Tyler Fleming, MD
Hospitalist · Winston Salem, NCNPI 1679917702
Payments from drug & device makers
Across 245 payments — averaging $17.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pfizer$934
- Novartis$582
- Merck$452
- AstraZeneca$407
- Johnson & Johnson$357
- AbbVie$329
- plus $1K from 15 others
What the payments were for
- Food & beverage$4,321100%
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 |
|---|---|---|
| Pfizer | 52 | $934 |
| Novartis | 37 | $582 |
| Merck | 25 | $452 |
| AstraZeneca(2 entities) | 26 | $407 |
| Johnson & Johnson | 25 | $357 |
| AbbVie | 17 | $329 |
| Boehringer Ingelheim | 16 | $318 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 10 | $221 |
| E.r. Squibb & Sons, L.L.C. | 10 | $135 |
| Gilead | 5 | $114 |
| Melinta Therapeutics, LLC | 6 | $111 |
| Boston Scientific | 3 | $72 |
| Paratek Pharmaceuticals, Inc. | 3 | $64 |
| SK Life Science, Inc. | 2 | $62 |
| Novo Nordisk | 2 | $36 |
| Abbott | 1 | $25 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $24 |
| CMP Pharma, Inc. | 1 | $24 |
| Bioxcel Therapeutics, Inc. | 1 | $23 |
| Otsuka America Pharmaceutical, Inc. | 1 | $17 |
| Electromed, Inc. | 1 | $15 |
How this compares
$4,321 in reported general payments places this provider in the 90th percentile of 879 hospitalist 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 |
|---|---|---|
| Carvedilol | 21 | $300 |
| Pantoprazole Sodium | 24 | $235 |
| Doxycycline Monohydrate | 14 | $131 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 14 | $106 |
| Furosemide | 13 | $34 |
| Prednisone | 19 | $28 |
Paid to pharmacies, not to this prescriber.
Other hospitalist in Winston Salem
- Mahesh ChandrasekharWinston Salem$100K
- Adaorah OkaforWinston Salem$53K
- Thomas WolffWinston Salem$8K
- Martin AgbemabieseWinston Salem$8K
- Christopher FortWinston Salem$7K
- Brendan McQuellonWinston Salem$7K
- Kale RothWinston Salem$7K
- Christopher PhillipsWinston Salem$7K
- Jeremy YoungWinston Salem$7K
- Nortei DowuonaWinston Salem$6K
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.