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Dr. Fletcher Nelson Pierce, MD

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Specializes in: Adult Pulmonology and Adult Critical Care
Vanderbilt University School of Medicine (1996)
Professional interests include: pulmonary hypertension, sleep disorders, sleep study
600 Gresham Drive Suite 8630B
Norfolk, VA 23507

Dr. Fletcher Nelson Pierce, MD is a pulmonologist in Norfolk, VA specializing in adult pulmonology and adult critical care. He graduated from Vanderbilt University School of Medicine in 1996 and has 29 years of experience. Dr. Fletcher Nelson Pierce, MD is affiliated with Sentara Health.

View Doctor's Full Profile (757) 388-6115

Office Locations

600 Gresham Drive Suite 8630B
Norfolk, VA 23507
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Some issues Dr. Fletcher Nelson Pierce, MD can help you with:

Sleep Study

A sleep study reveals important insights about a patient's sleep patterns by measuring brain activity, breathing, and movement. There are five types of sleep studies: a polysomnogram, titration sleep study, split night sleep study, multiple sleep latency test, and at-home sleep study. Sleep studies may help identify conditions such as:

  • Insomnia
  • Sleep apnea
  • Restless legs syndrome
  • Sleep walking
  • REM sleep behavior disorder
  • Narcolepsy

The most widely performed sleep test is the traditional polysomnogram (PSG). This test is typically used to determine whether patients have sleep apnea (lapses in breathing while asleep). Polysomnograms are conducted overnight in a specialized sleep clinic or sleep center, where a patient enters the sleep center and is assigned to a room with a bed, medical equipment, and monitoring system. An overnight sleep technician attaches electrodes to the patient's head, chest, and legs. This application process lasts for around an hour. A sleep technician watches and evaluates the patient as they sleep. Objects such as a comfortable pillow from home, toiletries, and small personal items may be helpful in easing patients into sleep in unfamiliar surroundings.

Patients receive their physician-interpreted sleep study results within a few weeks of the test. If sleep apnea is detected, patients may be asked to return for a titration sleep study. A titration study involves the same procedures and electrode placement of a polysomnogram, but also includes a mask attached to a CPAP (continuous positive airway pressure) machine. The CPAP machine brings pressurized air to the patient. The technician may monitor and adjust the CPAP's air pressure throughout the night. The purpose of a titration study is to determine the appropriate air pressure for patients with obstructive sleep apnea (blocked upper airway).

A split night study combines the polysomnogram and titration sleep studies into two sessions on the same night. Split night studies enable patients to complete both studies quickly instead of waiting weeks in between tests and may expedite the interpretation of results and treatment.

Multiple sleep latency test (MSLT) measures how fast someone is able to fall asleep. Unlike other sleep tests, this test is performed during the day. It may take place after an overnight sleep study. The MSLT test monitors napping and potential for daytime sleepiness and exhaustion.

At-home sleep tests are fully conducted by patients in their own homes. Patients attach fewer electrodes, a breathing sensor, a microphone, and a data collection device to themselves and sleep in their own beds. The following morning, patients gather the data collection device and return it to their medical providers. While at-home sleep tests are convenient, they are not recommended for patients with severe sleep problems. At-home sleep tests are less precise than clinical tests and do not measure brain activity.

Sleep studies are essential to helping patients receive accurate sleep disorder diagnoses and proper treatment. A sleep study can be the first step towards higher quality sleep and physical health.

In The News 

“Now the center will be treating more patients: Two more sleep study rooms were recently added to the existing four and another sleep specialist, Dr. Fletcher Pierce, came on board. "”—"Virginia Beach sleep center helps woman rest well after 25 years", The Virginian-Pilot, September 2007

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Fletcher Nelson Pierce, MD treated as a pulmonologist in Norfolk, VA during 2013 were hospital care, inpatient care, bronchoscopy and minimally invasive procedures.

Volume of procedures performed by Dr. Fletcher Nelson Pierce, MD for Medicare patients.

airway management 28
aspiration 87
bronchoscopy 317
diagnostic procedures 144
doctor visit 367
hospital care 818
image guided procedures 53
inpatient care 818
minimally invasive procedures 212
minor procedures 87
pulmonary testing 94
sleep study 42

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Fletcher Nelson Pierce, MD.

Gender
Male 368
Female 391
Ethnicity
Non-Hispanic White 536
Black 192
Hispanic 12
Asian 0
Other 0
Native American 0
Age
From 65 to 74 303
From 75 to 84 241
85 and over 74
Less than 65 141

Conditions of Medicare patients treated by Dr. Fletcher Nelson Pierce, MD in 2013

The most common conditions of Medicare patients that Dr. Fletcher Nelson Pierce, MD treated during 2013 were hypertension, high cholesterol, ischemic heart disease and chronic obstructive pulmonary disease.

Hypertension 75
High Cholesterol 72
Stroke 10
Ischemic Heart Disease 62
Depression 28
Chronic Kidney Disease 50
Asthma 21
Osteoperosis 10
Atrial Fibrilation 27
Heart Failure 51
Chronic Obstructive Pulmonary Disease 55
Diabetes 50
Dementia 16
Cancer 25

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Fletcher Nelson Pierce, MD treated as a pulmonologist in Norfolk, VA during 2014 were hospital care, inpatient care, bronchoscopy and pulmonary testing.

Volume of procedures performed by Dr. Fletcher Nelson Pierce, MD for Medicare patients.

airway management 24
aspiration 62
bronchoscopy 211
diagnostic procedures 97
doctor visit 417
hospital care 681
image guided procedures 39
inpatient care 681
minimally invasive procedures 138
minor procedures 62
pulmonary testing 170
sleep study 45

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Fletcher Nelson Pierce, MD.

Gender
Male 371
Female 385
Ethnicity
Non-Hispanic White 522
Black 200
Hispanic 14
Asian 0
Other 0
Native American 0
Age
From 65 to 74 316
From 75 to 84 221
85 and over 80
Less than 65 139

Conditions of Medicare patients treated by Dr. Fletcher Nelson Pierce, MD in 2014

The most common conditions of Medicare patients that Dr. Fletcher Nelson Pierce, MD treated during 2014 were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension 75
High Cholesterol 73
Stroke 11
Ischemic Heart Disease 62
Depression 28
Chronic Kidney Disease 53
Asthma 20
Osteoperosis 10
Atrial Fibrilation 34
Heart Failure 52
Chronic Obstructive Pulmonary Disease 49
Diabetes 47
Dementia 14
Cancer 25

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Fletcher Nelson Pierce, MD treated as a pulmonologist in Norfolk, VA during 2015 were hospital care, inpatient care, bronchoscopy and minimally invasive procedures.

Volume of procedures performed by Dr. Fletcher Nelson Pierce, MD for Medicare patients.

airway management 31
aspiration 46
bronchoscopy 163
diagnostic procedures 71
doctor visit 425
hospital care 522
image guided procedures 27
inpatient care 522
minimally invasive procedures 109
minor procedures 46
pulmonary testing 100
sleep study 61

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Fletcher Nelson Pierce, MD.

Gender
Male 726
Female 678
Ethnicity
Non-Hispanic White 942
Black 398
Hispanic 24
Asian 0
Other 0
Native American 0
Age
From 65 to 74 598
From 75 to 84 438
85 and over 114
Less than 65 254

Conditions of Medicare patients treated by Dr. Fletcher Nelson Pierce, MD in 2015

The most common conditions of Medicare patients that Dr. Fletcher Nelson Pierce, MD treated during 2015 were high cholesterol, hypertension, ischemic heart disease and chronic kidney disease.

Hypertension 75
High Cholesterol 75
Stroke 13
Ischemic Heart Disease 63
Depression 29
Chronic Kidney Disease 56
Asthma 35
Osteoperosis 8
Atrial Fibrilation 34
Heart Failure 56
Chronic Obstructive Pulmonary Disease 52
Diabetes 49
Dementia 13
Cancer 24

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Fletcher Nelson Pierce, MD treated as a pulmonologist in Norfolk, VA during 2016 were hospital care, inpatient care, pulmonary testing and bronchoscopy.

Volume of procedures performed by Dr. Fletcher Nelson Pierce, MD for Medicare patients.

airway management 11
aspiration 23
bronchoscopy 106
diagnostic procedures 38
doctor visit 349
hospital care 662
image guided procedures 19
inpatient care 662
minimally invasive procedures 65
minor procedures 23
pulmonary testing 142
sleep study 33

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Fletcher Nelson Pierce, MD.

Gender
Male 393
Female 350
Ethnicity
Non-Hispanic White 500
Black 207
Hispanic 19
Asian 0
Other 0
Native American 0
Age
From 65 to 74 308
From 75 to 84 226
85 and over 78
Less than 65 131

Conditions of Medicare patients treated by Dr. Fletcher Nelson Pierce, MD in 2016

The most common conditions of Medicare patients that Dr. Fletcher Nelson Pierce, MD treated during 2016 were high cholesterol, hypertension, ischemic heart disease and chronic kidney disease.

Hypertension 75
High Cholesterol 75
Stroke 14
Ischemic Heart Disease 65
Depression 30
Chronic Kidney Disease 60
Asthma 53
Osteoperosis 10
Atrial Fibrilation 33
Heart Failure 55
Chronic Obstructive Pulmonary Disease 51
Diabetes 51
Dementia 15
Cancer 23

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Fletcher Nelson Pierce, MD treated as a pulmonologist in Norfolk, VA during 2017 were hospital care, inpatient care, pulmonary testing and bronchoscopy.

Volume of procedures performed by Dr. Fletcher Nelson Pierce, MD for Medicare patients.

aspiration 17
bronchoscopy 80
diagnostic procedures 28
doctor visit 301
hospital care 525
image guided procedures 14
inpatient care 525
minimally invasive procedures 50
minor procedures 17
pulmonary testing 217

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Fletcher Nelson Pierce, MD.

Gender
Male 366
Female 352
Ethnicity
Non-Hispanic White 491
Black 192
Hispanic 14
Asian 0
Other 0
Native American 0
Age
From 65 to 74 324
From 75 to 84 219
85 and over 47
Less than 65 128

Conditions of Medicare patients treated by Dr. Fletcher Nelson Pierce, MD in 2017

The most common conditions of Medicare patients that Dr. Fletcher Nelson Pierce, MD treated during 2017 were hypertension, high cholesterol, chronic kidney disease and ischemic heart disease.

Hypertension 75
High Cholesterol 70
Stroke 13
Ischemic Heart Disease 59
Depression 32
Chronic Kidney Disease 61
Asthma 16
Osteoperosis 7
Atrial Fibrilation 29
Heart Failure 57
Chronic Obstructive Pulmonary Disease 47
Diabetes 50
Dementia 14
Cancer 21

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Fletcher Nelson Pierce, MD treated as a pulmonologist in Norfolk, VA during 2018 were hospital care, inpatient care, pulmonary testing and sleep study.

Volume of procedures performed by Dr. Fletcher Nelson Pierce, MD for Medicare patients.

bronchoscopy 12
doctor visit 182
hospital care 490
inpatient care 490
minimally invasive procedures 12
pulmonary testing 116
sleep study 13

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Fletcher Nelson Pierce, MD.

Gender
Male 298
Female 274
Ethnicity
Non-Hispanic White 370
Black 171
Hispanic 11
Asian 0
Other 0
Native American 0
Age
From 65 to 74 247
From 75 to 84 181
85 and over 42
Less than 65 102

Conditions of Medicare patients treated by Dr. Fletcher Nelson Pierce, MD in 2018

The most common conditions of Medicare patients that Dr. Fletcher Nelson Pierce, MD treated during 2018 were high cholesterol, hypertension, ischemic heart disease and chronic kidney disease.

Hypertension 75
High Cholesterol 75
Stroke 16
Ischemic Heart Disease 66
Depression 32
Chronic Kidney Disease 60
Asthma 15
Osteoperosis 9
Atrial Fibrilation 33
Heart Failure 60
Chronic Obstructive Pulmonary Disease 47
Diabetes 51
Dementia 17
Cancer 20

Medicare Procedure and Patient Information

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Fletcher Nelson Pierce, MD treated as a pulmonologist in Norfolk, VA during 2020 were hospital care and inpatient care.

Volume of procedures performed by Dr. Fletcher Nelson Pierce, MD for Medicare patients.

hospital care 30
inpatient care 30

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Fletcher Nelson Pierce, MD.

Gender
Male 22
Female 20
Ethnicity
Non-Hispanic White 22
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 19
From 75 to 84 0
85 and over 0
Less than 65 0

Conditions of Medicare patients treated by Dr. Fletcher Nelson Pierce, MD in 2020

The most common conditions of Medicare patients that Dr. Fletcher Nelson Pierce, MD treated during 2020 were hypertension, chronic kidney disease, high cholesterol and heart failure.

Hypertension 75
High Cholesterol 69
Stroke 45
Ischemic Heart Disease 64
Depression 45
Chronic Kidney Disease 71
Asthma 0
Osteoperosis 0
Atrial Fibrilation 29
Heart Failure 64
Chronic Obstructive Pulmonary Disease 33
Diabetes 57
Dementia 36
Cancer 0

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Fletcher Nelson Pierce, MD treated as a pulmonologist in Norfolk, VA during 2021 were hospital care and inpatient care.

Volume of procedures performed by Dr. Fletcher Nelson Pierce, MD for Medicare patients.

hospital care 27
inpatient care 27

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Fletcher Nelson Pierce, MD.

Gender
Male 17
Female 21
Ethnicity
Non-Hispanic White 0
Black 19
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 16
From 75 to 84 0
85 and over 0
Less than 65 0

Conditions of Medicare patients treated by Dr. Fletcher Nelson Pierce, MD in 2021

The most common conditions of Medicare patients that Dr. Fletcher Nelson Pierce, MD treated during 2021 were chronic kidney disease, hypertension, heart failure and high cholesterol.

Hypertension 75
High Cholesterol 61
Stroke 0
Ischemic Heart Disease 61
Depression 34
Chronic Kidney Disease 75
Asthma 37
Osteoperosis 0
Atrial Fibrilation 0
Heart Failure 71
Chronic Obstructive Pulmonary Disease 53
Diabetes 47
Dementia 29
Cancer 0

Medicare Procedure and Patient Information

Conditions of Medicare patients treated by Dr. Fletcher Nelson Pierce, MD in 2022

The most common conditions of Medicare patients that Dr. Fletcher Nelson Pierce, MD treated during 2022 were high cholesterol and hypertension.

Hypertension 75
High Cholesterol 75
Stroke 0
Ischemic Heart Disease 0
Depression 0
Chronic Kidney Disease 0
Asthma 0
Osteoperosis 0
Atrial Fibrilation 0
Heart Failure 0
Chronic Obstructive Pulmonary Disease 0
Diabetes 0
Dementia 0
Cancer 0

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

The top procedures that Dr. Fletcher Nelson Pierce, MD treated as a pulmonologist in Norfolk, VA during 2023 were hospital care and inpatient care.

Volume of procedures performed by Dr. Fletcher Nelson Pierce, MD for Medicare patients.

hospital care 18
inpatient care 18

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Fletcher Nelson Pierce, MD.

Gender
Male 20
Female 12
Ethnicity
Non-Hispanic White 15
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 11
From 75 to 84 0
85 and over 0
Less than 65 0

Conditions of Medicare patients treated by Dr. Fletcher Nelson Pierce, MD in 2023

The most common conditions of Medicare patients that Dr. Fletcher Nelson Pierce, MD treated during 2023 were high cholesterol, hypertension, diabetes and chronic kidney disease.

Hypertension 75
High Cholesterol 75
Stroke 0
Ischemic Heart Disease 59
Depression 0
Chronic Kidney Disease 63
Asthma 0
Osteoperosis 0
Atrial Fibrilation 44
Heart Failure 63
Chronic Obstructive Pulmonary Disease 53
Diabetes 69
Dementia 0
Cancer 0

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2013 - 2023

Volume of procedures performed by Dr. Fletcher Nelson Pierce, MD for Medicare patients.

The highest averages for the top procedures that Dr. Fletcher Nelson Pierce, MD treated as a pulmonologist in Norfolk, VA were hospital care, inpatient care, bronchoscopy and pulmonary testing.

airway management 23
aspiration 47
bronchoscopy 148
diagnostic procedures 75
doctor visit 340
hospital care 419
image guided procedures 30
inpatient care 419
minimally invasive procedures 97
minor procedures 47
pulmonary testing 139
sleep study 38

Average Medicare Patient Data From 2013 - 2023

Information about Medicare patients treated by Dr. Fletcher Nelson Pierce, MD.

Gender
Male 258
Female 248
Ethnicity
Black / African American 137
Asian / Pacific Islander 0
Non-Hispanic White 339
Native American / Alaskan Native 0
Hispanic 9
Other 0
Age
75 to 84 152
85 and over 43
Less than 65 89
65 to 74 214

Average of Total of Conditions of Medicare patients treated by Dr. Fletcher Nelson Pierce, MD From 2013 - 2023

The highest averages of the most common conditions of Medicare patients that Dr. Fletcher Nelson Pierce, MD treated were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension 75
High Cholesterol 72
Stroke 12
Ischemic Heart Disease 56
Depression 25
Chronic Kidney Disease 54
Asthma 19
Osteoporosis 5
Heart Failure 52
Chronic Obstructive Pulmonary Disease 44
Diabetes 47
Atrial Fibrillation 26
Cancer 13
Dementia 15

Education & Training

Dr. Fletcher Nelson Pierce, MD graduated from Vanderbilt University School of Medicine in 1996. He completed residency at Uniformed Services University of the Health Sciences/National Capital Consortium. He is certified by the American Board of Internal Medicine - Pulmonary Disease - American Board of Internal Medicine - Critical Care Medicine - 2025 American Board of Internal Medicine - Pulmonary Disease - 2026 American Board of Sleep Medicine - Sleep Medicine and has a state license in Virginia.

Medical School: Vanderbilt University School of Medicine (1996)

Residency: Uniformed Services University of the Health Sciences/National Capital Consortium

Board Certification: American Board of Internal Medicine - Pulmonary Disease - American Board of Internal Medicine - Critical Care Medicine - 2025 American Board of Internal Medicine - Pulmonary Disease - 2026 American Board of Sleep Medicine - Sleep Medicine (2026)

Licensed In: Virginia

Affiliations & Hospitals

Dr. Fletcher Nelson Pierce, MD is associated with these hospitals and organizations:

Sentara Health

Ratings & Reviews

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General Payments

These charts describe general payments received by Dr. Fletcher Nelson Pierce, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

Payments by Company
Boehringer Ingelheim Pharmaceuticals, Inc. $1,793
$1,793
ABIOMED $165 Impella
$165
Mentor Worldwide LLC $103 MENTOR MemoryGel Resterilizable Gel Sizer
$103
Astute Medical, Inc. $85 NephroCheck Test
$85
Cook Medical LLC $33 COOK
$33
Other $100 Precedex Dexmedetomidine HCl in 0.9 percent Sodium Chloride Injec
$24 		TEG
$20 		Esbriet
$18 		Adempas
$15 		superDimension
$12 		Other
$11
Types of Payments
Consulting Fee $1,597
Food and Beverage $482
Travel and Lodging $115
Education $85

Biography

Dr. Fletcher Pierce is an adult critical care, general practice, and adult pulmonology specialist in Norfolk, VA. Clinical interests for Dr. Pierce include sleep disorders, sleep study, and pulmonary hypertension. He studied medicine at Vanderbilt University School of Medicine. Dr. Pierce is professionally affiliated with Sentara Health.

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