Fernando Alvarado, MD
Infectious Disease · Altamonte Springs, FLNPI 1073513958
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 91.4% of the total across 756 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 29 manufacturers, the largest accounting for just 17.8% — the pattern of someone who eats at a lot of different presentations. Among infectious disease clinicians in FL with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 756 payments — averaging $21.30 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Cipla USA Inc.$3K
- Insmed, Inc.$2K
- Melinta Therapeutics, LLC$2K
- Astellas Pharma US Inc$2K
- Merck$1K
- La Jolla Pharmaceutical Company$1K
- plus $5K from 23 others
What the payments were for
- Food & beverage$14,71391%
- Education$1,3879%
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 |
|---|---|---|
| Cipla USA Inc. | 8 | $2,863 |
| Insmed, Inc. | 132 | $2,112 |
| Melinta Therapeutics, LLC | 118 | $1,980 |
| Astellas Pharma US Inc | 49 | $1,550 |
| Merck | 64 | $1,163 |
| La Jolla Pharmaceutical Company | 54 | $1,088 |
| Paratek Pharmaceuticals, Inc. | 64 | $1,079 |
| Shionogi Inc | 50 | $881 |
| Cumberland Pharmaceuticals, Inc. | 63 | $698 |
| Takeda Pharmaceuticals U.S.A., Inc. | 20 | $595 |
| AbbVie(2 entities) | 47 | $520 |
| Tetraphase Pharmaceuticals, Inc. | 24 | $458 |
| Ferring Pharmaceuticals Inc. | 6 | $206 |
| Johnson & Johnson | 18 | $202 |
| Aimmune Therapeutics, Inc. | 5 | $146 |
| GSK | 10 | $135 |
| Mayne Pharma Commercial LLC | 6 | $91 |
| Gilead | 4 | $82 |
| Shire North American Group Inc | 3 | $45 |
| Intuitive Surgical | 1 | $32 |
| Kowa Pharmaceuticals America, Inc. | 2 | $29 |
| Kerecis Limited | 1 | $24 |
| Smith+Nephew | 1 | $24 |
| CSL Behring | 1 | $20 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $19 |
| VBI Vaccine (delaware) Inc. | 1 | $18 |
| Seqirus USA Inc | 1 | $16 |
| Amarin Pharma, Inc. | 1 | $12 |
| Dynavax Technologies Corporation | 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.
- ZEMDRI (PLAZOMICIN)$2,049
- Xerava$112
- REBYOTA$111
How this compares
$16,099 in reported general payments places this provider in the 90th percentile of 669 infectious disease providers in Florida.
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 |
|---|---|---|
| ArikayceAmikacin Liposomal/Neb.Accessr | 59 | $884,990 |
| NuzyraOmadacycline Tosylate | 15 | $209,959 |
| CresembaIsavuconazonium Sulfate | 11 | $75,656 |
| ZerbaxaCeftolozane/Tazobactam | 12 | $59,787 |
| PrezcobixDarunavir/Cobicistat | 13 | $31,480 |
| TivicayDolutegravir Sodium | 12 | $26,652 |
| Rifabutin | 67 | $25,424 |
| ErtapenemErtapenem Sodium | 50 | $23,658 |
| Daptomycin | 27 | $22,894 |
| Meropenem | 54 | $11,016 |
| Methenamine Hippurate | 144 | $9,460 |
| Valganciclovir Hcl | 11 | $7,703 |
| Ethambutol Hcl | 163 | $7,180 |
| Cefepime Hcl | 36 | $6,476 |
| Voriconazole | 30 | $6,222 |
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 |
|---|---|---|
| Insmed, Inc.Arikayce | $2,112 | $884,99059 claims |
| Paratek Pharmaceuticals, Inc.Nuzyra | $1,079 | $209,95915 claims |
| Astellas Pharma US IncCresemba | $1,550 | $75,65611 claims |
| MerckZerbaxa | $1,163 | $59,78712 claims |
| Johnson & JohnsonPrezcobix | $202 | $31,48013 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 90th percentile of 669 infectious disease providers in Florida.
Other infectious disease in Altamonte Springs
- Juan DiazAltamonte Springs$980K
- Christopher CooperAltamonte Springs$278K
- Jason SniffenAltamonte Springs$174K
- Lennox ArchibaldGainesville$2.1M
- Moti RamgopalFort Pierce$1.1M
- Charlotte-Paige RolleOrlando$619K
- Kenneth AlexanderOrlando$474K
- Douglas BrustMiami$359K
- Federico HinestrosaOrlando$276K
- Cynthia RiveraMiami Beach$265K
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.