Howard N. Fixler, M.D.
NPI 1437132297ActiveIndividual· Internal Medicine· Worcester, MA
Internal Medicine (M.D.) in Worcester, Massachusetts, trained at University of Massachusetts Medical School (class of 1983). Their prescriptions cost Medicare Part D more than their services did: $182,414 for 780 claims, against $29,683 paid for services in 2024. Braeburn Inc. was the largest of 3 companies reporting payments in 2025, $150.62 in all, mostly food and beverage.
Overview
| NPI | 1437132297 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Nov 25, 2005 |
| Last updated in NPPES | Jul 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 53904 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (MA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 51 |
|---|---|
| Services billed | 376 across 5 procedure codes |
| Paid by Medicare | $29,683 |
Part D prescriptions in 2024
| Prescriptions (claims) | 780 · 783 30-day fills |
|---|---|
| Patients | 97 |
| Total drug cost | $182,414 |
| Generic share | 82% of claims |
Education and affiliations
| Medical school | University of Massachusetts Medical School |
|---|---|
| Graduation year | 1983 |
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- Total Wellness Centers LLCPittsfield, MA · 41 clinicians
Industry payments (Open Payments)
- 2025$150.62 · 3 payments from 3 companies
- 2024$226.77 · 4 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Braeburn Inc. | $102.31 | 1 |
| Indivior Inc. | $27.48 | 1 |
| Gilead Sciences, Inc. | $20.83 | 1 |
What the 2025 payments were for
- Food and Beverage$150.62 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 471 internal medicine physicians in Worcester · All internal medicine physicians in Massachusetts