Cross-source identity
National Provider Identifier 1104891407 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 1104891407 | Registry identity — psychiatrist, taxonomy 2084P0800X | Source:CMS NPPESSnapshot 2026-05-06 |
| CMS Open Payments | NPI 1104891407 | 464 industry-payment records, 2024 | Source:CMS Open PaymentsSnapshot PY2024 |
| CMS Medicare Part D | NPI 1104891407 | 76 drugs prescribed, 2024 | Source:CMS Part DSnapshot DY2024 |
| Fonteum entity graph | entity 6363bf13… | Canonical resolved node · 4 identifier(s) · 4 edge(s) | Source:Entity graphSnapshot 2026-06-11 |
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 |
|---|---|---|
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $210,116 | 84 |
| Consulting Fee | $70,178 | 25 |
| Travel and Lodging | $45,818 | 107 |
| Food and Beverage | $11,553 | 239 |
| Honoraria |
| Manufacturer | Amount | Records |
|---|---|---|
| Alkermes, Inc. | $85,740 | 76 |
| Abbvie Inc. | $62,430 | 49 |
| Axsome Therapeutics, Inc. | $62,051 |
Prescribing
Prescriptions written under Medicare Part D, aggregated by drug across the program. Totals reflect claims paid, not patients treated.
| Drug | Claims | Drug cost |
|---|---|---|
| Lybalvi(Olanzapine/Samidorphan Malate) | 164 | $259,346 |
| Vraylar(Cariprazine Hcl) | 107 | $156,257 |
| Aplenzin(Bupropion Hbr) | 38 | $125,938 |
| Abilify Maintena(Aripiprazole) | 19 | $51,167 |
| Auvelity(Dextromethorphan Hbr/Bupropion) | 50 | $49,751 |
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.
Ownership & affiliations
One-hop relationships in the resolved entity graph — chain membership, ownership, and operation edges, each backed by a federal source row. Most individual clinicians carry none; edges populate for owners and organizations as the Lane D backfill runs.
| Relationship | Entity | Source |
|---|---|---|
| ← pays | Janssen Pharmaceuticals, Inc (NJ) | cms_open_payments |
| ← pays | Corium, Llc (MA) | cms_open_payments |
| ← pays | E.R. Squibb & Sons, L.L.C. (NJ) | cms_open_payments |
| ← pays | Biogen, Inc. (MA) | cms_open_payments |
| 1 |
| 56 |
| Supernus Pharmaceuticals, Inc. | $35,480 | 50 |
| Otsuka America Pharmaceutical, Inc. | $33,812 | 46 |