Marian Couto, M.D.
NPI 1013166586ActiveIndividual· Internal Medicine, Cardiovascular Disease· Ponce, PR
Internal Medicine, Cardiovascular Disease (M.D.) in Ponce, Puerto Rico, trained at Ponce School of Medicine (class of 2008). Their prescriptions cost Medicare Part D more than their services did: $768,925 for 3,683 claims, against $7,208 paid for services in 2024. Boehringer Ingelheim Pharmaceuticals, Inc. was the largest of 7 companies reporting payments in 2025, $554.68 in all, mostly food and beverage.
Overview
| NPI | 1013166586 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Sep 9, 2008 |
| Last updated in NPPES | Jun 18, 2023 |
| Certified by provider | Jun 18, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | 18268 | 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 - Cardiovascular Disease (Cardiology) (PR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 45 |
|---|---|
| Services billed | 103 across 8 procedure codes |
| Paid by Medicare | $7,208 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,683 · 6,421 30-day fills |
|---|---|
| Patients | 515 |
| Total drug cost | $768,925 |
| Generic share | 80% of claims |
Education and affiliations
| Medical school | Ponce School of Medicine |
|---|---|
| Graduation year | 2008 |
| Medicare specialty | Cardiovascular Disease (Cardiology) |
| Secondary specialties | Internal Medicine |
Medical group
- Innovative CardiologyPonce, PR · 2 clinicians
Industry payments (Open Payments)
- 2025$554.68 · 25 payments from 7 companies
- 2024$498.10 · 23 payments from 9 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $248.82 | 8 |
| Bayer Puerto Rico Inc. | $86.38 | 3 |
| Amgen Inc. | $57.78 | 3 |
| Scpharmaceuticals Inc. | $53.16 | 2 |
| Pbg Puerto Rico LLC | $42.18 | 2 |
What the 2025 payments were for
- Food and Beverage$554.68 · 25 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Internal Medicine, Cardiovascular Disease providers in Ponce
- 1205825346
- 1265393367
- 1881521995
- 1164488904
- 1841137544
- 1013325372
- 1750074589
- 1386351112
- 1467771998
- 1811858814
- 1659744068
- 1114030913
All Internal Medicine, Cardiovascular Disease providers in Puerto Rico →