Paul Elsbernd, MD
Neurology · Fort Sam Houston, TXNPI 1992164719
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $8,448 of the $11,890 with a category attached, or 71.0%. EMD Serono, Inc. accounts for 96.0% of it on its own, with 4 other manufacturers making up the rest. Reporting peaked in 2023 at $9,672 and has fallen 94.4% since, to $546 in 2025.
Across 54 payments — averaging $220.18 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- EMD Serono, Inc.$11K
- TG Therapeutics, Inc.$203
- AstraZeneca$150
- Amgen$78
- Bristol Myers Squibb$51
What the payments were for
- Consulting fees$8,44871%
- Speaking & faculty fees$1501%
- Travel & lodging$2932%
- Food & beverage$2,43620%
- Education$5635%
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 |
|---|---|---|
| EMD Serono, Inc. | 45 | $11,409 |
| TG Therapeutics, Inc. | 4 | $203 |
| AstraZeneca | 1 | $150 |
| Amgen | 2 | $78 |
| Bristol Myers Squibb | 2 | $51 |
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.
- Evobrutinib$8,448
- Mavenclad$397
- SOLIRIS$150
- BRIUMVI$116
How this compares
$11,890 in reported general payments places this provider in the 75th percentile of 1,246 neurology 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.
Other neurology in Fort Sam Houston
- Ann BassSan Antonio$1.7M
- William OndoHouston$1.4M
- Nirav PavasiaDallas$1.4M
- Mirla AvilaLubbock$1.3M
- Michael SoileauGeorgetown$1.2M
- Pankaj SatijaHouston$1.1M
- Annette HowardHouston$826K
- Benjamin GreenbergDallas$773K
- Annette OkaiPlano$730K
- Waleed El-FekyDallas$587K
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.