Physician profile
David A Fessler
NPI 1457472607
$1,685.03
in general payments reported to CMS, 2019-2025
8 companies · $494 in 2025
The $494 reported for 2025 was more than what a typical Internal Medicine provider received nationally (typical 2025 total: $156).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2023: $461 · 2024: $731 · 2025: $494.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $1,647 · Travel and Lodging: $38.32.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $1,646.71 |
| Travel and Lodging | $38.32 |
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 |
|---|---|---|---|
| Globus Medical, INC. | $382.99 | 2024-2025 | Excelsiusgps Robotic Navigation System, Excelsius3d Imaging System, Excelsius Gps |
| Depuy Synthes Sales INC. | $303.68 | 2024 | Teligen, Fibergraft Aeridyan Matrix, Expedium |
| Spinal Elements, INC. | $253.84 | 2023 | |
| Spineology INC. | $225.67 | 2025 | |
| Neo Spine USA, INC. | $194.24 | 2025 | Neo Pedicle Screw System |
| Gt Medical Technologies, INC | $151.58 | 2023 | Gammatile |
| Medtronic, INC. | $117.83 | 2024 | Unid_pass |
| Orthofix Medical, INC. | $55.20 | 2023 | 7d Surgical System |
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 David Fessler 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.