Gordon Fifer, MD
Urology · Saint Augustine, FLNPI 1497729933
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 74 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 29 manufacturers, the largest accounting for just 16.3% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $1,415, 5.8 times the $245 reported in 2019. That places this record below the midpoint for urology clinicians in FL, where the typical reported total is $3,881.
Across 74 payments — averaging $42.95 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Coloplast$518
- Pfizer$274
- Boston Scientific$262
- Cook Medical LLC$195
- Bioprotect Medical, Inc.$188
- KARL Storz Endoscopy-america$141
- plus $2K from 23 others
What the payments were for
- Food & beverage$3,179100%
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 |
|---|---|---|
| Coloplast | 7 | $518 |
| Pfizer | 9 | $274 |
| Boston Scientific | 4 | $262 |
| Cook Medical LLC | 2 | $195 |
| Bioprotect Medical, Inc. | 3 | $188 |
| KARL Storz Endoscopy-america | 1 | $141 |
| Urogen Pharma, Inc. | 2 | $139 |
| Procept Biorobotics Corporation | 2 | $135 |
| Bayer | 6 | $134 |
| Astellas Pharma US Inc | 2 | $128 |
| Calyxo, Inc. | 1 | $124 |
| Ambu Inc. | 1 | $123 |
| Novartis | 4 | $110 |
| Endo USA, Inc. | 4 | $96 |
| Merck | 3 | $82 |
| Davol Inc. | 1 | $70 |
| Tolmar, Inc. | 3 | $59 |
| Ferring Pharmaceuticals Inc. | 3 | $55 |
| Myriad Genetic Laboratories, Inc. | 3 | $54 |
| Axonics, Inc. | 2 | $47 |
| AbbVie | 2 | $42 |
| Johnson & Johnson | 1 | $36 |
| Sumitomo Pharma America, Inc. | 2 | $33 |
| Olympus America Inc. | 1 | $29 |
| Teleflex LLC | 1 | $28 |
| Dendreon Pharmaceuticals LLC | 1 | $22 |
| Blue Earth Diagnostics | 1 | $21 |
| Progenics Pharmaceuticals, Inc. | 1 | $18 |
| Telix Pharmaceuticals | 1 | $16 |
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
$3,179 in reported general payments places this provider in the 45th percentile of 935 urology 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Tamsulosin Hcl | 162 | $2,429 |
| Solifenacin Succinate | 13 | $738 |
| Tadalafil | 12 | $637 |
| Finasteride | 29 | $556 |
| Alfuzosin Hcl ErAlfuzosin Hcl | 15 | $346 |
| Sildenafil Citrate | 15 | $313 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 11 | $59 |
| Levofloxacin | 13 | $19 |
Paid to pharmacies, not to this prescriber.
Other urology in Saint Augustine
- Paul PeritoCoral Gables$3.6M
- Scott SellingerTallahassee$2.3M
- Mark Anthony GonzalgoMiami$1M
- Edward GheilerHialeah$655K
- Rolando RiveraNaples$437K
- Matthew ErcolaniVenice$416K
- Olubayo TojuolaOrlando$283K
- Juan SuarezCoral Gables$276K
- Michael McDonaldCelebration$272K
- Raymond PakJacksonville$251K
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.