Leon Bernal-Mizrachi, MD
Hematology & Oncology · Winston Salem, NCNPI 1942336920
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $54,302 of the $61,714 with a category attached, or 88.0%. 10 manufacturers reported payments, led by E.r. Squibb & Sons, L.L.C. at 46.2% of the total. 2025 is the largest year on record at $21,035, more than ten times the $1,377 reported in 2019. Among hematology & oncology 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 58 payments — averaging $1064.04 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- E.r. Squibb & Sons, L.L.C.$29K
- Takeda Pharmaceuticals U.S.A., Inc.$23K
- Janssen Scientific Affairs, LLC$6K
- Bristol Myers Squibb$2K
- Sanofi$2K
- Johnson & Johnson$201
- plus $512 from 4 others
Across 89 payments — averaging $20,238 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Takeda Pharmaceuticals U.S.A., Inc.$1.6M
- Janssen Research & Development, LLC$207K
- E.r. Squibb & Sons, L.L.C.$25K
What the payments were for
- Consulting fees$54,30288%
- Grants$1,8803%
- Travel & lodging$3,8406%
- Food & beverage$1,3932%
- Education$3000%
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 |
|---|---|---|
| E.r. Squibb & Sons, L.L.C. | 17 | $28,513 |
| Takeda Pharmaceuticals U.S.A., Inc. | 9 | $22,749 |
| Janssen Scientific Affairs, LLC | 6 | $5,855 |
| Bristol Myers Squibb | 17 | $2,005 |
| Sanofi | 1 | $1,880 |
| Johnson & Johnson | 3 | $201 |
| Secura Bio, Inc. | 1 | $200 |
| Astellas Pharma US Inc | 2 | $200 |
| Seagen Inc. | 1 | $100 |
| Genentech USA, Inc. | 1 | $12 |
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
$61,714 in reported general payments places this provider in the 90th percentile of 358 hematology & oncology 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 |
|---|---|---|
| RevlimidLenalidomide | 64 | $1,045,323 |
| Lenalidomide | 69 | $843,833 |
| PomalystPomalidomide | 25 | $592,883 |
| ImbruvicaIbrutinib | 17 | $185,523 |
| NinlaroIxazomib Citrate | 14 | $139,667 |
| EliquisApixaban | 13 | $8,922 |
| Dexamethasone | 73 | $925 |
| Acyclovir | 90 | $800 |
| ValacyclovirValacyclovir Hcl | 37 | $638 |
| Oxycodone Hcl | 35 | $426 |
| Prochlorperazine Maleate | 33 | $332 |
| Gabapentin | 29 | $323 |
| Duloxetine Hcl | 19 | $264 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 27 | $250 |
| Pregabalin | 12 | $113 |
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 |
|---|---|---|
| Bristol Myers SquibbRevlimid | $2,005 | $1,045,32364 claims |
| E.r. Squibb & Sons, L.L.C.Pomalyst | $28,513 | $592,88325 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Ninlaro | $22,749 | $139,66714 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 90th percentile of 358 hematology & oncology providers in North Carolina.
Other hematology & oncology in Winston Salem
- Angela AlistarWinston Salem$509K
- Ravi PaluriWinston Salem$314K
- Caio Max Rocha LimaWinston Salem$110K
- Timothy PardeeWinston Salem$68K
- Matthew WieduwiltWinston Salem$36K
- John McKayWinston Salem$22K
- Amit MehtaCary$4.3M
- Michael MorseDurham$2.6M
- Shelbi AtrashCharlotte$994K
- Phillip FebboDurham$749K
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.