Lee Fleischer, MD
Surgery · West Nyack, NYNPI 1275541021
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (54.2%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 90.8% of it on its own, with 16 other manufacturers making up the rest. Reporting peaked in 2022 at $6,796 and has fallen 98.6% since, to $98 in 2025.
Across 42 payments — averaging $175.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$7K
- Boston Scientific$136
- Amgen$103
- Medtronic$73
- Davol Inc.$61
- Hologic Sales And Service, LLC$49
- plus $257 from 11 others
What the payments were for
- Travel & lodging$2,30531%
- Food & beverage$1,06214%
- Education$4,00054%
- Gifts$140%
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 |
|---|---|---|
| Intuitive Surgical | 15 | $6,701 |
| Boston Scientific | 2 | $136 |
| Amgen | 6 | $103 |
| Medtronic | 2 | $73 |
| Davol Inc. | 3 | $61 |
| Hologic Sales And Service, LLC | 2 | $49 |
| Baxter Healthcare | 1 | $49 |
| Kowa Pharmaceuticals America, Inc. | 2 | $29 |
| Portola Pharmaceuticals, LLC | 1 | $29 |
| Olympus America Inc. | 1 | $28 |
| Johnson & Johnson | 1 | $27 |
| THD America, Inc. | 1 | $20 |
| Melinta Therapeutics, LLC | 1 | $18 |
| AbbVie | 1 | $18 |
| Smith+Nephew | 1 | $15 |
| Axonics, Inc. | 1 | $13 |
| Boehringer Ingelheim | 1 | $12 |
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.
- DAVINCI XI$4,000
- Da Vinci Surgical System$2,591
How this compares
$7,381 in reported general payments places this provider in the 75th percentile of 1,596 surgery providers in New York.
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 54 | $130 |
| Cephalexin | 13 | $74 |
Paid to pharmacies, not to this prescriber.
Other surgery in West Nyack
- Cheguevara AfanehNew York$1.4M
- Flavio Malcher Martins de OliveiraNew York$695K
- Yuri NovitskyNew York$548K
- Rasa ZarnegarNew York$478K
- Tanuja DamaniNew York$459K
- Benjamin SadowitzSyracuse$419K
- Stephen GoldstoneNy$386K
- Rache SimmonsNew York$371K
- George DenotoManhasset$333K
- Marina KurianNew York$328K
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.