Dr. Ralph E Fleck , MD
Orthopaedic Surgery • Carrollton, GA
150 Clinic Ave, Ste101
Carrollton, GA 301174401
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Ralph Fleck is listed in NPPES under Orthopaedic Surgery.
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NPI assigned on October 26, 2005; this date does not establish years in practice.
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Published CMS data list 7,964 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- J1010 — Injection, methylprednisolone acetate, 1 mg: 7,460 service units.
- 99213 — Established patient outpatient office visit: 390 service units.
- 20610 — Aspiration and/or injection of fluid from large joint: 57 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 5 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 3,584 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) — 1,103 prescription fills, including refills.
- Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) — 419 prescription fills, including refills.
- Meloxicam — 315 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 40 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 80% of clinicians listed under Orthopaedic Surgery in Georgia (2024, 463 clinicians with data). Median for this group: 2,099. Middle half: 657 to 5,860.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 1,503 in 2020 to 7,964 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
150 Clinic Ave
Ste101
Carrollton, GA 301174401
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Carrollton Orthopaedic Clinic Pc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026
University Of Cincinnati College Of Medicine
1970
What Public CMS Data Show
Orthopaedic Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
90 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $38,770 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $26,723 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
3,700 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$66,174 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2024
All general payments: $38.20 across 2 records.
By nature of payment
- Food and Beverage: $38.20 across 2 records.
Reporting-company totals
- ERMI LLC: $20.52 across 1 record.
- ABBVIE INC.: $17.68 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).
Years since graduation
56 years (graduated 1970)
CMS Doctors and Clinicians data list 1970 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.
NPI first issued
2005
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.
Enrolled in Medicare (PECOS)
Dr. Fleck has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Fleck as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Carrollton and Georgia
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 80% of clinicians listed under Orthopaedic Surgery in Georgia (2024, 463 clinicians with data). Median for this group: 2,099. Middle half: 657 to 5,860.
Too few clinicians listed under Orthopaedic Surgery in Carrollton have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 75% of clinicians listed under Orthopaedic Surgery in Georgia (2024, 463 clinicians with data). Median for this group: $95,313. Middle half: $39,906 to $180,953.
Too few clinicians listed under Orthopaedic Surgery in Carrollton have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 75% of clinicians listed under Orthopaedic Surgery in Georgia (2024, 463 clinicians with data). Median for this group: $71,165. Middle half: $30,043 to $135,934.
Too few clinicians listed under Orthopaedic Surgery in Carrollton have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 95% of clinicians listed under Orthopaedic Surgery in Georgia (2024, 482 clinicians with data). Median for this group: 491. Middle half: 178 to 864.
Too few clinicians listed under Orthopaedic Surgery in Carrollton have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 95% of clinicians listed under Orthopaedic Surgery in Georgia (2024, 482 clinicians with data). Median for this group: $3,669. Middle half: $1,125 to $7,988.
Too few clinicians listed under Orthopaedic Surgery in Carrollton have Medicare Part D data for 2024 to compare.
7 active clinicians are listed under Orthopaedic Surgery with a practice address in Carrollton, GA (749 in Georgia).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 430% from 1,503 in 2020 to 7,964 in 2024.
- 2020: 1,503
- 2021: 1,432
- 2022: 1,044
- 2023: 920
- 2024: 7,964
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Medicare-allowed amount
Medicare-allowed amount decreased 45% from $69,956 in 2020 to $38,770 in 2024.
- 2020: $69,956
- 2021: $80,153
- 2022: $58,018
- 2023: $51,536
- 2024: $38,770
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Paid by Medicare
Paid by Medicare decreased 46% from $49,461 in 2020 to $26,723 in 2024.
- 2020: $49,461
- 2021: $57,065
- 2022: $38,766
- 2023: $37,927
- 2024: $26,723
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 16% from 4,254 in 2020 to 3,584 in 2024.
- 2020: 4,254
- 2021: 4,088
- 2022: 3,820
- 2023: 3,742
- 2024: 3,584
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30-day fills
30-day fills decreased 16% from 4,392 in 2020 to 3,700 in 2024.
- 2020: 4,392
- 2021: 4,259
- 2022: 3,970
- 2023: 3,899
- 2024: 3,700
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Part D drug cost
Part D drug cost decreased 42% from $114,081 in 2020 to $66,174 in 2024.
- 2020: $114,081
- 2021: $115,471
- 2022: $107,137
- 2023: $90,312
- 2024: $66,174
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $53.47 in 2020 to $38.20 in 2024.
- 2020: $53.47
- 2021: $86.82
- 2022: $11.16
- 2023: $14.15
- 2024: $38.20
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $38.20.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| ERMI LLC |
Food and Beverage
Cash or cash equivalent
|
— | General | $20.52 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
UBRELVY | General | $17.68 |
Source: CMS Open Payments, program year 2024, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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J1010
Injection, methylprednisolone acetate, 1 mg
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7,460 | 47 | $0.50 | $0.13 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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390 | 80 | $206.59 | $84.31 |
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20610
Aspiration and/or injection of fluid from large joint
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57 | 33 | $214.67 | $67.05 |
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J1040
Injection, methylprednisolone acetate, 80 mg
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42 | 27 | $20.00 | $9.31 |
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20552
Injection of trigger points, 1-2 muscles
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15 | 11 | $136.00 | $47.07 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 1,103 | 30,626 | $34,937.76 | 126 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 419 | 10,999 | $11,647.42 | 46 |
| Meloxicam | Meloxicam | 315 | 11,519 | $851.74 | 52 |
| Gabapentin | Gabapentin | 178 | 5,520 | $1,725.72 | 24 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 167 | 5,430 | $1,040.88 | 24 |
| Tizanidine Hcl | Tizanidine Hcl | 160 | 4,950 | $1,628.01 | 16 |
| Alprazolam | Alprazolam | 120 | 3,600 | $329.71 | 11 |
| Diclofenac Sodium | Diclofenac Sodium | 113 | 3,456 | $1,404.61 | 32 |
| Ibuprofen | Ibuprofen | 90 | 2,730 | $942.02 | 15 |
| Oxycodone Hcl | Oxycodone Hcl | 89 | 2,634 | $2,898.46 | — |
| Promethazine Hcl | Promethazine Hcl | 80 | 1,713 | $1,184.09 | — |
| Zolpidem Tartrate | Zolpidem Tartrate | 70 | 2,100 | $408.54 | — |
| Carisoprodol | Carisoprodol | 66 | 1,672 | $284.51 | — |
| Methocarbamol | Methocarbamol | 65 | 1,895 | $995.60 | 13 |
| Tramadol Hcl | Tramadol Hcl | 60 | 1,593 | $454.21 | 13 |
| Naproxen | Naproxen | 43 | 1,290 | $472.53 | — |
| Diazepam | Diazepam | 42 | 1,260 | $657.06 | — |
| Temazepam | Temazepam | 35 | 1,050 | $132.78 | — |
| Pregabalin | Pregabalin | 33 | 990 | $306.59 | — |
| Lorazepam | Lorazepam | 32 | 701 | $52.63 | — |
| Lisinopril | Lisinopril | 25 | 750 | $37.41 | — |
| Methadone Hcl | Methadone Hcl | 25 | 630 | $214.35 | — |
| Allopurinol | Allopurinol | 24 | 780 | $61.19 | — |
| Methylprednisolone | Methylprednisolone | 22 | 132 | $107.71 | 12 |
| Nabumetone | Nabumetone | 21 | 630 | $283.75 | — |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 207X00000X
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - ORTHOPEDIC SURGERY
I20070124000178
GA
5799784088
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026
Carrollton Orthopaedic Clinic Pc
150 Clinic Ave, Carrollton, GA 301174498
Phone: 7708340873
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Occupational Therapist
Occupational Therapist
Physical Therapist
Physical Therapist
Occupational Therapist
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Orthopaedic Surgery - Sports Medicine
Doctor of Medicine (M.D.)
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated October 26, 2005.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to November 2026.
NPI Administrative Meta
Other Orthopaedic Surgery Specialists in Carrollton
Healthcare providers in CarrolltonMailing Address
150 Clinic Ave, Ste101
Carrollton, GA 301174401
Phone: 7708340873