Toribio Mercedes Encarnacion, MD
NPI 1003407172ActiveIndividual· General Practice· Inverness, FL
General Practice (MD) with Access Health Care Physicians LLC, practicing in Inverness, Florida. Their prescriptions cost Medicare Part D more than their services did: $516,103 for 4,230 claims, against $3,232 paid for services in 2024. Glaxosmithkline, LLC. was the largest of 10 companies reporting payments in 2025, $394.29 in all, mostly food and beverage.
Overview
| NPI | 1003407172 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Feb 1, 2021 |
| Last updated in NPPES | Oct 26, 2026 |
| Certified by provider | Oct 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | ACN1377 | FL |
| General Practice | 208D00000X | 022175 | PR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Practice (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 26 |
|---|---|
| Services billed | 74 across 16 procedure codes |
| Paid by Medicare | $3,232 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,230 · 10,053 30-day fills |
|---|---|
| Patients | 663 |
| Total drug cost | $516,103 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | General Practice |
Medical group
- Access Health Care Physicians LLCInverness, FL · 181 clinicians
Industry payments (Open Payments)
- 2025$394.29 · 24 payments from 10 companies
- 2024$154.56 · 9 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Glaxosmithkline, LLC. | $142.05 | 10 |
| Pfizer Inc. | $52.60 | 3 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $46.64 | 3 |
| Sumitomo Pharma America, Inc. | $31.85 | 2 |
| Dexcom, Inc. | $29.87 | 1 |
What the 2025 payments were for
- Food and Beverage$394.29 · 24 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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