Juliana Navarro
Family Medicine · Silver Spring, MDNPI 1134877517
Payments from drug & device makers
Across 253 payments — averaging $19.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lilly USA, LLC$762
- AbbVie$493
- Pfizer$441
- Novo Nordisk$431
- AstraZeneca$392
- Bayer$375
- plus $2K from 25 others
What the payments were for
- Food & beverage$4,920100%
- Education$200%
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 |
|---|---|---|
| Lilly USA, LLC | 42 | $762 |
| AbbVie | 29 | $493 |
| Pfizer | 22 | $441 |
| Novo Nordisk | 23 | $431 |
| AstraZeneca | 15 | $392 |
| Bayer | 15 | $375 |
| Boehringer Ingelheim | 13 | $271 |
| Amgen | 17 | $258 |
| Johnson & Johnson | 7 | $213 |
| Novartis | 12 | $198 |
| Astellas Pharma US Inc | 6 | $165 |
| GSK | 9 | $160 |
| Sanofi-aventis U.S. LLC | 6 | $121 |
| Lundbeck LLC | 5 | $82 |
| Amarin Pharma, Inc. | 4 | $66 |
| Exact Sciences | 4 | $64 |
| Axsome Therapeutics, Inc. | 3 | $57 |
| Esperion Therapeutics, Inc. | 3 | $52 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 2 | $43 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $39 |
| Sumitomo Pharma America, Inc. | 2 | $34 |
| Merck | 2 | $34 |
| Phadia US Inc. | 2 | $31 |
| Neurocrine Biosciences, Inc. | 1 | $25 |
| Corcept Therapeutics | 1 | $24 |
| Actelion Pharmaceuticals US, Inc. | 1 | $24 |
| Medtronic | 1 | $20 |
| E.r. Squibb & Sons, L.L.C. | 1 | $17 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $17 |
| Seqirus USA Inc | 1 | $15 |
| Phathom Pharmaceuticals, Inc. | 1 | $15 |
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
$4,940 in reported general payments places this provider in the 85th percentile of 1,193 family medicine providers in Maryland.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| JardianceEmpagliflozin | 16 | $14,804 |
| Atorvastatin Calcium | 78 | $1,132 |
| Rosuvastatin Calcium | 26 | $941 |
| Levothyroxine Sodium | 41 | $936 |
| ValacyclovirValacyclovir Hcl | 11 | $840 |
| Valsartan-HydrochlorothiazideValsartan/Hydrochlorothiazide | 14 | $697 |
| Olmesartan Medoxomil | 22 | $523 |
| Losartan Potassium | 45 | $446 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 21 | $425 |
| Amlodipine Besylate | 50 | $319 |
| Gabapentin | 31 | $316 |
| Pantoprazole Sodium | 27 | $301 |
| Metformin Hcl | 32 | $269 |
| Hydrochlorothiazide | 49 | $251 |
| Metoprolol Succinate | 11 | $232 |
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 |
|---|---|---|
| Boehringer IngelheimJardiance | $271 | $14,80416 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 1,193 family medicine providers in Maryland.
Other family medicine in Silver Spring
- Cynthia KleppingerSilver Spring$51K
- Jean WelshSilver Spring$26K
- Stephen OngOxon Hill$5.9M
- Stephan BartWoodstock$1.7M
- Karen DonaldsonBaltimore$899K
- Rajiv DuaColumbia$765K
- Greg TampusLutherville Timonium$735K
- Louis JacquesBaltimore$522K
- Stephanie MellerOxon Hill$518K
- Sharon ChungGlen Burnie$333K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.