Medicare Enrolled

Dr. Fernando Silva, MD

Neurological Surgery · Shenandoah, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
17189 INTERSTATE 45 S STE 675, Shenandoah, TX 77385
9362703905
In practice since 2006 (19 years)
NPI: 1194744763 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. Silva 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. Silva

Dr. Fernando Silva is a neurological surgery specialist in Shenandoah, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Silva performed 555 Medicare services across 488 unique beneficiaries.

Between the years covered by Open Payments, Dr. Silva received a total of $14,994 from 43 pharmaceutical and/or device companies across 149 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in neurological 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. Silva 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.

✓ 19 years in practice ▲ Top 25% volume in TX $14,994 industry payments

Medicare Practice Summary

Medicare Utilization ↗
555
Medicare services
Top 25% in TX for neurological surgery
488
Unique beneficiaries
$126
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~29 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
New patient office visit, complex (60-74 min) 161 $165 $600
Office visit, established patient (20-29 min) 84 $65 $212
Office visit, established patient (30-39 min) 83 $90 $314
Hospital follow-up visit, moderate complexity 70 $59 $211
Initial hospital admission, high complexity 54 $129 $588
Office visit, established patient, complex (40-54 min) 38 $130 $421
Treatment of broken lower spine bone with placement of stabilizing device 21 $360 $2,630
Hospital follow-up visit, high complexity 18 $90 $302
New patient office visit (45-59 min) 15 $78 $483
Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance 11 $362 $2,823
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 ↗
$14,994
Total received (2018-2024)
Avg $2,142/year across 7 years
Top 25% in TX for neurological surgery
43
Companies
149
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
$14,994 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,248
2023
$1,469
2022
$1,000
2021
$786
2020
$3,485
2019
$3,988
2018
$3,017

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Globus Medical, Inc.
$7,460
Medtronic USA, Inc.
$2,151
Medtronic, Inc.
$1,257
SEASPINE ORTHOPEDICS CORPORATION
$332
ABBVIE INC.
$300
AstraZeneca Pharmaceuticals LP
$263
Providence Medical Technology, Inc.
$256
Alphatec Spine, Inc
$235
PROVIDENCE MEDICAL TECHNOLOGY, INC.
$200
AbbVie Inc.
$188
GRT US Holding, Inc.
$175
SI-BONE, INC.
$168
Stryker Corporation
$165
SI-BONE, Inc.
$162
Cerapedics Inc.
$150
Orthofix Medical, Inc.
$132
LifeNet Health
$127
Kuros Biosciences USA, Inc
$124
Zimmer Biomet Holdings, Inc.
$115
Nevro Corp.
$92
FIDIA PHARMA USA INC.
$88
Spineology Inc.
$86
Ethicon US, LLC
$75
UCB, Inc.
$71
KARL STORZ Endoscopy-America
$61
Innovation Technologies Inc
$56
Surgalign Spine Technologies, Inc.
$54
NuVasive, Inc.
$50
DePuy Synthes Sales Inc.
$49
Novartis Pharmaceuticals Corporation
$42
Abbott Laboratories
$42
GlaxoSmithKline, LLC.
$38
Bioventus LLC
$34
Amgen Inc.
$30
Alexion Pharmaceuticals, Inc.
$27
Takeda Pharmaceuticals U.S.A., Inc.
$24
Centinel Spine, LLC
$21
Arteriocyte Medical Systems, Inc.
$20
Misonix Inc
$18
EMD Serono, Inc.
$16
Wenzel Spine, Inc.
$16
Boston Scientific Corporation
$13
ARBOR PHARMACEUTICALS, INC.
$12
Top 3 companies account for 72.5% of total payments
Associated products mentioned in payments ›
12.5MM X 50MM · 7D Surgical System · ADHERUS AUTOSPRAY DURAL SEALANT · ALTERA · ANDEXXA · AQUAMANTYS · Allograft VMIS Delivery System · BENLYSTA · BOTOX · Biomet SpinalPak · BoneScalpel · Bonescalpel · CAVUX Cervical Cage · CD HORIZON · CREO · CREO MIS · ELLIPSE · ELSA ATP · Elite Expandable Interbody System · Excelsius - GPS · Excelsius Robotics System · FORTIFY · Fintepla · GENERAL PAIN MANAGEMENT · Gliadel · HYQVIA · Hymovis · I-FACTOR PEPTIDE ENHANCED BONE GRAFT · INFINITY · Irrisept · KESIMPTA · KYPHON EXPRESS II KYPHOPAK TRAY · MAZOR X SYSTEM · MIDAS REX · Magellan · Meridian · NA · O-ARM-Spine · OPTIMESH EXPANDABLE INTERBODY FUSION SYSTEM · OSTEOCOOL RF ABLATION SYSTEM · Omnia · PRODISC L · QUARTEX · QULIPTA · Qutenza · RELINE · Repatha · Rystiggo · SHILLA · SIMMETRY IMPLANT · SPINEJACK · SURGIFLO Hemostatic Matrix Family of Products · Senza · Senza Spinal Cord Stimulation System · TRITANIUM · Tibial Nail · UBRELVY · ULTOMIRIS · UNID_PASS · VIPER · VariLift-LX · iFuse Implant
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.

Equivalent to $2,702 per 100 Medicare services performed
Looking for a neurological surgery specialist in Shenandoah?
Compare neurological surgerists in the Shenandoah area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Neurological surgerists within 10 mi
31
Per 100K population
4.7
County median income
$97,266
Nearest hospital
HOUSTON METHODIST THE WOODLANDS HOSPITAL
0.0 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. Silva is a clinical cardiology specialist, with above-average Medicare volume (top 25% in TX), with low-engagement industry engagement, with 19 years of NPI registration.

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. Silva experienced with new patient office visit, complex (60-74 min)?
Based on Medicare claims data, Dr. Silva performed 161 new patient office visit, complex (60-74 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. Silva receive payments from pharmaceutical companies?
Yes. Dr. Silva received a total of $14,994 from 43 companies across 149 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. Silva's costs compare to other neurological surgerists in Shenandoah?
Dr. Silva's average Medicare payment per service is $126. 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. Silva) 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. 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.

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 →