Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

JOSS FERNANDEZ

Allopathic & Osteopathic Physicians Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI
1235173642
CMS profile
11089
Location
COLUMBIA, MO

General Payments · PY2018–2024

$95,486.43

  • Reported across 401 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$11,455.59

62 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Education $9,114.74 7
Food and Beverage $1,463.79 52
Travel and Lodging $877.06 3

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
INTUITIVE SURGICAL, INC. $10,115.72 12
Endologix LLC $471.85 3
Medtronic, Inc. $209.15 11
Amgen Inc. $195.17 16
Edwards Lifesciences Corporation $156.84 8
Merck Sharp & Dohme Corporation $121.41 2
ATRICURE, INC. $58.26 1
CVRx Inc. $27.10 1
BAXTER HEALTHCARE $24.42 1
Cook Medical LLC $21.12 4
Bolton Medical Inc $19.02 1
Getinge USA Sales, LLC $18.85 1
MEDELA LLC $16.68 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $4,617.91 70
PY2019 $4,660.50 63
PY2020 $4,506.82 18
PY2021 $6,065.45 19
PY2022 $39,252.63 76
PY2023 $24,927.53 93
PY2024 $11,455.59 62

Payment records · PY2024 (62)

Sorted by paying entity, then date · as published by CMS

Program year 2024 201820192020202120222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Amgen Inc. $8.04 01/10/2024 Food and Beverage Undisputed 01/23/2026 1111574140 CMS
Amgen Inc. $10.00 01/24/2024 Food and Beverage Undisputed 01/23/2026 1111574142 CMS
Amgen Inc. $21.97 01/31/2024 Food and Beverage Undisputed 01/23/2026 1111574144 CMS
Amgen Inc. $5.90 02/05/2024 Food and Beverage Undisputed 01/23/2026 1111574146 CMS
Amgen Inc. $6.53 02/19/2024 Food and Beverage Undisputed 01/23/2026 1111574148 CMS
Amgen Inc. $17.96 03/14/2024 Food and Beverage Undisputed 01/23/2026 1111574150 CMS
Amgen Inc. $21.80 04/25/2024 Food and Beverage Undisputed 01/23/2026 1111574152 CMS
Amgen Inc. $17.33 05/20/2024 Food and Beverage Undisputed 01/23/2026 1111574154 CMS
Amgen Inc. $5.03 05/29/2024 Food and Beverage Undisputed 01/23/2026 1111574156 CMS
Amgen Inc. $8.11 07/15/2024 Food and Beverage Undisputed 01/23/2026 1111574158 CMS
Amgen Inc. $15.34 07/22/2024 Food and Beverage Undisputed 01/23/2026 1111574160 CMS
Amgen Inc. $17.33 07/30/2024 Food and Beverage Undisputed 01/23/2026 1111574162 CMS
Amgen Inc. $18.38 10/17/2024 Food and Beverage Undisputed 01/23/2026 1111574164 CMS
Amgen Inc. $6.99 10/21/2024 Food and Beverage Undisputed 01/23/2026 1111574166 CMS
Amgen Inc. $8.32 11/13/2024 Food and Beverage Undisputed 01/23/2026 1111574168 CMS
Amgen Inc. $6.14 12/18/2024 Food and Beverage Undisputed 01/23/2026 1111574170 CMS
ATRICURE, INC. $58.26 04/23/2024 Food and Beverage Undisputed 01/23/2026 1132869588 CMS
Baxter Healthcare $24.42 07/30/2024 Food and Beverage Undisputed 01/23/2026 1120636398 CMS
Bolton Medical Inc $19.02 08/30/2024 Food and Beverage Undisputed 01/23/2026 1150741884 CMS
Cook Medical LLC $3.52 01/17/2024 Food and Beverage Undisputed 01/23/2026 1118326424 CMS
Cook Medical LLC $6.76 01/18/2024 Food and Beverage Undisputed 01/23/2026 1118326426 CMS
Cook Medical LLC $5.15 04/19/2024 Food and Beverage Undisputed 01/23/2026 1118338511 CMS
Cook Medical LLC $5.69 05/08/2024 Food and Beverage Undisputed 01/23/2026 1118344427 CMS
CVRx, Inc. $27.10 01/02/2024 Food and Beverage Undisputed 01/23/2026 1128561096 CMS
Edwards Lifesciences Corporation $23.93 01/16/2024 Food and Beverage Undisputed 01/23/2026 1138806151 CMS
Edwards Lifesciences Corporation $19.20 05/03/2024 Food and Beverage Undisputed 01/23/2026 1138806205 CMS
Edwards Lifesciences Corporation $9.94 07/17/2024 Food and Beverage Undisputed 01/23/2026 1138806215 CMS
Edwards Lifesciences Corporation $22.34 09/12/2024 Food and Beverage Undisputed 01/23/2026 1138806223 CMS
Edwards Lifesciences Corporation $15.75 09/27/2024 Food and Beverage Undisputed 01/23/2026 1138806231 CMS
Edwards Lifesciences Corporation $29.60 10/25/2024 Food and Beverage Undisputed 01/23/2026 1138806243 CMS
Edwards Lifesciences Corporation $9.60 12/12/2024 Food and Beverage Undisputed 01/23/2026 1138806265 CMS
Edwards Lifesciences Corporation $26.48 12/20/2024 Food and Beverage Undisputed 01/23/2026 1138806261 CMS
Endologix LLC $128.73 02/08/2024 Food and Beverage Undisputed 01/23/2026 1116757345 CMS
Endologix LLC $147.28 03/08/2024 Food and Beverage Undisputed 01/23/2026 1116757365 CMS
Endologix LLC $195.84 07/11/2024 Food and Beverage Undisputed 01/23/2026 1116757405 CMS
Getinge USA Sales, LLC $18.85 10/10/2024 Food and Beverage Undisputed 01/23/2026 1150252192 CMS
INTUITIVE SURGICAL, INC. $208.10 01/10/2024 Travel and Lodging Undisputed 01/23/2026 1137174284 CMS
INTUITIVE SURGICAL, INC. $121.94 01/10/2024 Food and Beverage Undisputed 01/23/2026 1137226100 CMS
INTUITIVE SURGICAL, INC. $3,000.00 02/02/2024 Education Undisputed 01/23/2026 1137291437 CMS
INTUITIVE SURGICAL, INC. $106.35 02/14/2024 Education Undisputed 01/23/2026 1137082917 CMS
INTUITIVE SURGICAL, INC. $8.39 02/14/2024 Education Undisputed 01/23/2026 1137200138 CMS
INTUITIVE SURGICAL, INC. $1,500.00 02/16/2024 Education Undisputed 01/23/2026 1137170317 CMS
INTUITIVE SURGICAL, INC. $1.98 03/05/2024 Food and Beverage Undisputed 01/23/2026 1137103349 CMS
INTUITIVE SURGICAL, INC. $649.96 03/13/2024 Travel and Lodging Undisputed 01/23/2026 1137104627 CMS
INTUITIVE SURGICAL, INC. $19.00 03/13/2024 Travel and Lodging Undisputed 01/23/2026 1137242128 CMS
INTUITIVE SURGICAL, INC. $1,500.00 09/06/2024 Education Undisputed 01/23/2026 1137231828 CMS
INTUITIVE SURGICAL, INC. $1,500.00 11/01/2024 Education Undisputed 01/23/2026 1137171036 CMS
INTUITIVE SURGICAL, INC. $1,500.00 11/22/2024 Education Undisputed 01/23/2026 1137107772 CMS
MEDELA LLC $16.68 05/10/2024 Food and Beverage Undisputed 01/23/2026 1128526951 CMS
Medtronic, Inc. $23.52 01/19/2024 Food and Beverage Undisputed 01/23/2026 1117120981 CMS
Medtronic, Inc. $28.22 03/01/2024 Food and Beverage Undisputed 01/23/2026 1117120983 CMS
Medtronic, Inc. $22.32 03/21/2024 Food and Beverage Undisputed 01/23/2026 1117120985 CMS
Medtronic, Inc. $24.02 04/19/2024 Food and Beverage Undisputed 01/23/2026 1117120987 CMS
Medtronic, Inc. $18.58 06/05/2024 Food and Beverage Undisputed 01/23/2026 1117120989 CMS
Medtronic, Inc. $12.74 07/26/2024 Food and Beverage Undisputed 01/23/2026 1117120991 CMS
Medtronic, Inc. $23.69 07/26/2024 Food and Beverage Undisputed 01/23/2026 1117120993 CMS
Medtronic, Inc. $6.15 09/06/2024 Food and Beverage Undisputed 01/23/2026 1117120995 CMS
Medtronic, Inc. $16.51 10/16/2024 Food and Beverage Undisputed 01/23/2026 1117120997 CMS
Medtronic, Inc. $20.25 10/31/2024 Food and Beverage Undisputed 01/23/2026 1117120999 CMS
Medtronic, Inc. $13.15 12/12/2024 Food and Beverage Undisputed 01/23/2026 1117121001 CMS
Merck Sharp & Dohme LLC $15.44 06/11/2024 Food and Beverage Undisputed 01/23/2026 1141728784 CMS
Merck Sharp & Dohme LLC $105.97 10/24/2024 Food and Beverage Undisputed 01/23/2026 1141882278 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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