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Vivian Andrew Fonseca, MD

NPI 1346356037ActiveIndividual· Internal Medicine, Endocrinology, Diabetes & Metabolism· New Orleans, LA

Internal Medicine, Endocrinology, Diabetes & Metabolism (MD) with Administrators of the Tulane Educational Fund, practicing in New Orleans, Louisiana. Their prescriptions cost Medicare Part D more than their services did: $2,272,359 for 2,247 claims, against $6,898 paid for services in 2024. Lilly USA, LLC was the largest of 9 companies reporting payments in 2025, $81,430 in all, mostly speaking and faculty fees. Lists East Jefferson General Hospital and 1 other hospital as hospital affiliations.

Overview

NPI1346356037
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedAug 22, 2006
Last updated in NPPESJan 24, 2012

Specialties and licenses

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Emergency Medicine (LA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients57
Services billed135 across 13 procedure codes
Paid by Medicare$6,898

Part D prescriptions in 2024

Prescriptions (claims)2,247 · 4,742 30-day fills
Patients195
Total drug cost$2,272,359
Generic share46% of claims

Medicare sources and data years

Education and affiliations

Graduation year1976
Medicare specialtyEmergency Medicine

Medical group

Hospital affiliations

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$81,430 · 111 payments from 9 companies
  • 2024$79,771 · 95 payments from 11 companies

Top paying companies in 2025

What the 2025 payments were for

  • Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$41,588 · 12 payments
  • Consulting Fee$24,025 · 8 payments
  • Travel and Lodging$12,832 · 44 payments
  • Food and Beverage$2,985 · 47 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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