Hermes Hernandez, MD
Internal Medicine · Winston Salem, NCNPI 1063778058
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 384 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 16.7% — the pattern of someone who eats at a lot of different presentations. Among internal medicine clinicians in NC 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 384 payments — averaging $17.75 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pfizer$1K
- Johnson & Johnson$976
- Novartis$858
- AstraZeneca$629
- Boehringer Ingelheim$580
- Merck$542
- plus $2K from 20 others
What the payments were for
- Food & beverage$6,818100%
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 |
|---|---|---|
| Pfizer | 66 | $1,136 |
| Johnson & Johnson | 51 | $976 |
| Novartis | 54 | $858 |
| AstraZeneca(2 entities) | 42 | $629 |
| Boehringer Ingelheim | 30 | $580 |
| Merck | 32 | $542 |
| AbbVie(2 entities) | 23 | $496 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 14 | $292 |
| E.r. Squibb & Sons, L.L.C. | 16 | $258 |
| Otsuka America Pharmaceutical, Inc. | 12 | $208 |
| Gilead | 7 | $157 |
| Boston Scientific | 6 | $113 |
| Sunovion Pharmaceuticals Inc. | 7 | $112 |
| Paratek Pharmaceuticals, Inc. | 4 | $81 |
| SK Life Science, Inc. | 2 | $65 |
| Novo Nordisk | 3 | $54 |
| Electromed, Inc. | 3 | $44 |
| Melinta Therapeutics, LLC | 2 | $39 |
| Amgen | 2 | $29 |
| Shire North American Group Inc | 2 | $28 |
| Abbott | 1 | $25 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $24 |
| CMP Pharma, Inc. | 1 | $24 |
| Bayer | 1 | $21 |
| Philips North America LLC | 1 | $14 |
| Merz North 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.
- XARELTO$120
How this compares
$6,818 in reported general payments places this provider in the 90th 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 |
|---|---|---|
| Metoprolol Succinate | 19 | $343 |
| Pantoprazole Sodium | 17 | $221 |
| Oxycodone Hcl | 19 | $188 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 11 | $138 |
| Losartan Potassium | 16 | $131 |
| Furosemide | 20 | $91 |
| Ciprofloxacin Hcl | 11 | $51 |
| Prednisone | 17 | $44 |
| Levofloxacin | 11 | $24 |
Paid to pharmacies, not to this prescriber.
Other internal medicine in Winston Salem
- Jamy ArdWinston Salem$293K
- Katharine BattWinston Salem$153K
- Martin MurphyWinston Salem$42K
- John PhippsWinston Salem$32K
- Llewellyn MensahWinston Salem$28K
- Nirmish ShahDurham$862K
- Eugene WrightFayetteville$839K
- Saad UsmaniCharlotte$551K
- Bhakti PaulRaleigh$536K
- Mary KlotmanDurham$478K
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.