Julie Fisher, MD
Medical Oncology · Charlotte, NCNPI 1578683397
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $35 of the $47 with a category attached, or 74.7%. 3 manufacturers reported payments, led by Therapeuticsmd, Inc. at 46.2% of the total. That places this record below the midpoint for medical oncology clinicians in NC, where the typical reported total is $1,025.
Across 4 payments — averaging $11.77 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Therapeuticsmd, Inc.$22
- Mission Pharmacal Company$13
- Gilead$12
Across 18 payments — averaging $10,788 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Genentech, Inc.$177K
- Seagen Inc.$14K
- Merck$3K
What the payments were for
- Food & beverage$3575%
- Education$1225%
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 |
|---|---|---|
| Therapeuticsmd, Inc. | 2 | $22 |
| Mission Pharmacal Company | 1 | $13 |
| Gilead | 1 | $12 |
How this compares
$47 in reported general payments places this provider in the 10th percentile of 170 medical oncology providers in North Carolina.
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 |
|---|---|---|
| IbrancePalbociclib | 28 | $446,718 |
| Exemestane | 75 | $10,875 |
| Anastrozole | 526 | $9,447 |
| XareltoRivaroxaban | 11 | $5,321 |
| Letrozole | 232 | $4,987 |
| Tamoxifen Citrate | 36 | $1,385 |
| Raloxifene Hcl | 11 | $499 |
| Prochlorperazine Maleate | 32 | $355 |
| Dexamethasone | 12 | $304 |
| Ondansetron Hcl | 33 | $267 |
| Lidocaine-PrilocaineLidocaine/Prilocaine | 18 | $237 |
| Gabapentin | 15 | $74 |
Paid to pharmacies, not to this prescriber.
Other medical oncology in Charlotte
- David RizzieriCharlotte$714K
- Nilanjan GhoshCharlotte$510K
- Mohamed SalemCharlotte$396K
- Edward KimCharlotte$188K
- Kathryn MilehamCharlotte$110K
- Antoinette TanCharlotte$89K
- Jimmy HwangCharlotte$64K
- Ashley SumrallCharlotte$55K
- Obiageli OgbataCharlotte$26K
- Daniel CarrizosaCharlotte$20K
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.