Medicare Enrolled
Dr. Susan Fesmire, M.D.
Internal Medicine · Dallas, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Fesmire 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. Fesmire
Dr. Susan Fesmire is an internal medicine specialist in Dallas, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Fesmire performed 16,254 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Fesmire received a total of $3,565 from 37 pharmaceutical and/or device companies across 140 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. Fesmire 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 2% volume in TX
$3,565 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗16,254
Medicare services
Top 2% in TX for internal medicine
Not available
Unique patients (not deduplicated)
$32
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 |
|---|---|---|---|
| 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. |
2,131 | $87 | $171 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
1,526 | $6 | $6 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
1,263 | $10 | $23 |
| 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. |
926 | $8 | $16 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
877 | $13 | $28 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
655 | $16 | $35 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
624 | $9 | $19 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
576 | $3 | $8 |
| 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. |
498 | $57 | $125 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
498 | $126 | $142 |
| Annual intensive behavioral therapy for cardiovascular disease, 15 minutes A yearly, in-person session focused on intensive behavioral therapy to help manage cardiovascular disease. The session lasts for 15 minutes and is conducted with the patient individually. |
496 | $25 | $29 |
| Annual alcohol misuse screening, 5 to 15 minutes | 495 | $18 | $21 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
493 | $9 | $20 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
477 | $77 | $88 |
| Annual depression screening | 440 | $18 | $20 |
| 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. |
422 | $23 | $36 |
| 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. |
376 | $10 | $17 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
351 | $47 | $62 |
| 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. |
299 | $10 | $16 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
297 | $36 | $47 |
| 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. |
222 | $2 | $8 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
203 | $29 | $43 |
| 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. |
200 | $71 | $74 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
200 | $31 | $36 |
| 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. |
132 | $6 | $12 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
132 | $5 | $10 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
118 | $1 | $5 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
94 | $19 | $42 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
76 | $115 | $231 |
| Prothrombin time test (blood clotting) A laboratory test that measures how long it takes for blood to clot. This procedure evaluates the body's coagulation process. |
72 | $4 | $8 |
| Ceftriaxone antibiotic injection This code represents the administration of ceftriaxone sodium, an antibiotic medication. The charge is calculated for every 250 mg of the drug administered. |
68 | $0 | $15 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
67 | $15 | $29 |
| Injection, methylprednisolone acetate, 40 mg | 67 | $6 | $10 |
| Obesity behavioral counseling, 15 minutes A 15-minute face-to-face session focused on behavioral counseling to help manage obesity. |
65 | $25 | $29 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
56 | $4 | $10 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
52 | $0 | $5 |
| Erythrocyte sedimentation rate (ESR) test A blood test that measures how quickly red blood cells settle in a test tube to detect inflammation in the body. This specific method is performed manually rather than using an automated machine. |
40 | $4 | $8 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
39 | $13 | $27 |
| 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. |
39 | $9 | $18 |
| C-reactive protein test (inflammation marker) A blood test that measures the level of C-reactive protein to detect the presence of infection or inflammation in the body. |
37 | $5 | $11 |
| 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. |
36 | $280 | $292 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
35 | $0 | $11 |
| PSA test (prostate cancer screening) | 33 | $18 | $38 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
33 | $31 | $42 |
| Pap smear screening test A screening test to collect and prepare a cervical or vaginal sample for laboratory analysis. |
29 | $42 | $47 |
| 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. |
27 | $143 | $231 |
| COVID-19 amplified DNA/RNA probe detection A laboratory test that uses amplified DNA or RNA probes to detect the presence of severe acute respiratory syndrome coronavirus 2 (COVID-19) antigen. |
26 | $50 | $57 |
| 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. |
25 | $37 | $57 |
| Rib X-ray, 2 views An X-ray imaging test of the ribs on one side of the body using two different angles. |
24 | $25 | $37 |
| Amylase enzyme level test A blood test that measures the amount of amylase, an enzyme produced by the pancreas and salivary glands, to help evaluate pancreatic health. |
23 | $6 | $13 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
21 | $7 | $14 |
| 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. |
21 | $161 | $296 |
| Hip X-ray, 2-3 views An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures. |
19 | $35 | $47 |
| Folic acid level test A blood test that measures the amount of folic acid in the serum. |
17 | $14 | $28 |
| Influenza virus nucleic acid detection test A laboratory test that uses nucleic acid technology to detect multiple types of influenza virus. |
17 | $94 | $153 |
| X-ray of hand, minimum of 3 views An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints. |
16 | $24 | $31 |
| Knee X-ray, 3 views An X-ray imaging test of the knee joint that captures three different angles to evaluate the bones and surrounding structures. |
16 | $30 | $42 |
| 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. |
15 | $140 | $240 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
14 | $79 | $129 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
14 | $33 | $75 |
| 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 | $88 | $112 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
13 | $8 | $17 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
12 | $36 | $47 |
| Routine 12-lead ECG screening A standard 12-lead electrocardiogram performed as part of an initial preventive physical examination. The service includes both the performance of the test and the physician's interpretation and report. |
12 | $9 | $33 |
| X-ray of middle spine, 2 views An X-ray imaging test that produces two views of the middle section of the spine to visualize the bones and joints. |
11 | $26 | $38 |
| Shoulder X-ray, 2+ views An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures. |
11 | $25 | $37 |
| Iron level test | 11 | $6 | $15 |
| Rheumatoid factor analysis | 11 | $6 | $15 |
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.
0.1% high complexity
4.2% medium
95.7% routine
Industry Payment Transparency
Open Payments through 2024 ↗$3,565
Total received (2018-2024)
Avg $509/year across 7 years
Top 21% in TX for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
37
Companies
140
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
$452
2023
$391
2022
$2,010
2021
$149
2020
$59
2019
$274
2018
$231
Payments by company (2024)
PFIZER INC.
$141
Novo Nordisk Inc
$60
ABBVIE INC.
$43
Madrigal Pharmaceuticals
$37
Inari Medical, Inc.
$28
MILLICENT US INC
$27
Sumitomo Pharma America, Inc.
$26
SCILEX PHARMACEUTICALS INC.
$22
Boehringer Ingelheim Pharmaceuticals, Inc.
$22
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$16
Amgen Inc.
$15
GlaxoSmithKline, LLC.
$14
Top 3 companies account for 54.0% of 2024 payments
All-time payments by company (2018-2024) ›
Biohaven Pharmaceutical Holding Company Ltd.
$1,379
PFIZER INC.
$387
Novo Nordisk Inc
$257
Astellas Pharma US Inc
$241
ABBVIE INC.
$236
Amgen Inc.
$140
GlaxoSmithKline, LLC.
$135
Takeda Pharmaceuticals U.S.A., Inc.
$71
AbbVie Inc.
$70
AstraZeneca Pharmaceuticals LP
$59
Boehringer Ingelheim Pharmaceuticals, Inc.
$57
Amarin Pharma Inc.
$40
Eisai Inc.
$37
Madrigal Pharmaceuticals
$37
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$31
Inari Medical, Inc.
$28
MAYNE PHARMA COMMERCIAL LLC
$27
MILLICENT US INC
$27
Sumitomo Pharma America, Inc.
$26
Janssen Pharmaceuticals, Inc
$26
Alnylam Pharmaceuticals Inc.
$25
SCILEX PHARMACEUTICALS INC.
$22
Merz North America, Inc.
$19
Synergy Pharmaceuticals Inc
$17
IDORSIA PHARMACEUTICALS US INC
$17
Duchesnay USA Incorporated
$16
Otsuka America Pharmaceutical, Inc.
$16
Acella Pharmaceuticals, LLC
$14
Exact Sciences Corporation
$13
Kowa Pharmaceuticals America, Inc.
$13
E.R. Squibb & Sons, L.L.C.
$13
Allergan, Inc.
$12
SANOFI-AVENTIS U.S. LLC
$12
Bayer HealthCare Pharmaceuticals Inc.
$12
Genentech USA, Inc.
$11
SANOFI PASTEUR INC.
$11
Vertical Pharmaceuticals, LLC
$11
Top 3 companies account for 56.7% of all-time payments
Associated products mentioned in payments ›
ANORO · Aimovig · Belviq · Bonjesta · CHANTIX · COLOGUARD · Cologuard Collection Kit · DIVIGEL · ELIQUIS · EVENITY · FARXIGA · FLOWTRIEVER CATHETER · FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE · GEMTESA · JARDIANCE · Kerendia · LINZESS · Livalo · MYRBETRIQ · Myrbetriq · NP Thyroid 60 · NURTEC ODT · OXLUMO · Ozempic · QULIPTA · QUVIVIQ · RESMETIROM · REXULTI · Rybelsus · S · SHINGRIX · SOLIQUA · STIOLTO RESPIMAT · SYNTHROID · Saxenda · TRADJENTA · TRINTELLIX · Trintellix · Trulance · UBRELVY · VRAYLAR · Vascepa · Veozah · Wegovy · XARELTO · XEOMIN · XIFAXAN · Xofluza · ZTLido
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
2,173
County median income
$74,149
Nearest hospital to ZIP centroid (approximate)
TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS
0.0 mi
0.0 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. Fesmire is a clinical cardiology specialist, with above-average Medicare volume (top 2% in TX), 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. Fesmire experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Fesmire performed 2,131 office visit, established patient (30-39 min) 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. Fesmire receive payments from pharmaceutical companies?
Yes. Dr. Fesmire received a total of $3,565 from 37 companies across 140 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. Fesmire's costs compare to other internal medicine physicians in Dallas?
Dr. Fesmire's average Medicare payment per service is $32. 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. Fesmire) 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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