Medicare Enrolled
Dr. Neil Fraser, MD
Internal Medicine · Troy, MI
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Fraser from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Fraser
Dr. Neil Fraser is an internal medicine specialist in Troy, MI, with 20 years of NPI registration. Based on federal Medicare data, Dr. Fraser performed 8,561 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Fraser received a total of $12,724 from 29 pharmaceutical and/or device companies across 305 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Fraser is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years of NPI registration
▲ Top 1% volume in MI
$12,724 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗8,561
Medicare services
Top 1% in MI for internal medicine
Not available
Unique patients (not deduplicated)
$36
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Denosumab injection (Prolia/Xgeva) | 1,500 | $19 | $25 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
616 | $8 | $20 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
558 | $10 | $45 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
541 | $88 | $213 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
458 | $8 | $25 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
453 | $13 | $40 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
378 | $16 | $40 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
368 | $122 | $279 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
345 | $15 | $25 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
342 | $29 | $70 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
309 | $129 | $185 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
296 | $9 | $25 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
263 | $62 | $152 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
207 | $10 | $52 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
191 | $3 | $10 |
| Total testosterone level test A blood test that measures the total amount of testosterone in your body. This hormone is important for various bodily functions in both men and women. |
176 | $25 | $60 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
170 | $2 | $10 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
133 | $19 | $55 |
| Cardiac enzyme level (CK-MB) test A blood test that measures the total level of creatine kinase, specifically the cardiac enzyme fraction, to help evaluate heart muscle damage. |
112 | $6 | $15 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
109 | $31 | $40 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
107 | $71 | $90 |
| Urine microalbumin test (kidney screening) A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage. |
95 | $6 | $20 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
95 | $9 | $25 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
83 | $282 | $320 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
83 | $31 | $35 |
| 3D screening mammography (tomosynthesis) A screening imaging test of the breast using 3D technology to detect potential abnormalities. |
59 | $53 | $75 |
| Screening mammography An X-ray of the breast used to detect breast cancer in women who have no signs or symptoms of the disease. |
59 | $128 | $230 |
| PSA test (prostate cancer screening) | 59 | $18 | $55 |
| Complete ultrasound of abdomen A diagnostic imaging test that uses sound waves to create detailed pictures of the organs and structures within the abdomen. |
49 | $87 | $300 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
48 | $37 | $210 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
46 | $139 | $400 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
39 | $11 | $35 |
| Iron binding capacity test A blood test that measures the amount of iron in the blood and the blood's ability to bind and transport iron. |
36 | $9 | $20 |
| Iron level test | 26 | $6 | $15 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
24 | $23 | $60 |
| X-ray of lower and sacral spine, minimum of 4 views An X-ray imaging test of the lower back and sacrum using at least four different angles to visualize the bones and joints. |
18 | $39 | $92 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
17 | $13 | $35 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
17 | $165 | $255 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
17 | $166 | $265 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
16 | $138 | $400 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
16 | $222 | $450 |
| Parathyroid hormone level test A blood test that measures the amount of parathyroid hormone in your body. This hormone helps regulate calcium levels in the blood and bones. |
14 | $40 | $60 |
| Ultrasound of head and neck soft tissue This procedure uses sound waves to create images of the soft tissues in the head and neck area. It allows for the visualization of structures beneath the skin without using radiation. |
13 | $76 | $290 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.
0.2% high complexity
19.2% medium
80.6% routine
Industry Payment Transparency
Open Payments through 2024 ↗$12,724
Total received (2018-2024)
Avg $1,818/year across 7 years
Top 6% in MI for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
29
Companies
305
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,942
2023
$1,947
2022
$1,620
2021
$1,016
2020
$496
2019
$2,988
2018
$1,714
Payments by company (2024)
Eli Lilly and Company
$1,777
Novartis Pharmaceuticals Corporation
$515
AstraZeneca Pharmaceuticals LP
$247
Novo Nordisk Inc
$169
Lilly USA, LLC
$128
Merck Sharp & Dohme LLC
$45
Astellas Pharma US Inc
$33
Amgen Inc.
$28
Top 3 companies account for 86.3% of 2024 payments
All-time payments by company (2018-2024) ›
Merck Sharp & Dohme LLC
$3,486
Eli Lilly and Company
$1,777
Amgen Inc.
$1,465
Novo Nordisk AS
$1,048
Novo Nordisk Inc
$772
PFIZER INC.
$636
Novartis Pharmaceuticals Corporation
$515
AstraZeneca Pharmaceuticals LP
$488
Astellas Pharma US Inc
$323
Boehringer Ingelheim Pharmaceuticals, Inc.
$322
Lilly USA, LLC
$281
Merck Sharp & Dohme Corporation
$186
AbbVie, Inc.
$183
Abbott Laboratories
$180
SANOFI-AVENTIS U.S. LLC
$168
GlaxoSmithKline, LLC.
$168
Janssen Pharmaceuticals, Inc
$136
Amarin Pharma Inc.
$120
Kowa Pharmaceuticals America, Inc.
$108
ABBVIE INC.
$107
Daiichi Sankyo Inc.
$71
Teva Pharmaceuticals USA, Inc.
$42
Regeneron Healthcare Solutions, Inc.
$38
Allergan Inc.
$24
AbbVie Inc.
$21
Takeda Pharmaceuticals U.S.A., Inc.
$21
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$13
Dynavax Technologies Corporation
$13
DePuy Synthes Sales Inc.
$12
Top 3 companies account for 52.9% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · AJOVY · Aimovig · Androgel · BELSOMRA · BEXSERO · BREZTRI · BYDUREON · CAPVAXIVE · CHANTIX · COLOGUARD · ELIQUIS · EUCRISA · EVENITY · FARXIGA · FORTEO · FREESTYLE LIBRE 2 · GARDASIL · HUMALOG · Heplisav-B · INJECTAFER · INVOKANA · JANUVIA · JARDIANCE · LYRICA · Livalo · MOUNJARO · MYRBETRIQ · ORTHOVISC · Otezla · Ozempic · PRALUENT · PREVNAR - 13 · Prolia · Repatha · Rybelsus · SOLIQUA · STIOLTO RESPIMAT · SYNTHROID · Saxenda · Synthroid · TOUJEO · TRADJENTA · TRULICITY · Tresiba · Trintellix · UBRELVY · VAXNEUVANCE · VESICARE · VRAYLAR · Vascepa · Veozah · Victoza · Wegovy · XARELTO · XIFAXAN · ZOSTAVAX
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Geographic Context
Internal medicine physicians in nearby ZIP areas
2,940
County median income
$95,296
Nearest hospital to ZIP centroid (approximate)
BEAUMONT HOSPITAL, TROY
2.9 mi
2.9 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Fraser is a mixed practice specialist, with above-average Medicare volume (top 1% in MI), with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Fraser experienced with denosumab injection (prolia/xgeva)?
Based on Medicare claims data, Dr. Fraser performed 1,500 denosumab injection (prolia/xgeva) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Fraser receive payments from pharmaceutical companies?
Yes. Dr. Fraser received a total of $12,724 from 29 companies across 305 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Fraser's costs compare to other internal medicine physicians in Troy?
Dr. Fraser's average Medicare payment per service is $36. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Fraser) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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