Andrew Accardi, MD
Emergency Medicine · Encinitas, CANPI 1992781173
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $380,753 of the $382,617 with a category attached, or 99.5%. Impedimed, Inc. accounts for 93.9% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2019 at $118,784 and has fallen 100.0% since, to $15 in 2025. Among emergency medicine clinicians in CA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 14 payments — averaging $27,330 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Impedimed, Inc.$359K
- Sanofi-aventis U.S. LLC$22K
- Medtronic$597
- Actelion Pharmaceuticals US, Inc.$137
- Inari Medical, Inc.$133
- Johnson & Johnson$19
- plus $15 from 1 others
What the payments were for
- Consulting fees$380,753100%
- Travel & lodging$1,2550%
- Food & beverage$6090%
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 |
|---|---|---|
| Impedimed, Inc. | 7 | $359,316 |
| Sanofi-aventis U.S. LLC | 1 | $22,400 |
| Medtronic | 2 | $597 |
| Actelion Pharmaceuticals US, Inc. | 1 | $137 |
| Inari Medical, Inc. | 1 | $133 |
| Johnson & Johnson | 1 | $19 |
| AstraZeneca | 1 | $15 |
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.
- SOLIQUA 100/33$22,400
- MCGRATH MAC$530
- UPTRAVI$137
- OPSUMIT$137
- FLOWTRIEVER CATHETER, S$133
- CT THROMBECTOMY SYSTEM KIT$133
How this compares
$382,617 in reported general payments places this provider in the 95th percentile of 6,006 emergency medicine providers in California.
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 |
|---|---|---|
| Cephalexin | 17 | $141 |
| Ondansetron OdtOndansetron | 12 | $121 |
Paid to pharmacies, not to this prescriber.
Other emergency medicine in Encinitas
- Mary FuchsEncinitas$16K
- Michael BlueLone Pine$915K
- Fredrick Melik-AbrahamianSylmar$354K
- Graham WalkerStanford$309K
- Douglas WhiteOakland$220K
- Paul PearigenSan Diego$208K
- Richard KozakMission Viejo$203K
- Oron FrenkelSan Francisco$201K
- Matthew KaplanMission Viejo$195K
- John LiboonPoway$188K
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.