Theodore P. Sgambati, M.D.
NPI 1053398602ActiveIndividual· Internal Medicine· Paramus, NJ
Internal Medicine (M.D.) in Paramus, New Jersey, licensed in NJ, with an NPI issued in December 2005. Their prescriptions cost Medicare Part D more than their services did: $619,234 for 8,842 claims, against $105,889 paid for services in 2024. Lilly USA, LLC was the largest of 9 companies reporting payments in 2024, $230.31 in all, mostly food and beverage.
Overview
| NPI | 1053398602 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Dec 26, 2005 |
| Last updated in NPPES | Mar 17, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | MA055600 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 524 |
|---|---|
| Services billed | 1,619 across 27 procedure codes |
| Paid by Medicare | $105,889 |
Part D prescriptions in 2024
| Prescriptions (claims) | 8,842 · 15,467 30-day fills |
|---|---|
| Patients | 832 |
| Total drug cost | $619,234 |
| Generic share | 89% of claims |
Industry payments (Open Payments)
- 2024$230.31 · 14 payments from 9 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $49.47 | 3 |
| Glaxosmithkline, LLC. | $46.79 | 3 |
| Novo Nordisk Inc | $28.98 | 2 |
| Exact Sciences Corporation | $28.56 | 1 |
| Otsuka America Pharmaceutical, Inc. | $17.00 | 1 |
What the 2024 payments were for
- Food and Beverage$230.31 · 14 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other internal medicine physicians in Paramus
- 1003203704
- 1013901511
- 1043273857
- 1093020513
- 1093057432
- 1194764126
- 1215906599
- 1235176462
- 1255404927
- 1376520940
- 1427097211
- 1437182581
All 75 internal medicine physicians in Paramus · All internal medicine physicians in New Jersey