Marcy Flecker, MD
Family Medicine · Smithfield, PANPI 1508875774
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.0% of the total across 1,344 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 60 manufacturers, the largest accounting for just 13.8% — the pattern of someone who eats at a lot of different presentations. Among family medicine clinicians in PA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 1,344 payments — averaging $15.04 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$3K
- AstraZeneca$2K
- Lilly USA, LLC$2K
- GSK$2K
- AbbVie$2K
- Boehringer Ingelheim$1K
- plus $9K from 54 others
Across 1,073 payments — averaging $6439.09 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.
- AbbVie$1.8M
- Genentech, Inc.$1M
- Novartis$799K
- Pfizer$645K
- Cue Health Inc.$518K
- Eli Lilly$474K
- plus $1.6M from 18 others
What the payments were for
- Travel & lodging$3632%
- Food & beverage$19,80198%
- Education$480%
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.
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.
- BREZTRI$607
- FASENRA$504
- AIRSUPRA$404
- FARXIGA$404
- ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH$186
- CeQur Simplicity$138
- IMFINZI$111
How this compares
$20,211 in reported general payments places this provider in the 95th percentile of 4,967 family medicine providers in Pennsylvania.
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 | 169 | $214,573 |
| EliquisApixaban | 203 | $170,072 |
| JardianceEmpagliflozin | 123 | $134,967 |
| TrulicityDulaglutide | 89 | $98,235 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 77 | $77,744 |
| Soliqua 100-33Insulin Glargine/Lixisenatide | 81 | $76,966 |
| ArexvyRsvpref3 Antigen/As01e/Pf | 238 | $75,572 |
| Xultophy 100-3.6Insulin Degludec/Liraglutide | 39 | $57,766 |
| XareltoRivaroxaban | 60 | $54,522 |
| FarxigaDapagliflozin Propanediol | 42 | $50,127 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 44 | $28,889 |
| MounjaroTirzepatide | 25 | $26,569 |
| RybelsusSemaglutide | 29 | $25,818 |
| Tresiba Flextouch U-200Insulin Degludec | 22 | $23,814 |
| MyrbetriqMirabegron | 30 | $21,311 |
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 |
|---|---|---|
| Novo NordiskOzempic, Xultophy 100-3.6, Rybelsus | $2,794 | $298,156237 claims |
| PfizerEliquis | $1,308 | $170,072203 claims |
| GSKTrelegy Ellipta, Arexvy, Shingrix | $1,725 | $162,486357 claims |
| Boehringer IngelheimJardiance, Spiriva Respimat, Stiolto Respimat | $1,359 | $151,639151 claims |
| Lilly USA, LLCTrulicity, Mounjaro | $1,812 | $124,804114 claims |
| Sanofi-aventis U.S. LLCSoliqua 100-33 | $122 | $76,96681 claims |
| Johnson & JohnsonXarelto | $794 | $54,52260 claims |
| AstraZenecaFarxiga | $2,090 | $50,12742 claims |
| Astellas Pharma US IncMyrbetriq | $198 | $21,31130 claims |
| AbbVieLinzess, Synthroid | $1,644 | $15,68685 claims |
| Redhill Biopharma Inc.Movantik | $31 | $10,30225 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 95th percentile of 4,967 family medicine providers in Pennsylvania.
Other family medicine in Smithfield
- Neil SkolnikJenkintown$904K
- Lisa EspinozaNew Hope$722K
- Christopher Varacallodu Bois$627K
- Paul DoghramjiCollegeville$617K
- Brian DeyarminBethel Park$491K
- Nathan BennettPittsburgh$465K
- Gary OwensGlen Mills$404K
- Mary ZakutneyIrwin$393K
- H WilkinsSellersville$380K
- Deborah WittPhiladelphia$226K
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.