James Fisher, CRNA
Nurse Anesthetist, Certified Registered · Indianapolis, INNPI 1528612512
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 20 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 10 manufacturers reported payments, led by Merck at 27.4% of the total. Reporting peaked in 2023 at $140 and has fallen 59.5% since, to $57 in 2025.
Across 20 payments — averaging $20.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Merck$114
- Chiesi USA, Inc.$71
- Heron Therapeutics, Inc.$50
- Pacira Pharmaceuticals Incorporated$47
- BD$39
- Conmed Corporation$27
- plus $68 from 4 others
What the payments were for
- Food & beverage$417100%
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 |
|---|---|---|
| Merck | 6 | $114 |
| Chiesi USA, Inc. | 4 | $71 |
| Heron Therapeutics, Inc. | 2 | $50 |
| Pacira Pharmaceuticals Incorporated | 2 | $47 |
| BD | 1 | $39 |
| Conmed Corporation | 1 | $27 |
| Teleflex LLC | 1 | $22 |
| Vertex | 1 | $21 |
| Fisher & Paykel Healthcare Inc | 1 | $13 |
| Ambu Inc. | 1 | $12 |
How this compares
$417 in reported general payments places this provider in the 85th percentile of 383 nurse anesthetist, certified registered providers in Indiana.
See all nurse anesthetist, certified registered providers in Indiana →
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 nurse anesthetist, certified registered in Indianapolis
- Kevin HensonIndianapolis$261K
- Adam ZieglerIndianapolis$2K
- Jason WhitefootIndianapolis$2K
- Nicholas CuppsIndianapolis$2K
- Barry LucasIndianapolis$1K
- Barbara WenningIndianapolis$1K
- Kathrine MillerIndianapolis$894
- Donna MadridIndianapolis$668
- Michael JacobIndianapolis$569
- Amira ZekanIndianapolis$503
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.