Physician profile
Michael Fleck
NPI 1508958893
$304.59
in general payments reported to CMS, 2019-2025
7 companies · $78.39 in 2025
The $78.39 reported for 2025 was less than what a typical Physician Assistant provider received nationally (typical 2025 total: $183).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2024: $226 · 2025: $78.39.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $305.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $304.59 |
Payment-type detail covers 2023-2025; earlier years are included in totals but not broken out here.
Who reported paying
General payments only, as reported to CMS. Product names cover 2023-2025.
| Company | General payments | Years | Top products |
|---|---|---|---|
| Astrazeneca Pharmaceuticals Lp | $111.96 | 2024 | Andexxa |
| Medtronic, INC. | $56.14 | 2025 | Strata |
| Averitas Pharma INC. | $42.21 | 2024 | Qutenza |
| Merz Pharmaceuticals, LLC | $35.25 | 2024 | Xeomin |
| Vertex Pharmaceuticals Incorporated | $22.25 | 2025 | |
| Amneal Pharmaceuticals LLC | $21.08 | 2024 | Rytary |
| Jazz Pharmaceuticals INC. | $15.70 | 2024 |
Drugs and devices associated with these payments
CMS records which products a payment was associated with, not how the money was allocated. Association is not allocation: one payment can be associated with several products, and a product listing does not mean the payment was made because of that product. Product detail covers 2023-2025.
If you want to bring it up
Most clinicians are glad to talk about this. A respectful way in:
- "I saw Michael Fleck listed in the CMS Open Payments database. Can you tell me about your work with those companies?"
- "Is there a generic or alternative to this medication, and would it work as well for me?"
- "What made you choose this particular treatment for my situation?"
These are normal questions. A good clinician will welcome them.
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Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.