Cross-source identity
National Provider Identifier 1104828508 as it appears in every federal dataset Fonteum holds. Each row is a distinct public source; the chip carries the source and the snapshot date behind that field — the record-level form of the source-provenanced graph.
| Federal source | Key | What it provides | Provenance |
|---|
| CMS NPPES | NPI 1104828508 | Registry identity — dermatologist, taxonomy 207NS0135X | Source:CMS NPPESSnapshot 2026-05-06 |
| CMS Open Payments | NPI 1104828508 | 121 industry-payment records, 2024 | Source:CMS Open PaymentsSnapshot PY2024 |
| CMS Medicare Part D | NPI 1104828508 | 15 drugs prescribed, 2024 | Source:CMS Part DSnapshot DY2024 |
Industry payments
Payments and transfers of value this clinician received from drug and device manufacturers, disclosed under the Physician Payments Sunshine Act. A payment is a disclosure, not a judgment.
| Nature of payment | Amount | Records |
|---|---|---|
| Food and Beverage | $2,316 | 120 |
| Education | $100 | 1 |
| Manufacturer | Amount | Records |
|---|---|---|
| Abbvie Inc. | $719 | 42 |
| Pfizer Inc. | $425 | 21 |
| Leo Pharma Inc. | $332 |
Prescribing
Prescriptions written under Medicare Part D, aggregated by drug across the program. Totals reflect claims paid, not patients treated.
| Drug | Claims | Drug cost |
|---|---|---|
| Cosentyx Unoready Pen(Secukinumab) | 13 | $164,253 |
| Clobetasol Propionate | 56 | $2,264 |
| Calcipotriene | 20 | $1,360 |
| Dutasteride | 22 | $957 |
| Triamcinolone Acetonide | 67 | $954 |
Beneficiary counts below 11 are suppressed by CMS — the total shown is a lower bound.
Quality
CMS Quality Payment Program Merit-based Incentive Payment System (MIPS) final score, where this clinician participated. Absence of a score is not a quality signal — many clinicians report through a group or are exempt.
Enrollment & sanctions
Screening aid — re-confirm any match against the issuing list before acting. A clean result means no record was found in the federal OIG LEIE or the state Medicaid lists Fonteum currently holds (NY, OH, GA), not a guarantee that none exists elsewhere. Not a legal or credentialing certification.
| 18 |
| Janssen Biotech, Inc. | $279 | 10 |
| Ortho Dermatologics, A Division Of Bausch Health Us, Llc | $273 | 12 |