Francisco X Tamayo, MD

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

• Baptist Health - Fort Smith Hospital · Fort Smith, AR · listed as Select Specialty Hospital - Fort Smith Inc
• Mercy Hospital Fort Smith Hospital · Fort Smith, AR
• Mercy Hospital Waldron Hospital · Waldron, AR

Colleagues at Mercy Clinic Fort Smith Communities

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 350 clinicians in the practice; 12 are shown here.

• Mr. Robert Calynn Cluck, APRN Family Nurse Practitioner · Fort Smith, AR
• Kelsey Ann Cole, DNP Registered Nurse · Fort Smith, AR
• Christopher Brian Cross, MD Gastroenterology Physician · Fort Smith, AR
• Dr. Kevin Allen Davis, MD Pediatrics Physician · Fort Smith, AR
• Misty Roshel Gonzalez, MD Family Medicine Physician · Van Buren, AR
• Mrs. Gayla Denise Johnson, FNP Family Nurse Practitioner · Fort Smith, AR
• Shelly Johnson, APRN Family Nurse Practitioner · Fort Smith, AR
• Thomas Stephen Leitzsch, DO Emergency Medicine Physician · Fort Smith, AR
• Valentina Nastasi, APRN Family Nurse Practitioner · Fort Smith, AR
• Dr. Thinh Duc Nguyen, MD Family Medicine Physician · Fort Smith, AR
• Mr. Timothy Ray Olive, ARNP Adult Health Nurse Practitioner · Poteau, OK
• Dr. Derrick L Richardson, MD Gastroenterology Physician · Fort Smith, AR

Other providers in Fort Smith

• Dr. Daphne Karen Macbruce, MD

  Individual Pulmonary Disease Physician · NPI 1780966937

  2713 S 74th St Ste 301, Fort Smith, AR 72903-5155 · (479) 314-4620

• Arturo A Meade, MD

  Individual Pulmonary Disease Physician · NPI 1639166556

  1001 Towson Ave, Fort Smith, AR 72901-4921 · (479) 709-7402

• Muhammad Qasim Salar Mir, MD

  Individual Pulmonary Disease Physician · NPI 1538460951

  2713 S 74th St Ste 301, Fort Smith, AR 72903-5155 · (479) 314-4620

• Dr. Monali Hanmant Patil, MD

  Individual Pulmonary Disease Physician · NPI 1952620544

  7301 Rogers Ave, Fort Smith, AR 72903-4100 · (479) 314-6030

• Dr. Sarikun Tjandra, MD

  Individual Pulmonary Disease Physician · NPI 1891704227

  7001 Rogers Ave Ste 200, Fort Smith, AR 72903-4022 · (479) 314-4600

• Blaine Michael Winterton, DO

  Individual Pulmonary Disease Physician · NPI 1154983237

  2713 S 74th St Ste 301, Fort Smith, AR 72903-5155 · (479) 314-4620