Sandra Vazquez Diaz
Pediatric Endocrinology · Toledo, OHNPI 1194110023
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 157 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 27 manufacturers, the largest accounting for just 12.2% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $1,011, more than ten times the $79 reported in 2021.
Across 157 payments — averaging $20.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$392
- Tandem Diabetes Care, Inc.$348
- Dexcom, Inc.$301
- Tolmar, Inc.$283
- Pfizer$283
- Ascendis Pharma Endocrinology Inc$264
- plus $1K from 21 others
What the payments were for
- Food & beverage$3,210100%
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 |
|---|---|---|
| Novo Nordisk | 17 | $392 |
| Tandem Diabetes Care, Inc. | 21 | $348 |
| Dexcom, Inc. | 15 | $301 |
| Tolmar, Inc. | 17 | $283 |
| Pfizer | 19 | $283 |
| Ascendis Pharma Endocrinology Inc | 13 | $264 |
| AbbVie | 9 | $197 |
| Sanofi-aventis U.S. LLC | 3 | $121 |
| AstraZeneca | 4 | $110 |
| Neurocrine Biosciences, Inc. | 3 | $91 |
| Biomarin Pharmaceutical Inc. | 4 | $91 |
| Eton Pharmaceuticals, Inc. | 2 | $78 |
| Tolmar Pharmaceuticals, Inc. | 4 | $74 |
| Insulet Corporation | 2 | $66 |
| Sequel Med Tech, LLC | 3 | $62 |
| BETA Bionics, Inc. | 3 | $61 |
| Kyowa Kirin, Inc. | 3 | $60 |
| Rhythm Pharmaceuticals, Inc. | 3 | $58 |
| Endo Pharmaceuticals Inc. | 3 | $53 |
| Mannkind Corporation | 1 | $50 |
| Antares Pharma, Inc. | 2 | $39 |
| Boehringer Ingelheim | 1 | $34 |
| Ipsen Biopharmaceuticals, Inc | 1 | $25 |
| Zealand Pharma US, Inc. | 1 | $21 |
| RGH Enterprises LLC | 1 | $18 |
| Amneal Pharmaceuticals LLC | 1 | $15 |
| Medtronic | 1 | $14 |
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
$3,210 in reported general payments places this provider in the 70th percentile of 76 pediatric endocrinology providers in Ohio.
Other pediatric endocrinology in Toledo
- Parul PatelToledo$3K
- Loyal CoshwayToledo$3K
- Lindsey RauchToledo$1K
- Gamal MashaliToledo$607
- Philippe BackeljauwCincinnati$632K
- Andrew DauberCincinnati$192K
- Nana Hawa Yayah JonesCincinnati$92K
- Jennifer DyerColumbus$71K
- Sarah MacleishCleveland$19K
- Bradley VansickleAkron$19K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.