Robert Fleming, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Andover, KSNPI 1770542961
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 28 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. Endologix LLC accounts for 82.4% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2019 at $1,013 and has fallen 71.2% since, to $291 in 2025. That places this record below the midpoint for thoracic surgery (cardiothoracic vascular surgery) clinicians in KS, where the typical reported total is $6,308.
Across 28 payments — averaging $90.41 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Endologix LLC$2K
- Bolton Medical Inc$152
- Abiomed$81
- Edwards Lifesciences$66
- Boston Scientific$53
- Cvrx, Inc.$27
- plus $66 from 3 others
What the payments were for
- Food & beverage$2,531100%
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 |
|---|---|---|
| Endologix LLC | 14 | $2,087 |
| Bolton Medical Inc | 3 | $152 |
| Abiomed | 1 | $81 |
| Edwards Lifesciences | 1 | $66 |
| Boston Scientific | 4 | $53 |
| Cvrx, Inc. | 2 | $27 |
| Corcym Inc | 1 | $26 |
| Cardiovascular Systems Inc. | 1 | $23 |
| Baxter Healthcare | 1 | $18 |
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.
- AFX$658
- Alto Abdominal Stent Graft System$646
- Ovation$603
How this compares
$2,531 in reported general payments places this provider in the 35th percentile of 42 thoracic surgery (cardiothoracic vascular surgery) providers in Kansas.
See all thoracic surgery (cardiothoracic vascular surgery) providers in Kansas →
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 thoracic surgery (cardiothoracic vascular surgery) in Andover
- Quiana KernAndover$6K
- Badr IdbeisAndover$811
- Baylee EhrhartAndover$154
- Keith AllenKansas City$2M
- Jessica HeimesKansas City$89K
- Matthew DanterKansas City$86K
- Emmanuel DaonKansas City$47K
- Brett GrizzellWichita$41K
- George ZornKansas City$39K
- Bastian Jakub WilhelmTopeka$36K
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.