Domingo Chardon Feliciano, MD
Pulmonary Disease · Ponce, PRNPI 1104898733
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $33,271 of the $45,067 with a category attached, or 73.8%. 25 manufacturers reported payments, led by Bayer at 35.4% of the total. Reporting peaked in 2019 at $27,464 and has fallen 89.1% since, to $2,986 in 2025. Among pulmonary disease clinicians in PR 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 240 payments — averaging $187.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Bayer$16K
- Mylan Specialty L.p.$14K
- Merck$4K
- Actelion Pharmaceuticals US, Inc.$3K
- GSK$2K
- Boehringer Ingelheim$1K
- plus $4K from 19 others
Across 40 payments — averaging $2662.52 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.
- Boehringer Ingelheim$47K
- AstraZeneca$29K
- Regeneron$17K
- Heron Therapeutics, Inc.$14K
What the payments were for
- Consulting fees$7502%
- Speaking & faculty fees$33,27174%
- Travel & lodging$1,9314%
- Food & beverage$8,70019%
- Education$4151%
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 |
|---|---|---|
| Bayer | 27 | $15,948 |
| Mylan Specialty L.p. | 25 | $14,490 |
| Merck | 16 | $4,347 |
| Actelion Pharmaceuticals US, Inc. | 8 | $3,126 |
| GSK | 31 | $1,675 |
| Boehringer Ingelheim | 33 | $1,335 |
| AstraZeneca | 22 | $1,167 |
| United Therapeutics Corporation | 25 | $912 |
| Jazz Pharmaceuticals Inc. | 8 | $435 |
| Mallinckrodt Hospital Products Inc. | 5 | $364 |
| Grifols USA, LLC | 7 | $294 |
| Mallinckrodt Enterprises LLC | 2 | $177 |
| Johnson & Johnson | 5 | $154 |
| Gilead | 6 | $128 |
| Sanofi | 4 | $109 |
| Edwards Lifesciences | 1 | $100 |
| Genentech USA, Inc. | 1 | $49 |
| Lilly USA, LLC | 1 | $48 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $47 |
| Mylan LLC | 5 | $41 |
| PBG Puerto Rico LLC | 2 | $37 |
| Teva Pharmaceuticals USA, Inc. | 1 | $24 |
| Amgen | 1 | $19 |
| Eli Lilly Export S.A. Puerto Rico Branch | 1 | $19 |
| Sanofi-aventis U.S. LLC | 1 | $19 |
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.
- Adempas$15,294
- Yupelri$13,968
- UPTRAVI$2,898
- OPSUMIT$1,888
- WINREVAIR$1,750
- PNEUMOVAX 23$1,500
- SYMBICORT$500
- NUCALA$496
- ORENITRAM$354
- TRELEGY ELLIPTA$353
- FASENRA$245
- TYVASO$234
- Prolastin-C$177
- AREXVY$125
- XYWAV$125
- ACTHAR$120
- REMODULIN$116
- OFEV$115
- Edwards SAPIEN 3 Transcatheter Heart Valve$100
How this compares
$45,067 in reported general payments places this provider in the 95th percentile of 138 pulmonary disease providers in Puerto Rico.
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 |
|---|---|---|
| AdempasRiociguat | 112 | $1,554,686 |
| OpsumitMacitentan | 96 | $1,211,551 |
| OfevNintedanib Esylate | 74 | $959,575 |
| Breo ElliptaFluticasone/Vilanterol | 2,153 | $899,945 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 636 | $432,956 |
| LetairisAmbrisentan | 28 | $359,967 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 356 | $179,563 |
| TracleerBosentan | 14 | $161,492 |
| Orenitram ErTreprostinil Diolamine | 11 | $149,607 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 245 | $120,689 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 2,352 | $100,918 |
| Spiriva RespimatTiotropium Bromide | 160 | $85,593 |
| Dupixent SyringeDupilumab | 13 | $48,945 |
| TezspireTezepelumab-Ekko | 11 | $48,260 |
| AdcircaTadalafil | 11 | $44,953 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| BayerAdempas | $15,948 | $1,554,686112 claims |
| GSKBreo Ellipta, Trelegy Ellipta, Anoro Ellipta | $1,675 | $1,453,5913,034 claims |
| Actelion Pharmaceuticals US, Inc.Opsumit, Tracleer | $3,126 | $1,373,043110 claims |
| Boehringer IngelheimOfev, Stiolto Respimat, Spiriva Respimat | $1,335 | $1,224,731590 claims |
| GileadLetairis | $128 | $359,96728 claims |
| AstraZenecaTezspire, Symbicort, Bevespi Aerosphere | $1,167 | $72,867100 claims |
| United Therapeutics CorporationAdcirca | $912 | $44,95311 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Dexilant | $47 | $4,05613 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 95th percentile of 138 pulmonary disease providers in Puerto Rico.
Other pulmonary disease in Ponce
- George FahedPonce$16K
- Giovanni Veloz IrizarryPonce$11K
- Dev Boodoosingh CasianoPonce$10K
- Jesse Aleman-OrtizPonce$10K
- Keren Mendez RamirezPonce$8K
- Hector Puig-RamirezPonce$8K
- Sandra Galarza-VargasPonce$7K
- Ilean Lamboy HernandezPonce$5K
- Eugenio Rivera RiosPonce$3K
- Manuel Morell CataquetPonce$3K
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.