Medicare Enrolled

Dr. Fernando Silva, MD

Neurological Surgery · Shenandoah, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
17189 INTERSTATE 45 S STE 675, Shenandoah, TX 77385
9362703905
Registered in NPPES since 2006
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 →
Are you Dr. Silva? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Silva

Dr. Fernando Silva is a neurological surgery specialist in Shenandoah, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Silva performed 555 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Silva received a total of $14,994 from 43 pharmaceutical and/or device companies across 149 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. 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. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years of NPI registration ▲ Top 26% volume in TX $14,994 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
555
Medicare services
Top 26% in TX for neurological surgery
Not available
Unique patients (not deduplicated)
$126
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

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)
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.
84 $65 $212
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.
83 $90 $314
Hospital follow-up visit, moderate complexity
Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service.
70 $59 $211
Initial hospital admission, high complexity
Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter.
54 $129 $588
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.
38 $130 $421
Spinal stabilization device placement
Surgical procedure to stabilize a fractured vertebra in the lower spine by inserting a supportive device.
21 $360 $2,630
Hospital follow-up visit, high complexity
Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter.
18 $90 $302
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.
15 $78 $483
Spinal fracture stabilization with imaging guidance
A procedure to stabilize a broken bone in the middle spine by placing a device, using imaging guidance during the treatment.
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. These counts do not measure clinical quality or years of experience.

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
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
43
Companies
149
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

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)

Medtronic, Inc.
$389
ABBVIE INC.
$160
Cerapedics Inc.
$136
Orthofix Medical, Inc.
$132
LifeNet Health
$127
AstraZeneca Pharmaceuticals LP
$75
UCB, Inc.
$71
DePuy Synthes Sales Inc.
$31
Amgen Inc.
$30
Takeda Pharmaceuticals U.S.A., Inc.
$24
Novartis Pharmaceuticals Corporation
$20
Abbott Laboratories
$20
Nevro Corp.
$17
EMD Serono, Inc.
$16
Top 3 companies account for 54.9% of 2024 payments
All-time payments by company (2018-2024) ›
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 all-time 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? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
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 in nearby ZIP areas
31
County median income
$97,266
Nearest hospital to ZIP centroid (approximate)
HOUSTON METHODIST THE WOODLANDS HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included 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. Silva is a clinical cardiology specialist, with above-average Medicare volume (top 26% in TX), 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. 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. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Silva receive payments from pharmaceutical companies?
Yes. Dr. Silva received a total of $14,994 from 43 companies across 149 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →