Eddie Fernandez, MD
Emergency Medical Services · Silver Spring, MDNPI 1083657761
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,878 of the $3,878 with a category attached, or 74.2%. 12 manufacturers reported payments, led by Tactile Systems Technology Inc at 48.0% of the total. Reporting peaked in 2019 at $1,217 and has fallen 78.2% since, to $265 in 2025.
Across 81 payments — averaging $47.88 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Tactile Systems Technology Inc$2K
- Teva Pharmaceuticals USA, Inc.$416
- Johnson & Johnson$408
- Boston Scientific$263
- Organogenesis Inc.$247
- Biocompatibles, Inc.$178
- plus $505 from 6 others
What the payments were for
- Speaking & faculty fees$1,00026%
- Food & beverage$2,87874%
- Education$00%
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 |
|---|---|---|
| Tactile Systems Technology Inc | 35 | $1,862 |
| Teva Pharmaceuticals USA, Inc. | 4 | $416 |
| Johnson & Johnson | 7 | $408 |
| Boston Scientific | 4 | $263 |
| Organogenesis Inc. | 7 | $247 |
| Biocompatibles, Inc. | 3 | $178 |
| Bard Peripheral Vascular, Inc. | 1 | $143 |
| E.r. Squibb & Sons, L.L.C. | 9 | $142 |
| Cashflow Solutions, LLC | 7 | $118 |
| Nevro Corp. | 2 | $67 |
| Medtronic | 1 | $22 |
| Normatec Industries, LP | 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.
- FLEXITOUCH$1,000
- ACTITOUCH$1,000
- ENTRE$1,000
- VARITHENA$332
- AJOVY$277
- Flexitouch Plus$242
- Nimbl$242
- XARELTO$229
- AUSTEDO$139
- PuraPly$109
How this compares
Too few emergency medical services providers in Marylandto place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| EliquisApixaban | 39 | $25,625 |
| Triamcinolone Acetonide | 18 | $213 |
Paid to pharmacies, not to this prescriber.
Other emergency medical services in Silver Spring
- Heather MarshallSilver Spring$56
- Carol NierodaLaurel$1K
- Brian DesaulniersSalisbury$378
- Fermin BarruetoBaltimore$243
- Ruben TroncosoBaltimore$203
- Ronald RossPrince Frederick$150
- Douglas MayoBaltimore$97
- David SrourRockville$95
- Leonard KazanovFrederick$43
- David KleinRockville$37
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.