Rui Fernandes
Oral & Maxillofacial Surgery · Jacksonville, FLNPI 1861467078
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (43.8%), royalties or licence payments and consulting fees — rather than concentrated in one kind of arrangement. 10 manufacturers reported payments, led by Zimmer Biomet at 50.3% of the total. Reporting peaked in 2022 at $43,506 and has fallen 99.2% since, to $358 in 2025. Among oral & maxillofacial surgery clinicians in FL with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 101 payments — averaging $1055.87 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Zimmer Biomet$54K
- Kls-martin L.p.$48K
- Synthes GmbH$3K
- Inspire Medical Systems, Inc.$1K
- Axogen$515
- Stryker$179
- plus $226 from 4 others
What the payments were for
- Royalty or licence$39,15037%
- Consulting fees$13,11512%
- Speaking & faculty fees$4,8425%
- Travel & lodging$46,70844%
- Food & beverage$2,8283%
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 |
|---|---|---|
| Zimmer Biomet | 46 | $53,656 |
| Kls-martin L.p. | 33 | $47,769 |
| Synthes GmbH | 5 | $3,200 |
| Inspire Medical Systems, Inc. | 2 | $1,098 |
| Axogen | 9 | $515 |
| Stryker | 2 | $179 |
| Aroa Biosurgery Incorporated | 1 | $151 |
| Southern Implants North America Inc | 1 | $32 |
| Cardinal Health 414 LLC | 1 | $31 |
| Medtronic | 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.
- WalterLorenz Surgical Assist Arm$28,323
- Walter$12,439
- Traumaone$7,740
- CMF & Thoracic-None$2,473
- TMJ Replacement System$1,290
- Inspire Upper Airway Stimulation System$1,098
- CMF & Thoracic Product Portfolio$999
- AVANCE NERVE GRAFT$236
How this compares
$106,643 in reported general payments places this provider in the 95th percentile of 498 oral & maxillofacial 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 135 | $861 |
| Amoxicillin | 126 | $349 |
| Clindamycin Hcl | 14 | $141 |
| Chlorhexidine Gluconate | 31 | $103 |
| Gabapentin | 16 | $102 |
| Oxycodone Hcl | 13 | $59 |
Paid to pharmacies, not to this prescriber.
Other oral & maxillofacial surgery in Jacksonville
- Marina Morante SilvaJacksonville$27K
- Tirbod FattahiJacksonville$9K
- Andrew SkigenJacksonville$8K
- Stacey NedrudJacksonville$5K
- Michael PikosPalm Harbor$3M
- Ramon RuizOrlando$846K
- Curtis SchalitDaytona Beach$333K
- Tyler HolleyOrlando$55K
- Shaun YoungNew Port Richey$46K
- Eduardo NicolaievskyMiami Beach$45K
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.