Rafael Sierra, MD
Surgery · Coral Springs, FLNPI 1518142413
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $10,020 of the $11,899 with a category attached, or 84.2%. Ethicon Endo-surgery Inc. accounts for 84.2% of it on its own, with 4 other manufacturers making up the rest. Reporting peaked in 2023 at $10,032 and has fallen 97.4% since, to $257 in 2024.
Across 39 payments — averaging $305.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Ethicon Endo-surgery Inc.$10K
- Intuitive Surgical$2K
- Medical Device Business Services, Inc.$118
- Smith+Nephew$43
- Johnson & Johnson$12
What the payments were for
- Consulting fees$10,02084%
- Travel & lodging$8827%
- Food & beverage$8197%
- Gifts$1781%
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 |
|---|---|---|
| Ethicon Endo-surgery Inc. | 1 | $10,020 |
| Intuitive Surgical | 33 | $1,706 |
| Medical Device Business Services, Inc. | 1 | $118 |
| Smith+Nephew | 3 | $43 |
| Johnson & Johnson | 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.
- STRATAFIX$10,020
- DERMABOND PRINEO$10,020
- MONOCRYL$10,020
- Da Vinci Surgical System$1,121
- EVICEL Fibrin Sealant (Human)$118
How this compares
$11,899 in reported general payments places this provider in the 75th percentile of 1,569 surgery providers in Florida.
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 19 | $81 |
Paid to pharmacies, not to this prescriber.
Other surgery in Coral Springs
- Jorge FlorinWinter Garden$2.2M
- Amit TaggarTampa$1.4M
- Keith KimCelebration$1.1M
- Richard DiciccoTampa$964K
- Elizabeth DovecLakeland$870K
- Christopher DucoinTampa$808K
- Andre TeixeiraOcala$731K
- Jose ErbellaBradenton$718K
- Anthony GonzalezMiami$686K
- Natan ZundelNorth Miami Beach$596K
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.