Medicare Enrolled
Dr. Carmen Fernandez, D.O
Family Medicine · Fort Myers, FL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Fernandez from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Fernandez
Dr. Carmen Fernandez is a family medicine specialist in Fort Myers, FL, with 11 years of NPI registration. Based on federal Medicare data, Dr. Fernandez performed 2,962 Medicare services across 2,519 unique beneficiaries.
Between the years covered by Open Payments, Dr. Fernandez received a total of $8,859 from 35 pharmaceutical and/or device companies across 577 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Fernandez is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 11 years in practice
▲ Top 11% volume in FL
$8,859 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,962
Medicare services
Top 11% in FL for family medicine
2,519
Unique beneficiaries
$38
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~269 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
495 | $81 | $264 |
| Annual alcohol misuse screening, 5 to 15 minutes | 215 | $18 | $38 |
| Annual depression screening | 190 | $18 | $38 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
189 | $8 | $17 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
178 | $129 | $267 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
150 | $10 | $21 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
150 | $16 | $34 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
145 | $13 | $27 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
145 | $8 | $16 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
120 | $9 | $18 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
108 | $9 | $19 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
91 | $2 | $4 |
| Cardiac enzyme level (CK-MB) test A blood test that measures the total level of creatine kinase, specifically the cardiac enzyme fraction, to help evaluate heart muscle damage. |
79 | $6 | $13 |
| Total T3 thyroid hormone test A blood test that measures the total amount of triiodothyronine (T3) hormone in your body. T3 is a thyroid hormone that helps regulate metabolism and energy levels. |
77 | $14 | $28 |
| Urine microalbumin test (kidney screening) A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage. |
55 | $6 | $12 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
55 | $5 | $10 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
48 | $3 | $6 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
47 | $91 | $347 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
39 | $19 | $39 |
| Urine culture, bacterial colony count A laboratory test that measures the number of bacteria growing in a urine sample to help identify infections. |
36 | $8 | $16 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
31 | $70 | $146 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
31 | $32 | $64 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
26 | $10 | $31 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
23 | $32 | $64 |
| Pneumococcal conjugate vaccine (PCV15) An intramuscular injection of the 15-valent pneumococcal conjugate vaccine. This vaccine protects against 15 types of pneumococcal bacteria. |
20 | $241 | $492 |
| Smoking cessation counseling, 4-10 minutes A brief counseling session focused on helping patients quit smoking and tobacco use. The provider spends 4 to 10 minutes discussing strategies and support for cessation. |
20 | $15 | $31 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
19 | $29 | $59 |
| Annual intensive behavioral therapy for cardiovascular disease, 15 minutes A yearly, in-person session focused on intensive behavioral therapy to help manage cardiovascular disease. The session lasts for 15 minutes and is conducted with the patient individually. |
19 | $27 | $54 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
17 | $83 | $172 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
15 | $131 | $371 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
15 | $157 | $343 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
15 | $168 | $342 |
| Routine 12-lead ECG screening A standard 12-lead electrocardiogram performed as part of an initial preventive physical examination. The service includes both the performance of the test and the physician's interpretation and report. |
14 | $7 | $30 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
13 | $15 | $30 |
| Folic acid level test A blood test that measures the amount of folic acid in the serum. |
13 | $14 | $29 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
13 | $62 | $187 |
| PSA test (prostate cancer screening) | 12 | $18 | $37 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
12 | $209 | $569 |
| Bacterial culture, aerobic A laboratory test that grows and identifies bacteria capable of surviving in oxygen. The results help determine the presence of specific aerobic microorganisms. |
11 | $8 | $16 |
| Antibiotic sensitivity test A laboratory test that determines which antibiotics, antifungals, or antivirals are effective against a specific microorganism using microdilution or agar dilution methods. |
11 | $8 | $17 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$8,859
Total received (2018-2024)
Avg $1,266/year across 7 years
Top 6% in FL for family medicine
35
Companies
577
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$8,859 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$899
2023
$1,072
2022
$1,054
2021
$1,821
2020
$1,281
2019
$1,199
2018
$1,533
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
GlaxoSmithKline, LLC.
$1,587
Merck Sharp & Dohme Corporation
$766
Amarin Pharma Inc.
$729
Janssen Pharmaceuticals, Inc
$652
AstraZeneca Pharmaceuticals LP
$641
Novo Nordisk Inc
$431
Novartis Pharmaceuticals Corporation
$383
Merck Sharp & Dohme LLC
$378
Lilly USA, LLC
$366
Kowa Pharmaceuticals America, Inc.
$346
Astellas Pharma US Inc
$325
ABBVIE INC.
$262
PFIZER INC.
$244
Takeda Pharmaceuticals U.S.A., Inc.
$234
Boehringer Ingelheim Pharmaceuticals, Inc.
$232
Amgen Inc.
$231
Antares Pharma, Inc.
$229
Exact Sciences Corporation
$128
AbbVie Inc.
$126
SANOFI-AVENTIS U.S. LLC
$125
IDORSIA PHARMACEUTICALS US INC
$88
Almatica Pharma LLC
$50
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$47
Dexcom, Inc.
$39
E.R. Squibb & Sons, L.L.C.
$36
Teva Pharmaceuticals USA, Inc.
$30
Eisai Inc.
$24
Abbott Laboratories
$21
MannKind Corporation
$19
Supernus Pharmaceuticals, Inc.
$18
Nestle HealthCare Nutrition Inc.
$16
Sunovion Pharmaceuticals Inc.
$14
Daiichi Sankyo Inc.
$14
SANOFI PASTEUR INC.
$14
Corcept Therapeutics
$11
Top 3 companies account for 34.8% of total payments
Associated products mentioned in payments ›
AFREZZA · AIRSUPRA · AJOVY · ANORO · ANORO ELLIPTA · AREXVY · Aimovig · BASAGLAR · BELSOMRA · BREO · BREZTRI · BREZTRI AEROSPHERE · CHANTIX · Cologuard Collection Kit · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · FARXIGA · FASENRA · FLUBLOK QUADRIVALENT · FREESTYLE LIBRE 2 · GARDASIL · GARDASIL 9 · GRALISE · INJECTAFER · INVOKANA · JANUVIA · JARDIANCE · Korlym · LEQVIO · LIVALO · LOREEV XR · Livalo · MOUNJARO · MYRBETRIQ · Myrbetriq · NOCDURNA · OTREXUP · Otrexup · Ozempic · PNEUMOVAX 23 · PREMARIN · PREVNAR 20 · Prolia · QULIPTA · QUVIVIQ · RYBELSUS · SEGLENTIS · SHINGRIX · SIVEXTRO · SOLIQUA · SPIRIVA RESPIMAT · STEGLATRO · STEGLUJAN · STIOLTO RESPIMAT · SYMBICORT · Seglentis · TLANDO · TOUJEO · TOVIAZ · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · Tresiba · Trintellix · UBRELVY · Utibron · VESICARE · VRAYLAR · Vascepa · Victoza · XARELTO · XIFAXAN · XYOSTED · ZENPEP
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 6% for family medicine in FL.
Equivalent to $299 per 100 Medicare services performed
Geographic Context
Family medicine physicians within 10 mi
351
Per 100K population
44.3
County median income
$73,099
Nearest hospital
LEE MEMORIAL HOSPITAL
8.0 mi
8.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Fernandez is a clinical cardiology specialist, with above-average Medicare volume (top 11% in FL), with low-engagement industry engagement in the top 6% of FL peers.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Fernandez experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Fernandez performed 495 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Fernandez receive payments from pharmaceutical companies?
Yes. Dr. Fernandez received a total of $8,859 from 35 companies across 577 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Fernandez's costs compare to other family medicine physicians in Fort Myers?
Dr. Fernandez's average Medicare payment per service is $38. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Fernandez) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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