Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Michael Miedler

Infectious Disease Lexington, KY Medical Doctor

NPI 1548261837 CMS profile 341769

1720 Nicholasville Rd, Suite 602, Lexington, KY 40503

Open in the dashboard

General payments

$1,269

67 records reported · program years 2019–2025

Research payments

$0

Paid to them · None reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Michael Miedler of Lexington, KY is reported in the CMS Open Payments database as having received $1,269 across 67 general payments and $0 in research payments paid to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.

General payments for this record sit in the 66th percentile of Infectious Disease profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

6 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $189 9
2024 General $326 14
2023 General $323 17
2022 General $241 15
2021 General $124 7
2019 General $66 5

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Michael Miedler
  • Infectious Disease median
  • Middle half of Infectious Disease
  • National median

In program year 2025, general payments to Michael Miedler were reported at $189. Among 3,905 Infectious Disease profiles paid that year, the median was $188 and the middle half received between $57 and $766.

Show as a table
Year Michael Miedler Infectious Disease median Middle half National median
2019 $66 $190 $60–$862 $163
2020 $0 $124 $32–$606 $114
2021 $124 $148 $38–$905 $132
2022 $241 $166 $50–$834 $149
2023 $323 $171 $57–$787 $160
2024 $326 $176 $52–$752 $164
2025 $189 $188 $57–$766 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Gilead Sciences, Inc. $810 43 payments
  2. Shionogi Inc $130 5 payments
  3. Merck Sharp & Dohme Corporation $84 4 payments
  4. Insmed, Inc. $66 3 payments
  5. AbbVie, Inc. $46 3 payments
  6. ViiV Healthcare Company $39 3 payments
  7. Astellas Pharma US Inc $25 2 payments
  8. Cumberland Pharmaceuticals, Inc. $25 1 payment
  9. Aimmune Therapeutics, Inc. $16 1 payment
  10. Pfizer Inc. $15 1 payment
  11. Other $12 1 payment

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $1,195 61 payments
  2. Education $74 6 payments
Products named General payments · program years 2019–2025
  1. Fetroja $130 5 payments
  2. Veklury $125 8 payments
  3. RECARBRIO $71 3 payments
  4. DIFICID $71 3 payments
  5. Arikayce $66 3 payments
  6. ZINPLAVA $52 2 payments
  7. ZERBAXA $49 3 payments
  8. DALVANCE $46 3 payments
  9. AVYCAZ $29 2 payments
  10. DOVATO $27 2 payments
  11. Other $189 13 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Prescribing to Medicare patients

Part D · data year 2024 · 16 drugs

Part D claims

696

Median for Infectious Disease: 268

Drug cost

$197,982

Median for Infectious Disease: $217,595

Branded share of claims

40.7%

Median for Infectious Disease: 45.5%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Daptomycin Generic 130 $97,080
Ertapenem Ertapenem Sodium Brand 56 $38,642
Micafungin Micafungin Sodium Brand 34 $11,763
Cefepime Hcl Generic 19 $8,510
Vancomycin Hcl Generic 32 $8,269
Ceftriaxone Ceftriaxone Sodium Brand 74 $7,402
Meropenem Generic 36 $7,272
Piperacillin-Tazobactam Piperacillin Sodium/Tazobactam Brand 26 $6,557
Sodium Chloride 0.9 % Sodium Chloride Brand 68 $4,892
Epinephrine Generic 13 $4,414

The 10 drugs with the highest cost, of 16 counted.

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 5,546 Part D prescribers listed as Infectious Disease; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 31 billing codes

Paid by Medicare

$209,625

Of which drugs: $8,020

Medicare patients

288

Average age 74

Services billed

87,278

128 women, 160 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 75%
Arthritis 66%
Diabetes 59%
Ischemic heart disease 53%
Chronic kidney disease 53%
Heart failure 45%
Depression 43%
Atrial fibrillation 36%
Drugs given in the clinic that this provider billed Medicare Part B for
Drug given in the clinic Where Patients Services Paid by Medicare
Injection, daptomycin, 1 mg J0878 Office 39 80,450 $3,604
Injection, ertapenem sodium, 500 mg J1335 Office 26 146 $1,321
Injection, ceftriaxone sodium, per 250 mg J0696 Office 49 1,124 $401

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Payments and prescribing

First 5 of 9 products · payments 2024

Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
Fetroja
  • Shionogi Inc $30
$30 — —
VIBATIV
  • Cumberland Pharmaceuticals, Inc. $25
$25 — —
Arikayce
  • Insmed, Inc. $21
$21 — —
Veklury
  • Gilead Sciences, Inc. $12
$12 — —
PANZYGA
  • PFIZER INC. $7
$7 — —

A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.

See all 9 in the dashboard with a free account

Records

67 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

How to dispute or correct a record