentech USA, Inc. $17.1109/27/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 950755523 CMS
GlaxoSmithKline, LLC. $18.0309/20/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 944776465 CMS
GENZYME CORPORATION $24.3309/19/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 938810357 CMS
AstraZeneca Pharmaceuticals LP $13.7609/13/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 915862957 CMS
Exeltis, USA Inc. $18.1608/31/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 947121103 CMS
GENZYME CORPORATION $23.8808/26/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 938810353 CMS
Regeneron Healthcare Solutions, Inc. $24.2108/25/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 927166187 CMS
Lilly USA, LLC $12.5708/24/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 917968963 CMS
Electromed, Inc. $14.7508/18/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 948226517 CMS
GENZYME CORPORATION $35.5608/18/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 938810351 CMS
GlaxoSmithKline, LLC. $5.3508/16/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 944776481 CMS
GlaxoSmithKline, LLC. $14.7707/20/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 944776485 CMS
GENZYME CORPORATION $24.2007/05/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 938810335 CMS
GENZYME CORPORATION $23.3806/17/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 938810329 CMS
Grifols USA, LLC $17.7706/16/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 918678215 CMS
Regeneron Healthcare Solutions, Inc. $19.8906/11/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 927166183 CMS
Regeneron Healthcare Solutions, Inc. $80.0006/10/2022 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 927166179 CMS
GENZYME CORPORATION $20.0005/20/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 938810307 CMS
Regeneron Healthcare Solutions, Inc. $31.9105/10/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 927166175 CMS
GlaxoSmithKline, LLC. $17.1105/05/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 944776477 CMS
JAZZ PHARMACEUTICALS INC. $12.5004/27/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 951352535 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $24.8704/26/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 887447481 CMS
Novartis Pharmaceuticals Corporation $17.2803/30/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 893632607 CMS
Grifols USA, LLC $12.8203/03/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 918664053 CMS
GlaxoSmithKline, LLC. $13.3603/02/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 944776469 CMS
GlaxoSmithKline, LLC. $2.3203/02/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 944776473 CMS
JAZZ PHARMACEUTICALS INC. $18.2302/15/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 951339033 CMS
Regeneron Healthcare Solutions, Inc. $18.8902/08/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 927166171 CMS
AstraZeneca Pharmaceuticals LP $12.2802/02/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 914809587 CMS
AstraZeneca Pharmaceuticals LP $16.9601/26/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 915790343 CMS
Baxter Healthcare $18.3801/21/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 888405187 CMS
Regeneron Healthcare Solutions, Inc. $9.4701/20/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 927166167 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $15.4201/19/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 887447483 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $1,763.35 113
PY2020 $812.91 53
PY2021 $749.08 47
PY2022 $1,004.94 49
PY2023 $1,540.84 84
PY2024 $957.27 47
PY2025 $1,097.57 49

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 and profile matching
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.