Has Edgar Domenech Fagundo, MD received payments from drug or device companies?

Yes. Drug and device makers reported $1,907 in general payments to Edgar Domenech Fagundo, MD across 41 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean Edgar Domenech Fagundo, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about Edgar Domenech Fagundo, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

Edgar Domenech Fagundo, MD

Plastic Surgery within the Head & Neck · Ponce, PRNPI 1386717247

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 100.0% of the total across 41 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 12 manufacturers reported payments, led by Johnson & Johnson at 25.0% of the total. 2025 is the largest year on record at $615, 3.1 times the $200 reported in 2019.

$1,907in general payments, 2019–2025

Across 41 payments — averaging $46.51 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Johnson & Johnson$476
Medtronic$448
Boston Scientific$316
E.r. Squibb & Sons, L.L.C.$170
Bard Peripheral Vascular, Inc.$124
Dexcom, Inc.$114
plus $259 from 6 others

What the payments were for

Food & beverage$1,907100%

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
Johnson & Johnson	11	$476
Medtronic	11	$448
Boston Scientific	6	$316
E.r. Squibb & Sons, L.L.C.	2	$170
Bard Peripheral Vascular, Inc.	1	$124
Dexcom, Inc.	1	$114
Baxter Healthcare	1	$68
ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)	3	$61
BD	2	$56
Johnson And Johnson International	1	$37
PBG Puerto Rico LLC	1	$23
Olympus Latin America, Inc.	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.

How this compares

Too few plastic surgery within the head & neck providers in Puerto Ricoto place this figure against a meaningful peer group, so we don't.

Medicare billing

Part B allowed, 2024

$14,569

Medicare patients

Services billed

159

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
Fluocinolone Acetonide Oil	120	$9,109
Azelastine-FluticasoneAzelastine/Fluticasone	82	$7,745
Neomycin-Polymyxin-HcNeomycin/Polymyxin B/Hydrocort	67	$4,735
SynthroidLevothyroxine Sodium	59	$3,431
Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth	15	$2,253
Lansoprazole	140	$2,063
Neomycin-Polymyxin-HydrocortNeomycin/Polymyxin B/Hydrocort	29	$1,963
Fluticasone Propionate	80	$1,587
Hydrocortisone-Acetic AcidHydrocortisone/Acetic Acid	11	$1,465
Azelastine Hcl	52	$1,256
Ofloxacin	18	$768
Famotidine	115	$717
Cefadroxil	37	$417
Levocetirizine Dihydrochloride	31	$387
Cefdinir	14	$367

Paid to pharmacies, not to this prescriber.

Other plastic surgery within the head & neck in Ponce

Gabriel Pujol CuevasPonce$3K
Roberto Gonzalez GonzalezPonce$343
Jose Sanchez MendiolaCarolina$2K
Pablo Lopez BaezBayamon$471
Jose Sanchez PerezBayamon$450
Luis Valledor MaesoHato Rey$430
Francis Beauchamp-PerezSan Juan$426
Jorge Aldrich NovoaGuaynabo$415
Jose Almodovar LabordeSan German$204
Benjamin RodriguezManati$153

See the full list for Puerto Rico →

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.

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