ROBERT FIETSAM, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in KISSIMMEE, Florida. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
ROBERT FIETSAM, MD filed 1,686 Medicare Part D claims in 2023 as a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in KISSIMMEE, Florida, prescribing 93% generic.
- 2K
- Part D claims, 2023
- 93%
- generic prescribing
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.
ROBERT FIETSAM, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023 — across all CMS prescribers nationally
1,686 Top 18% higher than 82% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Part D Prescriber Public Use File · 2023
ROBERT FIETSAM, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about ROBERT FIETSAM, MD?
Quality data not reportedPrimary specialty
Medicare Part D claims
Specialty distribution in Florida
How Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician compares to other specialties among Florida providers
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician share within Florida
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician is one of the more visible NUCC categories in Florida
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Specialty board-certification context
Estimated specialty board-certified rate — Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (ABMS / AOA reference)
- Est. board-certified rate
- 78%
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician ABMS/AOA estimate
Est. board-certified rate (Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician) — ABMS / AOA estimate
Verify credentials
- Verify via ABMS free public lookup
- Verify via AOA osteopathic boards
- Specialty volume Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician US NPIs
Specialty board-certified rate — Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician estimate
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus Maintenance of Certification cycles. CMS does not publish a per-provider board-certification field; the figure shown is the specialty-level estimated rate from ABMS / AOA reference data.
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
ROBERT FIETSAM, MD appears in the CMS NPPES registry as a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician provider holding MD credentials at 720 W OAK ST, KISSIMMEE, FL, 34741, with a listed phone of (407) 846-0090. NPI 1518003623 was issued on 01/29/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FIETSAM most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.
Medicare Part D records for calendar year 2023 show 1,686 prescription claims written by this provider, covering 64 Medicare beneficiaries and totaling roughly $68K in drug spend, split 7% brand-name and 93% generic by claim count, with an opioid prescribing rate of 23.4%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician is a mid-sized specialty nationwide, with 5,062 enrolled providers across 52 states and an average of 128 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1518003623 |
|---|---|
| Specialty | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 01/29/2007 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm ROBERT FIETSAM, MD's current license status, disciplinary history, and board certifications with the Florida Board of Medicine in Florida before relying on this page for a clinical or care decision.
How we sourced this profile
License & disciplinary context — Florida FLDOH 2023 annual report
Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~75K Florida medical licensees in 2023 — they are NOT specific to ROBERT FIETSAM, MD. To verify ROBERT FIETSAM, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
FLDOH publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
7% brand-name claims vs 93% generic, on 1,686 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
Prescribing Breakdown
- 30-Day Fills
- 1,804
- Total Day Supply
- 50,817
- Brand vs Generic
- 7% brand / 93% generic
- Brand Drug Cost
- $15K
- Generic Drug Cost
- $53K
- Opioid Claims
- 395 (23.4% rate)
- Antibiotic Claims
- 14
Patient Demographics
- Average Patient Age
- 61.7 years
- Avg HCC Risk Score
- 1.99
- Gender Split
- 28% female / 72% male
- Age Distribution
- <65: 32, 65-74: 30, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What ROBERT FIETSAM, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Gabapentin
Gabapentin
169 claims
- Hydromorphone Hcl
Hydromorphone Hcl
166 claims
- Oxycodone Hcl
Oxycodone Hcl
122 claims
- Buprenorphine Hcl
Buprenorphine Hcl
106 claims
- Ibuprofen
Ibuprofen
105 claims
- Tizanidine Hcl
Tizanidine Hcl
86 claims
- Morphine Sulfate Er
Morphine Sulfate Er
73 claims
- Cyclobenzaprine Hcl 66
Cyclobenzaprine Hcl
66 claims
| Drug | Claims |
|---|---|
| Gabapentin | 169 |
| Hydromorphone Hcl | 166 |
| Oxycodone Hcl | 122 |
| Buprenorphine Hcl | 106 |
| Ibuprofen | 105 |
| Tizanidine Hcl | 86 |
| Morphine Sulfate Er Morphine Sulfate | 73 |
| Cyclobenzaprine Hcl | 66 |
| Buprenorphine-Naloxone Buprenorphine Hcl/Naloxone Hcl | 62 |
| Clonazepam | 57 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Overview
How ROBERT FIETSAM, MD fits within the Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician landscape nationally.
ROBERT FIETSAM, MD's 1,686 claims are above the specialty average of 128.
Nearby Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Providers in Florida
Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as FIETSAM.
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Frequently Asked Questions
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Data Sources
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology