Fernando Cobos, MD
Addiction Psychiatry · Winston Salem, NCNPI 1356383947
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.8% of the total across 58 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 11 manufacturers, the largest accounting for just 18.9% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $441 and has fallen 78.9% since, to $93 in 2025.
Across 58 payments — averaging $21.89 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alkermes, Inc.$240
- Lundbeck LLC$236
- Neurocrine Biosciences, Inc.$185
- Johnson & Johnson$175
- E.r. Squibb & Sons, L.L.C.$103
- Axsome Therapeutics, Inc.$92
- plus $238 from 5 others
What the payments were for
- Food & beverage$1,25599%
- Education$151%
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 |
|---|---|---|
| Alkermes, Inc. | 9 | $240 |
| Lundbeck LLC | 13 | $236 |
| Neurocrine Biosciences, Inc. | 4 | $185 |
| Johnson & Johnson | 10 | $175 |
| E.r. Squibb & Sons, L.L.C. | 4 | $103 |
| Axsome Therapeutics, Inc. | 4 | $92 |
| AbbVie | 5 | $87 |
| Otsuka America Pharmaceutical, Inc. | 4 | $66 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 2 | $38 |
| Teva Pharmaceuticals USA, Inc. | 2 | $33 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $14 |
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.
- INGREZZA$125
How this compares
Too few addiction psychiatry providers in North Carolinato 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.
Other addiction psychiatry in Winston Salem
- Kami HarrisRaleigh$17K
- Roy BookRaleigh$4K
- Eric MorseRaleigh$3K
- Anne AlexanderGreensboro$497
- Matthew BaderDurham$355
- Kenneth CullanderFort Liberty$27
- Joel ChisholmCherokee$12
- Beth BoyarskyCharlotte$12
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.