Adolfo Fernandez, MD
Surgery · Winston Salem, NCNPI 1457336513
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (47.8%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 61.5% of it on its own, with 5 other manufacturers making up the rest. Reporting peaked in 2019 at $9,802 and has fallen 76.9% since, to $2,266 in 2024. Among surgery clinicians in NC with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 44 payments — averaging $618.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$17K
- Medical Device Business Services, Inc.$10K
- Medtronic$516
- Enterra Medical, Inc.$151
- Kvk-tech, Inc.$19
- W. L. Gore & Associates, Inc.$12
Across 1 payment — averaging $18,500 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.
- Novartis$19K
What the payments were for
- Consulting fees$9,79036%
- Travel & lodging$2,4429%
- Food & beverage$1,9777%
- Education$13,00748%
- Gifts$90%
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 |
|---|---|---|
| Intuitive Surgical | 33 | $16,737 |
| Medical Device Business Services, Inc. | 1 | $9,790 |
| Medtronic | 5 | $516 |
| Enterra Medical, Inc. | 1 | $151 |
| Kvk-tech, Inc. | 3 | $19 |
| W. L. Gore & Associates, Inc. | 1 | $12 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- Da Vinci Surgical System$9,953
- HARMONIC Product Family$9,790
- DAVINCI XI$6,000
- Signia$400
How this compares
$27,224 in reported general payments places this provider in the 90th percentile of 970 surgery 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 |
|---|---|---|
| Rabeprazole Sodium | 14 | $268 |
Paid to pharmacies, not to this prescriber.
Other surgery in Winston Salem
- Nikhil TepparaWinston Salem$138K
- Andrew MonteleoneWinston Salem$104K
- Brant HenifordCharlotte$831K
- Vedra AugensteinCharlotte$789K
- John MartinieCharlotte$712K
- Dana PortenierDurham$702K
- Paul EnochsCary$595K
- David IannittiCharlotte$360K
- William HopeWilmington$350K
- Martyn KnowlesRaleigh$311K
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.