Carlton Fernandes, MD
Hand Surgery · Norman, OKNPI 1457884280
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (40.6%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 20 manufacturers reported payments, led by Pylant Medical at 44.0% of the total. Reporting peaked in 2019 at $8,355 and has fallen 94.6% since, to $450 in 2025.
Across 136 payments — averaging $148.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pylant Medical$9K
- Stryker$3K
- Arthrex$2K
- Acumed LLC$1K
- Axogen$1K
- Johnson & Johnson$838
- plus $3K from 14 others
What the payments were for
- Travel & lodging$4,31121%
- Food & beverage$7,65838%
- Education$8,17241%
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 |
|---|---|---|
| Pylant Medical | 17 | $8,866 |
| Stryker | 31 | $3,059 |
| Arthrex | 22 | $1,627 |
| Acumed LLC | 5 | $1,418 |
| Axogen | 14 | $1,289 |
| Johnson & Johnson | 11 | $838 |
| Skeletal Dynamics Inc | 10 | $808 |
| Smith+Nephew | 6 | $609 |
| Tenex Health Inc. | 4 | $475 |
| Acera Surgical, Inc. | 2 | $308 |
| Trimed, Inc. | 3 | $201 |
| Trice Medical, Inc. | 1 | $164 |
| Zimmer Biomet | 2 | $134 |
| Endo Pharmaceuticals Inc. | 1 | $119 |
| Organogenesis Inc. | 1 | $99 |
| Medwest Associates | 1 | $46 |
| Bioventus LLC | 2 | $35 |
| Innovation Technologies Inc | 1 | $23 |
| Convatec Inc. | 1 | $13 |
| KCI USA, Inc. | 1 | $11 |
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.
- ACUMED$2,426
- MAKO$2,078
- AVANCE NERVE GRAFT$983
- ArcPhix System$443
- INnate Implant$443
- InFrame Implant$443
- NA$440
- TRIGEN InterTAN$360
- Restrata Wound Matrix$308
- Geminus$267
- Align$267
- IJS$267
- Implate$267
- AxoGuard Nerve Connector$255
- AxoGuard Nerve Protector$255
- AXOGUARD HA+ NERVE PROTECTOR$255
- AxoGuard Nerve Cap$255
- EVOS$247
- GMRS$161
- TFN-Advance$139
How this compares
$20,141 in reported general payments places this provider in the 80th percentile of 26 hand surgery providers in Oklahoma.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 185 | $725 |
| Ondansetron OdtOndansetron | 88 | $429 |
| Ondansetron Hcl | 74 | $232 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Norman
- Kristopher AvantYukon$35K
- William SheltonTulsa$23K
- Clayton NelsonOklahoma City$22K
- Christopher TreatTulsa$22K
- David RushOklahoma City$15K
- Brian ChenowethOklahoma City$11K
- Zachary ClaryEdmond$10K
- Jessica ChildeTulsa$5K
- Thomas LehmanOklahoma City$5K
- Yuri LansingerOklahoma City$5K
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.