Wade Fischer, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Kissimmee, FLNPI 1033116710
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $14,336 of the $18,760 with a category attached, or 76.4%. 32 manufacturers reported payments, led by Abiomed at 27.2% of the total. Reporting peaked in 2019 at $6,929 and has fallen 95.0% since, to $348 in 2025.
Across 259 payments — averaging $72.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abiomed$5K
- Medtronic$3K
- Artivion, Inc.$2K
- Abbott$2K
- Bolton Medical Inc$2K
- Cook Medical LLC$879
- plus $4K from 26 others
What the payments were for
- Travel & lodging$4,42424%
- Food & beverage$14,33676%
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 |
|---|---|---|
| Abiomed | 92 | $5,107 |
| Medtronic(2 entities) | 39 | $3,390 |
| Artivion, Inc. | 19 | $1,958 |
| Abbott | 21 | $1,688 |
| Bolton Medical Inc | 11 | $1,626 |
| Cook Medical LLC | 7 | $879 |
| Atricure, Inc. | 11 | $817 |
| W. L. Gore & Associates, Inc. | 4 | $334 |
| Ancora Heart, Inc. | 2 | $316 |
| Edwards Lifesciences | 5 | $314 |
| Coastal Medical Technologies LLC | 2 | $305 |
| Johnson & Johnson(2 entities) | 9 | $297 |
| Getinge USA Sales, LLC | 7 | $269 |
| Clearflow Inc. | 1 | $219 |
| Medical Device Business Services, Inc. | 5 | $217 |
| Livanova USA, Inc. | 1 | $183 |
| Boston Scientific | 7 | $172 |
| Penumbra, Inc. | 1 | $156 |
| Siemens Medical Solutions USA, Inc. | 1 | $132 |
| Impulse Dynamics (USA) Inc. | 1 | $95 |
| Baxter Healthcare | 1 | $46 |
| Smith+Nephew | 1 | $39 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 2 | $37 |
| Zimmer Biomet | 1 | $32 |
| Cvrx, Inc. | 1 | $26 |
| Aesculap, Inc. | 1 | $22 |
| Davol Inc. | 1 | $19 |
| Lemaitre Vascular, Inc. | 1 | $16 |
| LSI Solutions Inc | 1 | $16 |
| Covidien LP | 1 | $15 |
| Kls-martin L.p. | 1 | $12 |
| Intuitive Surgical | 1 | $8 |
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.
- Impella$2,882
- Hancock$1,910
- TREO ABDOMINAL STENT-GRAFT SYSTEM$948
- Cook Medical AFEN$722
- HeartMate 3 Left Ventricular Dev$681
- TMR$676
- BioGlue$446
- On-X$446
- PhotoFix$446
- CoreValve Evolut$400
- EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX$335
- THORATEC HEARTMATE 3 LVAS IMPLANT KIT$323
- AccuCinch$316
- COREVALVE EVOLUT R$252
- PleuraFlow$219
- ProtekDuo Kit$183
- Indigo$156
- GORE EXCLUDER AAA Endoprosthesis$150
- ATRICLIP LAA EXCLUSION SYSTEM$139
- CorPath GRX$132
How this compares
$18,760 in reported general payments places this provider in the 70th percentile of 408 thoracic surgery (cardiothoracic vascular surgery) providers in Florida.
See all thoracic surgery (cardiothoracic vascular surgery) providers in Florida →
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 Kissimmee
- Anthony NunezOrlando$4.8M
- Barry WintonLargo$687K
- Paul DigiorgiPort Charlotte$666K
- John PirrisJacksonville$640K
- Jacques FontaineTampa$630K
- Andrew ShermanTampa$517K
- Rogerio CarrilloHialeah$515K
- Daniel O'HairFort Myers$429K
- Luis HerreraOrlando$409K
- Joseph LamelasMiami$379K
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.