Fiona Esfandiari, MD
Obstetrics & Gynecology · Austin, TXNPI 1578906749
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $6,410 of the $10,526 with a category attached, or 60.9%. 42 manufacturers reported payments, led by Intuitive Surgical at 28.5% of the total. Reporting peaked in 2021 at $3,922 and has fallen 54.7% since, to $1,776 in 2025. Among obstetrics & gynecology clinicians in TX 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 337 payments — averaging $31.23 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$3K
- AbbVie$878
- Olympus Winter & Ibe GmbH$875
- Exeltis, USA Inc.$707
- Sumitomo Pharma America, Inc.$554
- Novo Nordisk$507
- plus $4K from 36 others
What the payments were for
- Consulting fees$1,05010%
- Food & beverage$6,41061%
- Education$3,06629%
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 |
|---|---|---|
| Intuitive Surgical | 1 | $3,000 |
| AbbVie(2 entities) | 46 | $878 |
| Olympus Winter & Ibe GmbH | 1 | $875 |
| Exeltis, USA Inc. | 37 | $707 |
| Sumitomo Pharma America, Inc. | 33 | $554 |
| Novo Nordisk | 22 | $507 |
| Pfizer | 16 | $435 |
| Therapeuticsmd, Inc. | 36 | $425 |
| Mayne Pharma Commercial LLC | 18 | $421 |
| Lupin Inc. | 15 | $304 |
| Evofem Biosciences, Inc. | 13 | $254 |
| Asensus Surgical, Inc. | 1 | $201 |
| Hologic Sales And Service, LLC | 7 | $186 |
| Avion Pharmaceuticals | 11 | $169 |
| Shield Therapeutics Inc | 5 | $146 |
| Astellas Pharma US Inc | 6 | $145 |
| Biogen | 7 | $131 |
| Organon | 6 | $129 |
| Myovant Sciences Inc. | 5 | $103 |
| Amgen | 6 | $92 |
| Axonics, Inc. | 1 | $80 |
| Lilly USA, LLC | 4 | $74 |
| Duchesnay USA Incorporated | 5 | $70 |
| Millicent US Inc | 4 | $69 |
| Coopersurgical, Inc. | 4 | $65 |
| Nevro Corp. | 2 | $58 |
| Merck | 3 | $54 |
| Vertical Pharmaceuticals, LLC | 3 | $50 |
| Agile Therapeutics, Inc. | 3 | $42 |
| Boston Scientific | 1 | $36 |
| Mylan Pharmaceuticals Inc. | 2 | $33 |
| Scynexis, Inc. | 1 | $30 |
| Aspira Women's Health Inc | 2 | $27 |
| Medtronic | 1 | $25 |
| Radius Health, Inc. | 1 | $25 |
| Exact Sciences | 1 | $24 |
| Roche Diagnostics Corporation | 1 | $23 |
| Ascend Therapeutics US, LLC | 2 | $23 |
| BD | 1 | $21 |
| Mission Pharmacal Company | 1 | $15 |
| AMAG Pharmaceuticals, Inc. | 1 | $12 |
| Minerva Surgical, Inc | 1 | $11 |
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.
- Da Vinci Surgical System$3,000
- ENDOEYE FLEX DEFLECTABLE VIDEOSCOPE$875
- Senhance Surgical Robotics System$201
- NURTEC ODT$150
- Slynd$120
- Wegovy$116
- Orilissa$110
- SOLOSEC$110
How this compares
$10,526 in reported general payments places this provider in the 90th percentile of 3,099 obstetrics & gynecology providers in Texas.
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 |
|---|---|---|
| Estradiol | 22 | $695 |
| ProgesteroneProgesterone, Micronized | 19 | $646 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in Austin
- Devin GarzaAustin$2M
- Shawn TassoneAustin$1.3M
- Renu ChalasaniAustin$156K
- Sharyl Brasher-GilesAustin$42K
- Dale StovallDallas$590K
- Karyn-Anne CumberbatchMissouri City$452K
- Robert AsgharianEl Paso$366K
- Catherine HansenWebster$357K
- Lisa JukesBee Cave$270K
- Susan CrockettLive Oak$269K
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.