Don Fixler, MD
Family Medicine · Cincinnati, OHNPI 1831125079
Payments from drug & device makers
Across 477 payments — averaging $18.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$1K
- Lilly USA, LLC$1K
- AstraZeneca$1K
- AbbVie$957
- Johnson & Johnson$627
- Pfizer$520
- plus $3K from 31 others
What the payments were for
- Consulting fees$3254%
- Food & beverage$8,63396%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Novo Nordisk | 78 | $1,180 |
| Lilly USA, LLC | 78 | $1,152 |
| AstraZeneca | 26 | $1,075 |
| AbbVie(2 entities) | 35 | $957 |
| Johnson & Johnson | 19 | $627 |
| Pfizer | 64 | $520 |
| Sanofi-aventis U.S. LLC | 22 | $440 |
| Novartis | 23 | $406 |
| Bayer | 14 | $306 |
| Dexcom, Inc. | 6 | $295 |
| GSK | 18 | $294 |
| Exact Sciences | 10 | $216 |
| Boehringer Ingelheim | 11 | $170 |
| Biohaven Pharmaceutical Holding Company Ltd. | 8 | $125 |
| Grifols USA, LLC | 7 | $116 |
| Insulet Corporation | 1 | $116 |
| Amgen(2 entities) | 7 | $115 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 6 | $105 |
| Medtronic | 2 | $98 |
| Astellas Pharma US Inc | 6 | $96 |
| Mannkind Corporation | 6 | $77 |
| Phathom Pharmaceuticals, Inc. | 3 | $74 |
| Amarin Pharma, Inc. | 4 | $53 |
| Xeris Pharmaceuticals, Inc. | 3 | $53 |
| Merck | 3 | $45 |
| Avanir Pharmaceuticals, Inc. | 3 | $35 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $32 |
| Biohaven Pharmaceuticals, Inc. | 2 | $31 |
| Axsome Therapeutics, Inc. | 1 | $27 |
| Inogen, Inc. | 1 | $20 |
| Lundbeck LLC | 1 | $17 |
| Abbott | 1 | $17 |
| Teva Pharmaceuticals USA, Inc. | 1 | $15 |
| Idorsia Pharmaceuticals US Inc | 1 | $15 |
| Sanofi Pasteur Inc. | 1 | $13 |
| Zyla Life Sciences, Inc. | 1 | $12 |
| Nabriva Therapeutics, PLC | 1 | $11 |
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
$8,958 in reported general payments places this provider in the 90th percentile of 3,983 family medicine providers in Ohio.
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 |
|---|---|---|
| OzempicSemaglutide | 111 | $121,828 |
| FarxigaDapagliflozin Propanediol | 86 | $101,822 |
| Humira PenAdalimumab | 11 | $88,637 |
| JardianceEmpagliflozin | 85 | $86,254 |
| TrulicityDulaglutide | 50 | $83,450 |
| EliquisApixaban | 80 | $78,009 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 81 | $55,556 |
| MounjaroTirzepatide | 20 | $25,658 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 34 | $25,106 |
| LinzessLinaclotide | 27 | $21,633 |
| JanumetSitagliptin Phos/Metformin Hcl | 13 | $13,995 |
| EntrestoSacubitril/Valsartan | 15 | $13,580 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 13 | $9,909 |
| SymbicortBudesonide/Formoterol Fumarate | 30 | $9,778 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 17 | $9,583 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| AstraZenecaFarxiga, Breztri Aerosphere, Symbicort | $1,075 | $136,706150 claims |
| Novo NordiskOzempic | $1,180 | $121,828111 claims |
| Lilly USA, LLCTrulicity, Mounjaro | $1,152 | $109,10870 claims |
| Boehringer IngelheimJardiance, Stiolto Respimat | $170 | $96,16398 claims |
| PfizerEliquis | $520 | $78,00980 claims |
| GSKTrelegy Ellipta, Breo Ellipta | $294 | $62,36098 claims |
| AbbVieLinzess, Synthroid | $957 | $23,98859 claims |
| MerckJanumet | $45 | $13,99513 claims |
| NovartisEntresto | $406 | $13,58015 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Dexilant | $32 | $3,60612 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 90th percentile of 3,983 family medicine providers in Ohio.
Other family medicine in Cincinnati
- Michael ButcherCincinnati$18.3M
- Paul NugentCincinnati$4.9M
- Rajesh DavitCincinnati$2M
- Michael HeileCincinnati$272K
- Michael NossCincinnati$265K
- Amy MechleyCincinnati$120K
- Melissa SchroerCincinnati$116K
- William CoxCincinnati$52K
- Frank PerrinoCincinnati$49K
- Sean LyndCincinnati$46K
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.