Adela Rambi Cardones, MD
Dermatology · Durham, NCNPI 1407021165
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 3 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. Sun Pharmaceutical Industries Inc. accounts for 61.4% of it on its own, with 2 other manufacturers making up the rest. Reporting peaked in 2020 at $70 and has fallen 70.7% since, to $21 in 2025. That places this record below the midpoint for dermatology clinicians in NC, where the typical reported total is $2,057.
Across 3 payments — averaging $38.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sun Pharmaceutical Industries Inc.$70
- AbbVie$24
- Galderma Laboratories, L.p.$21
Across 62 payments — averaging $3177.43 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Pfizer$142K
- Daiichi Sankyo Company LTD$29K
- Daiichi Sankyo Inc.$26K
What the payments were for
- Food & beverage$115100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Sun Pharmaceutical Industries Inc. | 1 | $70 |
| AbbVie | 1 | $24 |
| Galderma Laboratories, L.p. | 1 | $21 |
How this compares
$115 in reported general payments places this provider in the 10th percentile of 475 dermatology providers in North Carolina.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Dupixent PenDupilumab | 22 | $75,976 |
| Clobetasol Propionate | 39 | $1,528 |
| Ketoconazole | 23 | $378 |
| Triamcinolone Acetonide | 25 | $324 |
Paid to pharmacies, not to this prescriber.
Other dermatology in Durham
- Jeffrey ScalesDurham$279K
- Negar FooladDurham$76K
- Russell HallDurham$65K
- Elise OlsenDurham$64K
- Brooke JacksonDurham$38K
- Steven FeldmanWinston Salem$3.4M
- Nicole SeminaraHuntersville$1.4M
- Andrew LeeElkin$702K
- Christopher SayedChapel Hill$690K
- William HooverConcord$594K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.