Martin Fleming, MD
Surgery · Germantown, TNNPI 1578673836
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 34 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 12 manufacturers, the largest accounting for just 22.7% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2022 at $305 and has fallen 54.2% since, to $140 in 2025. That places this record below the midpoint for surgery clinicians in TN, where the typical reported total is $1,847.
Across 34 payments — averaging $20.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acera Surgical, Inc.$160
- Tempus AI, Inc$134
- Merck$117
- Integra Lifesciences Corporation$75
- Johnson & Johnson$58
- Lilly USA, LLC$46
- plus $115 from 6 others
Across 5 payments — averaging $313.60 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.
- Amgen$2K
What the payments were for
- Food & beverage$704100%
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 |
|---|---|---|
| Acera Surgical, Inc. | 6 | $160 |
| Tempus AI, Inc | 7 | $134 |
| Merck | 5 | $117 |
| Integra Lifesciences Corporation | 4 | $75 |
| Johnson & Johnson | 4 | $58 |
| Lilly USA, LLC | 2 | $46 |
| Gilead | 1 | $23 |
| Pacira Pharmaceuticals Incorporated | 1 | $23 |
| E.r. Squibb & Sons, L.L.C. | 1 | $21 |
| Reprise Biomedical, Inc. | 1 | $19 |
| Amgen | 1 | $15 |
| Myriad Genetic Laboratories, Inc. | 1 | $14 |
How this compares
$704 in reported general payments places this provider in the 35th percentile of 516 surgery providers in Tennessee.
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 surgery in Germantown
- Linda HanGermantown$252K
- Heath BroussardJackson$688K
- Eric WallaceCookeville$529K
- John RobertsonJohnson City$432K
- Jaime Ponce-PortugalChattanooga$412K
- Evelio RodriguezNashville$362K
- Mathew NinanNashville$298K
- Joseph BroucekNashville$262K
- Myron StokesCordova$240K
- Kenneth CutshallJohnson City$210K
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.