Adam Fier, DO
Anesthesiology · Melbourne, FLNPI 1477611077
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $5,500 of the $6,959 with a category attached, or 79.0%. Mallinckrodt Enterprises LLC accounts for 84.3% of it on its own, with 15 other manufacturers making up the rest. Reporting peaked in 2019 at $6,397 and has fallen 98.9% since, to $73 in 2025. Among anesthesiology clinicians in FL with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 26 payments — averaging $267.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Mallinckrodt Enterprises LLC$6K
- Medtronic$154
- Avanos Medical$139
- Johnson & Johnson$117
- Abbott$112
- Medical Device Business Services, Inc.$108
- plus $463 from 10 others
What the payments were for
- Speaking & faculty fees$5,50079%
- Travel & lodging$2454%
- Food & beverage$1,19617%
- Education$180%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Mallinckrodt Enterprises LLC | 5 | $5,866 |
| Medtronic | 2 | $154 |
| Avanos Medical | 1 | $139 |
| Johnson & Johnson | 1 | $117 |
| Abbott | 1 | $112 |
| Medical Device Business Services, Inc. | 1 | $108 |
| Novartis | 1 | $80 |
| Bard Access Systems, Inc. | 1 | $71 |
| Edwards Lifesciences | 2 | $52 |
| KARL Storz Endoscopy-america | 1 | $52 |
| Masimo Corporation | 3 | $50 |
| Octapharma USA, Inc. | 1 | $50 |
| CSL Behring | 2 | $48 |
| Merck | 2 | $33 |
| Vyaire Medical, Inc. | 1 | $16 |
| Cumberland Pharmaceuticals, Inc. | 1 | $12 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
How this compares
$6,959 in reported general payments places this provider in the 95th percentile of 2,767 anesthesiology providers in Florida.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Other anesthesiology in Melbourne
- Robert LondonOrlando$402K
- Todd HorowitzDelray Beach$267K
- Darren WredeLargo$211K
- Ralf GebhardMiami$166K
- Adam BlombergHollywood$120K
- Andre BoezaartGainesville$119K
- Samantha NiekampMiami$82K
- Jackson WagonerGainesville$70K
- Sorin BrullJacksonville$66K
- Roman DudarykMiami$57K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.