Physician profile

Alec Fletcher

Internal Medicine · Roanoke, VA

NPI 1285262337

$2,347.54

in general payments reported to CMS, 2019-2025

14 companies · $1,415 in 2025

The $1,415 reported for 2025 was more than what 89% of Internal Medicine providers received nationally (typical 2025 total: $156).

See the full distribution for Internal Medicine

Payments by year

General payments by program year, as reported to CMS.

What the payments were for

Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.

View as a table
Payment typeAmount (2023-2025)
Food and Beverage$2,016.21
Education$331.33

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.

CompanyGeneral paymentsYearsTop products
Abbott Laboratories $649.84 2024-2025 Cardiomems, Ensite
Zoll Services LLC (A/K/A Zoll Lifecor Corp) $624.02 2024-2025 Lifevest
Astrazeneca Pharmaceuticals LP $316.03 2024-2025 Farxiga, Wainua
Boston Scientific Corporation $162.51 2024-2025 Emblem Mri S-Icd, Zoom Wireless Transmitter
Zoll Circulation INC $135.00 2024 Downstream Cartridge, Therox Ds2 Console, Catheter
Novartis Pharmaceuticals Corporation $110.02 2024-2025
Idorsia Pharmaceuticals US INC $89.72 2024 Tryvio
Irhythm Technologies, INC. $89.58 2024 Zio Monitor, Zio Xt Patch
Novo Nordisk INC $54.01 2025 Wegovy
Boehringer Ingelheim Pharmaceuticals, INC. $39.10 2024-2025 Jardiance
Abiomed $24.65 2024 Impella
Cvrx, INC. $22.12 2025 Barostim Neo System
Janssen Pharmaceuticals, INC $16.05 2024 Xarelto
Chiesi USA, INC. $14.89 2025 Kengreal

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.

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Payment summary

Alec Fletcher

$2,347.54

in general payments reported 2019-2025

Years
2024-2025
Top company
Abbott Laboratories
Context
The $1,415 reported for 2025 was more than what 89% of Internal Medicine providers received nationally (typical 2025 total: $156).

https://glasscript.com/doctor/11463105/alec-fletcher

Source: CMS Open Payments, program years 2019-2025. Payments are legal and often routine.

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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.