Brett Fischer, MD
Sports Medicine · Fremont, NENPI 1710962741
Payments from drug & device makers
What this record shows
This record is dominated by education: $4,894 of the $8,117 with a category attached, or 60.3%. 8 manufacturers reported payments, led by Arthrex at 51.8% of the total. Reporting peaked in 2020 at $5,384 and has fallen 77.4% since, to $1,216 in 2025.
Across 53 payments — averaging $153.15 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$4K
- Zimmer Biomet$2K
- Conetic Solutions, Inc.$1K
- Johnson & Johnson$164
- Medtronic$163
- Sunovion Pharmaceuticals Inc.$66
- plus $24 from 2 others
What the payments were for
- Travel & lodging$92311%
- Food & beverage$2,30028%
- Education$4,89460%
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 |
|---|---|---|
| Arthrex | 11 | $4,203 |
| Zimmer Biomet | 27 | $2,200 |
| Conetic Solutions, Inc. | 4 | $1,297 |
| Johnson & Johnson(2 entities) | 2 | $164 |
| Medtronic | 1 | $163 |
| Sunovion Pharmaceuticals Inc. | 6 | $66 |
| Pacira Pharmaceuticals Incorporated | 1 | $19 |
| Orthofix Medical, Inc. | 1 | $5 |
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.
- Oxford$417
- Persona$416
- ROSA$286
- AQUAMANTYS$163
- ActivBraid$132
- ATTUNE$125
- ROSA-Knee$116
How this compares
$8,117 in reported general payments places this provider in the 85th percentile of 34 sports medicine providers in Nebraska.
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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Celecoxib | 81 | $1,873 |
| Nabumetone | 172 | $1,765 |
| Meloxicam | 562 | $1,412 |
| Oxycodone Hcl | 133 | $758 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 68 | $693 |
| Gabapentin | 51 | $525 |
| Tramadol Hcl | 105 | $311 |
| Amoxicillin | 236 | $294 |
| Methylprednisolone | 48 | $276 |
| Cephalexin | 43 | $234 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 22 | $165 |
| Diclofenac Sodium | 15 | $149 |
| Ondansetron OdtOndansetron | 22 | $114 |
| Cyclobenzaprine Hcl | 43 | $109 |
| Clindamycin Hcl | 49 | $96 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in Fremont
- David BuckFremont$4K
- Justin MakovickaElkhorn$56K
- Justin GreinerOmaha$47K
- Matthew TingleOmaha$32K
- Jace HeidenOmaha$14K
- Stephen BrownElkhorn$8K
- Kimberly TurmanElkhorn$8K
- Kellen HustonOmaha$7K
- Eric SamuelsonOmaha$7K
- Hsueh Yu ChengElkhorn$5K
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.