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

ADOLFO Z FERNANDEZ

Allopathic & Osteopathic Physicians Surgery

NPI
1457336513
CMS profile
490277
Location
WINSTON SALEM, NC

General Payments · PY2018–2024

$27,296.62

  • Reported across 47 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$2,265.92

13 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
Food and Beverage $1,276.18 9
Travel and Lodging $981.00 3
Gift $8.74 1

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
INTUITIVE SURGICAL, INC. $1,699.11 8
Medtronic, Inc. $415.84 4
Enterra Medical, Inc. $150.97 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $193.48 4
PY2019 $9,801.77 2
PY2020 $18.60 3
PY2021 $8,361.48 11
PY2022 $6,572.63 13
PY2023 $82.74 1
PY2024 $2,265.92 13

Payment records · PY2024 (13)

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
Enterra Medical, Inc. $150.97 06/11/2024 Food and Beverage Undisputed 01/23/2026 1154811082 CMS
INTUITIVE SURGICAL, INC. $866.16 02/22/2024 Travel and Lodging Undisputed 01/23/2026 1137111694 CMS
INTUITIVE SURGICAL, INC. $19.00 02/22/2024 Travel and Lodging Undisputed 01/23/2026 1137241682 CMS
INTUITIVE SURGICAL, INC. $396.88 04/11/2024 Food and Beverage Undisputed 01/23/2026 1137160601 CMS
INTUITIVE SURGICAL, INC. $8.74 04/11/2024 Gift Undisputed 01/23/2026 1137176339 CMS
INTUITIVE SURGICAL, INC. $85.02 05/07/2024 Food and Beverage Undisputed 01/23/2026 1137109252 CMS
INTUITIVE SURGICAL, INC. $44.69 06/12/2024 Food and Beverage Undisputed 01/23/2026 1137284963 CMS
INTUITIVE SURGICAL, INC. $182.78 07/10/2024 Food and Beverage Undisputed 01/23/2026 1137119706 CMS
INTUITIVE SURGICAL, INC. $95.84 07/10/2024 Travel and Lodging Undisputed 01/23/2026 1137213095 CMS
Medtronic, Inc. $105.40 02/28/2024 Food and Beverage Undisputed 01/23/2026 1119325531 CMS
Medtronic, Inc. $20.94 08/24/2024 Food and Beverage Undisputed 01/23/2026 1119325535 CMS
Medtronic, Inc. $95.07 08/24/2024 Food and Beverage Undisputed 01/23/2026 1119325537 CMS
Medtronic, Inc. $194.43 09/13/2024 Food and Beverage Undisputed 01/23/2026 1119325533 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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