Medicare Enrolled

Dr. David Fernandez, MD

Orthopedic Surgery · Flint, MI
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
4466 W BRISTOL RD, Flint, MI 48507
8107331200
In practice since 2005 (20 years)
NPI: 1235110537 verify on NPPES ↗
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 →
Are you Dr. Fernandez? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Fernandez

Dr. David Fernandez is an orthopedic surgery specialist in Flint, MI, with 20 years of NPI registration. Based on federal Medicare data, Dr. Fernandez performed 139 Medicare services across 126 unique beneficiaries.

Between the years covered by Open Payments, Dr. Fernandez received a total of $11,696 from 34 pharmaceutical and/or device companies across 210 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. 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. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years in practice ▲ 139 Medicare services $11,696 industry payments

Medicare Practice Summary

Medicare Utilization ↗
139
Medicare services
Bottom 13% in MI for orthopedic surgery
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
126
Unique beneficiaries
$46
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~7 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 (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.
44 $55 $111
Pelvis X-ray, 1-2 views
An X-ray imaging test of the pelvic area using one to two different angles to visualize the bones and joints.
20 $20 $54
Office visit, established patient (10-19 min)
An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition.
17 $30 $64
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
15 $76 $151
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.
15 $67 $148
X-ray of lower and sacral spine, 2-3 views
An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area.
14 $30 $71
X-ray of lower and sacral spine, minimum of 4 views
An X-ray imaging test of the lower back and sacrum using at least four different angles to visualize the bones and joints.
14 $33 $91
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 ↗
$11,696
Total received (2018-2024)
Avg $1,671/year across 7 years
Top 25% in MI for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
34
Companies
210
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
$11,696 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$195
2023
$1,775
2022
$1,079
2021
$1,848
2020
$2,425
2019
$2,815
2018
$1,560

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Augmedics Inc.
$93
Nevro Corp.
$34
Boston Scientific Corporation
$33
Centinel Spine, LLC
$21
Theragen, Inc.
$15
Top 3 companies account for 81.7% of 2024 payments
All-time payments by company (2018-2024) ›
SEASPINE ORTHOPEDICS CORPORATION
$3,493
Stryker Corporation
$1,686
Zavation Medical Products, LLC
$1,412
ulrich medical USA, Inc.
$884
Aesculap Implant Systems, LLC
$725
Medtronic USA, Inc.
$473
DePuy Synthes Sales Inc.
$445
Boston Scientific Corporation
$332
Medtronic, Inc.
$324
Horizon Therapeutics plc
$223
Ethicon US, LLC
$189
Augmedics Inc.
$172
Mazor Robotics Inc.
$143
MML US, Inc.
$142
SI-BONE, Inc.
$139
Alphatec Spine, Inc
$115
SPINAL ELEMENTS, INC.
$101
Zimmer Biomet Holdings, Inc.
$98
Surgalign Spine Technologies, Inc.
$93
BOSTON SCIENTIFIC CORPORATION
$89
PARADIGM SPINE, LLC
$68
RTI Surgical, Inc.
$58
Arthrosurface Incorporated
$57
Nevro Corp.
$34
Innovasis Inc
$34
Amplify Surgical, Inc.
$26
7D Surgical Inc.
$24
MY01 Inc.
$22
Intrinsic Therapeutics
$22
Centinel Spine, LLC
$21
Providence Medical Technology, Inc.
$15
Theragen, Inc.
$15
SI-BONE, INC.
$14
Spine Wave, Inc.
$11
Top 3 companies account for 56.3% of all-time payments
Associated products mentioned in payments ›
10MM · ACTIVL · ACTIVL ARTIFICIAL DISC · ARCADIUS XP C · ARCADIUS XP L · ActaStim-S · Allograft · BARRICAID ACD (ANNULAR CLOSURE DEVICE) · BME NITINOL CONTINUOUS COMPRESSION IMPLANTS · Biologics · CESPACE XP · COFIX IMPLANT 10 MM · COFLEX INTERLAMINAR TECHNOLOGY · CRANIALMAP · DUEXIS · ENNOVATE · ENNOVATE SPINAL SYSTEM · EVEREST SPINAL SYSTEM · EXPEDIUM · EXTERNAL FIXATION · GENERAL PAIN MANAGEMENT · GENERAL - PAIN MANAGEMENT · GENERAL PAIN MANAGEMENT · General - Pain Management · HemiCAP Patella-Femoral XL · IFUSE IMPLANT · IM NAILS · INFINITY OCT System · INTELLIS · KYPHON Balloon Kyphoplasty · KYPHON EXPRESS II KYPHOPAK TRAY · MAKO · MODULIFT · MY01 Continuous Compartmental Pressure Monitor · MazorX - Renaissance · Medical Device · NA · NanoMetalene Technology · ORTHOLOC 3DI · OSTEOCOOL RF ABLATION · OsteoStrand Plus · PENNSAID · PRODISC C VIVO · Prineo 42 · RAYOS · ReActiv8 · S4 POSTERIOR CERVICAL SYSTEM · S4 SPINAL SYSTEM · S4 SRI (SPONDYLOLISTHESIS REDUCTION INSTRUMENT) · S4 SRI SPONDYLOLISTHESIS REDUCTION INSTRUMENT · SPECTRA WAVEWRITER · STRATAFIX · SURGICEL NU-KNIT · SURGIFLO Hemostatic Matrix · Senza · Spinal Implants · TFN ADVANCED · UNID_PASS · Ultra Vac · VARIAX · WaveWriter Alpha Prime 16 · Xvision · coflex · dualX · iFuse Implant · mymobility Platform
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.

Looking for an orthopedic surgery specialist in Flint?
Compare orthopedic surgeons in the Flint area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Orthopedic surgeons within 10 mi
63
Per 100K population
15.6
County median income
$60,673
Nearest hospital
HURLEY MEDICAL CENTER
2.2 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 reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Fernandez is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement, with 20 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Fernandez experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Fernandez performed 44 office visit, established patient (20-29 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 $11,696 from 34 companies across 210 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 orthopedic surgeons in Flint?
Dr. Fernandez's average Medicare payment per service is $46. 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 →
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. Data Coverage reflects 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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →