Dr. Fernando E Silva , MD
Neurological Surgery โข Shenandoah, TX
17189 Interstate 45 S Ste 675
Shenandoah, TX 773853320
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Fernando Silva is listed in NPPES under Neurological Surgery.
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NPI assigned on July 18, 2006; this date does not establish years in practice.
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Published CMS data list 555 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99205 โ New patient outpatient office visit: 174 service units.
- 99214 โ Established patient outpatient office visit: 93 service units.
- 99213 โ Established patient outpatient office visit: 84 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 8 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 18 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) โ 18 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 70% of clinicians listed under Neurological Surgery in Texas (2024, 377 clinicians with data). Median for this group: 253. Middle half: 110 to 558.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 286 in 2020 to 555 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
17189 Interstate 45 S Ste 675
Shenandoah, TX 773853320
CMS Doctors and Clinicians lists 2 distinct group names: Houston Methodist Specialty Physicians; Tmh Physician Associates Pllc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
1994
What Public CMS Data Show
Neurological Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
308 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $79,778 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $60,377 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
18 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$156 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $3,646.70 across 35 records.
By nature of payment
- Travel and Lodging: $2,239.88 across 11 records.
- Food and Beverage: $1,406.82 across 24 records.
Reporting-company totals (3 largest of 6)
- Medtronic, Inc.: $2,883.74 across 25 records.
- SI-BONE, INC.: $286.14 across 3 records.
- Alphatec Spine, Inc: $185.33 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
32 years (graduated 1994)
CMS Doctors and Clinicians data list 1994 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Silva has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Silva as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Shenandoah and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 70% of clinicians listed under Neurological Surgery in Texas (2024, 377 clinicians with data). Median for this group: 253. Middle half: 110 to 558.
Too few clinicians listed under Neurological Surgery in Shenandoah have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 60% of clinicians listed under Neurological Surgery in Texas (2024, 377 clinicians with data). Median for this group: $49,359. Middle half: $14,821 to $116,053.
Too few clinicians listed under Neurological Surgery in Shenandoah have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 60% of clinicians listed under Neurological Surgery in Texas (2024, 377 clinicians with data). Median for this group: $38,942. Middle half: $11,262 to $91,042.
Too few clinicians listed under Neurological Surgery in Shenandoah have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Fewer Part D prescriptions than 85% of clinicians listed under Neurological Surgery in Texas (2024, 289 clinicians with data). Median for this group: 120. Middle half: 41 to 260.
Too few clinicians listed under Neurological Surgery in Shenandoah have Medicare Part D data for 2024 to compare.
Part D drug cost
A lower Part D drug cost than 85% of clinicians listed under Neurological Surgery in Texas (2024, 289 clinicians with data). Median for this group: $1,175. Middle half: $431 to $3,196.
Too few clinicians listed under Neurological Surgery in Shenandoah have Medicare Part D data for 2024 to compare.
9 active clinicians are listed under Neurological Surgery with a practice address in Shenandoah, TX (669 in Texas).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 94% from 286 in 2020 to 555 in 2024.
- 2020: 286
- 2021: 368
- 2022: 520
- 2023: 555
- 2024: 555
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Medicare-allowed amount
Medicare-allowed amount increased 163% from $30,302 in 2020 to $79,778 in 2024.
- 2020: $30,302
- 2021: $45,445
- 2022: $70,325
- 2023: $90,843
- 2024: $79,778
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Paid by Medicare
Paid by Medicare increased 166% from $22,736 in 2020 to $60,377 in 2024.
- 2020: $22,736
- 2021: $35,368
- 2022: $53,517
- 2023: $69,881
- 2024: $60,377
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 22% from 23 in 2016 to 18 in 2024.
- 2016: 23
- 2017: 24
- 2018: 14
- 2023: 13
- 2024: 18
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30-day fills
30-day fills decreased 33% from 27 in 2016 to 18 in 2024.
- 2016: 27
- 2017: 24
- 2018: 16
- 2023: 13
- 2024: 18
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Part D drug cost
Part D drug cost decreased 98% from $10,352 in 2016 to $156 in 2024.
- 2016: $10,352
- 2017: $5,657
- 2018: $126
- 2023: $98
- 2024: $156
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $786.09 in 2021 to $3,646.70 in 2025.
- 2021: $786.09
- 2022: $999.84
- 2023: $1,469.21
- 2024: $1,442.29
- 2025: $3,646.70
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 35 records totaling $3,646.70.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Medtronic, Inc. |
Travel and Lodging
In-kind items and services
|
KYPHON EXPRESS II KYPHOPAK TRAY | General | $769.96 |
| Medtronic, Inc. |
Travel and Lodging
In-kind items and services
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INTELLIS ADAPTIVESTIM | General | $638.63 |
| Medtronic, Inc. |
Travel and Lodging
In-kind items and services
|
KYPHON EXPRESS II KYPHOPAK TRAY | General | $219.00 |
| Medtronic, Inc. |
Travel and Lodging
In-kind items and services
|
KYPHON EXPRESS II KYPHOPAK TRAY | General | $219.00 |
| Medtronic, Inc. |
Travel and Lodging
In-kind items and services
|
INCEPTIV | General | $199.00 |
| Alphatec Spine, Inc |
Food and Beverage
In-kind items and services
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Other - Miscellaneous | General | $185.33 |
| SI-BONE, INC. |
Food and Beverage
Cash or cash equivalent
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โ | General | $173.98 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
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EXCELSIUS GPS | General | $147.35 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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KYPHON EXPRESS II KYPHOPAK TRAY | General | $137.89 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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OSTEOCOOL RF ABLATION SYSTEM | General | $128.56 |
| SI-BONE, INC. |
Food and Beverage
Cash or cash equivalent
|
โ | General | $80.24 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
KYPHON EXPRESS II KYPHOPAK TRAY | General | $63.93 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
KYPHON EXPRESS II KYPHOPAK TRAY | General | $63.80 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
KYPHON EXPRESS II KYPHOPAK TRAY | General | $56.32 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
KYPHON EXPRESS II KYPHOPAK TRAY | General | $45.32 |
| Medtronic, Inc. |
Travel and Lodging
In-kind items and services
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KYPHON EXPRESS II KYPHOPAK TRAY | General | $35.07 |
| Medtronic, Inc. |
Travel and Lodging
In-kind items and services
|
INTELLIS ADAPTIVESTIM | General | $35.07 |
| Medtronic, Inc. |
Travel and Lodging
In-kind items and services
|
KYPHON EXPRESS II KYPHOPAK TRAY | General | $35.07 |
| Medtronic, Inc. |
Travel and Lodging
In-kind items and services
|
KYPHON EXPRESS II KYPHOPAK TRAY | General | $35.07 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
QULIPTA | General | $34.71 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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QULIPTA | General | $33.47 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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General - Pain Management | General | $32.19 |
| SI-BONE, INC. |
Food and Beverage
Cash or cash equivalent
|
โ | General | $31.92 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
INCEPTIV | General | $31.60 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
INCEPTIV | General | $27.70 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99205
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
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174 | 174 | $600.00 | $206.95 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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93 | 78 | $314.00 | $121.60 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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84 | 55 | $212.00 | $86.67 |
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99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
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69 | 36 | $211.00 | $74.99 |
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99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
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43 | 41 | $588.00 | $162.19 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
42 | 39 | $421.00 | $172.40 |
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99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
|
34 | 32 | $302.00 | $110.61 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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16 | 16 | $382.00 | $126.84 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 18 | 107 | $156.07 | 17 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-08-29NUCC Taxonomy Code: 207T00000X
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NEUROSURGERY
I20180322002206
CA
6507889649
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Houston Methodist Specialty Physicians
16811 Southwest Fwy, Sugar Land, TX 774794728
Phone: 2816904678
Tmh Physician Associates Pllc
16605 Southwest Fwy 400 Mob3, Sugar Land, TX 774793500
Phone: 2812750800
Tmh Physician Associates Pllc
7575 San Felipe St, Houston, TX 770631777
Phone: 7132669955
Tmh Physician Associates Pllc
16605 Sw Fwy 410, Sugar Land, TX 774793500
Phone: 2812740148
Tmh Physician Associates Pllc
16605 Southwest Fwy, Sugar Land, TX 774793500
Phone: 2812750800
Tmh Physician Associates Pllc
17189 I 45 S, Shenandoah, TX 773853320
Phone: 9362703662
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Psychiatry & Neurology - Neurology
Doctor of Medicine (M.D.)
Psychiatry & Neurology - Neurology
Doctor of Medicine (M.D.)
Psychiatry & Neurology - Neurology
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant
Clinical Neuropsychologist
Doctor of Philosophy (Ph.D.)
Psychiatry & Neurology - Vascular Neurology
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 17189 INTERSTATE 45 S STE 675, SHENANDOAH, TX 773853320 (Tel: 9362703905)
Registered at 17189 INTERSTATE 45 S STE 675, SHENANDOAH, TX 773853320 (Tel: 9362703905)
Neurological Surgery (license number reported to NPPES: TX M3737)
NPI status registered as active in NPPES database
Registered at 4921 PARKVIEW PL, STE 6A/6B/12A, SAINT LOUIS, MO 631101032 (Tel: 3147472500)
Registered at 660 S EUCLID AVE, C B 8233, SAINT LOUIS, MO 631101010 (Tel: 3147472500)
Recorded as FERNANDO SILVA, MD
Orthopaedic Surgery (license number reported to NPPES: MO 2004030804)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Neurological Surgery Specialists in Shenandoah
- Dr. Sebastian Herrera, MD
- Dr. Geoffrey Zubay, MD
- Dr. Norman Torres, MD
- Dr. George Al Shamy, MD
- Dr. Saman Javedan, MD
- Dr. Sabih Effendi, MD
Mailing Address
17189 Interstate 45 S Ste 675
Shenandoah, TX 773853320
Phone: 9362703905