Fernando Puente
MOHS-Micrographic Surgery · Raleigh, NCNPI 1598741894
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 139 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 26 manufacturers, the largest accounting for just 20.7% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $1,300 and has fallen 95.9% since, to $54 in 2025.
Across 139 payments — averaging $18.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$534
- Ortho Dermatologics, A Division Of Bausch Health US, LLC$390
- Novartis$216
- Pfizer$178
- Sun Pharmaceutical Industries Inc.$154
- Medimetriks Pharmaceuticals, Inc.$133
- plus $980 from 20 others
What the payments were for
- Food & beverage$2,585100%
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 |
|---|---|---|
| AbbVie | 30 | $534 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 12 | $390 |
| Novartis | 15 | $216 |
| Pfizer | 13 | $178 |
| Sun Pharmaceutical Industries Inc. | 9 | $154 |
| Medimetriks Pharmaceuticals, Inc. | 4 | $133 |
| Lilly USA, LLC | 7 | $115 |
| Amgen | 6 | $111 |
| LEO Pharma Inc. | 7 | $97 |
| UCB, Inc. | 4 | $86 |
| Regeneron Healthcare Solutions, Inc. | 4 | $83 |
| Sanofi | 3 | $72 |
| Mayne Pharma Commercial LLC | 4 | $67 |
| Galderma Laboratories, L.p. | 5 | $64 |
| Genentech USA, Inc. | 3 | $55 |
| VYNE Pharmaceuticals Inc. | 2 | $39 |
| Almirall LLC | 1 | $29 |
| Dermira, Inc. | 1 | $26 |
| Bristol Myers Squibb | 1 | $26 |
| Aclaris Therapeutics, Inc. | 1 | $24 |
| Mission Pharmacal Company | 1 | $20 |
| Strata Skin Sciences, Inc. | 2 | $18 |
| DUSA Pharmaceuticals, Inc. | 1 | $17 |
| Merck | 1 | $13 |
| Helsinn Therapeutics (U.S.), Inc. | 1 | $12 |
| Pierre Fabre Pharmaceuticals, Inc. | 1 | $8 |
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.
- DUOBRII$125
How this compares
$2,585 in reported general payments places this provider in the 75th percentile of 50 mohs-micrographic surgery providers in North Carolina.
See all mohs-micrographic surgery providers in North Carolina →
Other mohs-micrographic surgery in Raleigh
- Eric ChallgrenRaleigh$47K
- Gregory WilmothRaleigh$8K
- Steffany ShearerRaleigh$5K
- Audrey EchtRaleigh$4K
- Lindsay OsbornRaleigh$678
- Harold RabinovitzRaleigh$623
- Earl BainRaleigh$361
- Tamara HousmanRaleigh$330
- Girish MunavalliCharlotte$118K
- Laura RosenzweigCharlotte$27K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.