Fernando Sanchez Brugal, MD
Internal Medicine · High Point, NCNPI 1720026974
Payments from drug & device makers
Across 302 payments — averaging $17.35 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- Amgen$551
- Novo Nordisk$446
- AstraZeneca$432
- Lilly USA, LLC$334
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$296
- plus $2K from 30 others
What the payments were for
- Food & beverage$4,75591%
- Education$60%
- Other$4799%
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(2 entities) | 84 | $1,183 |
| Amgen | 41 | $551 |
| Novo Nordisk | 37 | $446 |
| AstraZeneca | 23 | $432 |
| Lilly USA, LLC | 19 | $334 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 13 | $296 |
| Welch Allyn | 1 | $263 |
| Baxter Healthcare | 1 | $216 |
| Collegium Pharmaceutical, Inc. | 10 | $172 |
| Pfizer | 4 | $160 |
| GSK | 12 | $147 |
| Amarin Pharma, Inc. | 7 | $122 |
| Merck | 7 | $113 |
| Medtronic | 2 | $77 |
| Mylan Specialty L.p. | 3 | $68 |
| Otsuka America Pharmaceutical, Inc. | 3 | $61 |
| Aimmune Therapeutics, Inc. | 3 | $55 |
| Boston Scientific | 1 | $53 |
| Sunovion Pharmaceuticals Inc. | 5 | $48 |
| Forte Bio-pharma LLC | 3 | $47 |
| Boehringer Ingelheim | 2 | $46 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $37 |
| Sanofi-aventis U.S. LLC | 2 | $37 |
| Genentech USA, Inc. | 2 | $33 |
| Shield Therapeutics Inc | 2 | $33 |
| Eisai Inc. | 2 | $30 |
| Xeris Pharmaceuticals, Inc. | 2 | $28 |
| Ironwood Pharmaceuticals, Inc | 1 | $19 |
| Regeneron Healthcare Solutions, Inc. | 1 | $19 |
| Indivior Inc. | 1 | $19 |
| Vanda Pharmaceuticals Inc. | 1 | $18 |
| Idorsia Pharmaceuticals US Inc | 1 | $18 |
| Vertex | 1 | $17 |
| Viatris Specialty LLC | 1 | $15 |
| MDD US Operations, LLC | 1 | $13 |
| Kowa Pharmaceuticals America, Inc. | 1 | $13 |
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
$5,240 in reported general payments places this provider in the 85th percentile of 3,302 internal medicine providers in North Carolina.
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 |
|---|---|---|
| OzempicSemaglutide | 201 | $262,423 |
| FarxigaDapagliflozin Propanediol | 135 | $153,337 |
| LinzessLinaclotide | 67 | $94,268 |
| EliquisApixaban | 75 | $62,574 |
| TrulicityDulaglutide | 27 | $54,361 |
| JardianceEmpagliflozin | 34 | $53,018 |
| MounjaroTirzepatide | 48 | $51,808 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 56 | $49,771 |
| VascepaIcosapent Ethyl | 52 | $43,732 |
| MyrbetriqMirabegron | 44 | $31,004 |
| OxycontinOxycodone Hcl | 27 | $28,533 |
| RybelsusSemaglutide | 17 | $27,208 |
| XareltoRivaroxaban | 25 | $23,665 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 282 | $11,668 |
| SymbicortBudesonide/Formoterol Fumarate | 24 | $10,956 |
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 |
|---|---|---|
| Novo NordiskOzempic, Rybelsus | $446 | $289,631218 claims |
| AstraZenecaFarxiga, Symbicort | $432 | $164,292159 claims |
| Lilly USA, LLCTrulicity, Mounjaro | $334 | $106,16975 claims |
| AbbVieLinzess | $1,183 | $94,26867 claims |
| PfizerEliquis | $160 | $62,57475 claims |
| Boehringer IngelheimJardiance | $46 | $53,01834 claims |
| GSKTrelegy Ellipta | $147 | $49,77156 claims |
| Collegium Pharmaceutical, Inc.Xtampza Er | $172 | $8,60012 claims |
| MerckBelsomra | $113 | $5,30112 claims |
| Sanofi-aventis U.S. LLCLantus | $37 | $2,09213 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 85th percentile of 3,302 internal medicine providers in North Carolina.
Other internal medicine in High Point
- Thomas JarrettHigh Point$3.4M
- Manesh PatelDurham$27.2M
- Saad UsmaniCharlotte$16.2M
- Christina KennellyCharlotte$15.4M
- John RubinoRaleigh$13M
- Adam DevoreDurham$11.8M
- Krishnakumar UdayakumarDurham$11M
- Sylvia ShoffnerCary$7.1M
- Wayne HarperRaleigh$6.7M
- Joseph MoranStatesville$6.7M
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.