Carol Rouphael, M.D.
NPI 1063807204ActiveIndividual· Internal Medicine, Gastroenterology· Cleveland, OH
Internal Medicine, Gastroenterology (M.D.) with Cleveland Clinic, practicing in Cleveland, Ohio. 157 Medicare patients in 2024, $23,723 paid; nearly all of their 169 Part D prescriptions were generic (91%). Abbvie Inc. reported $18.24 in payments in 2025, mostly food and beverage. Lists Cleveland Clinic as a hospital affiliation.
Overview
| NPI | 1063807204 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Apr 4, 2015 |
| Last updated in NPPES | Jul 2, 2021 |
| Certified by provider | Jul 2, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | 35.142394 | OH |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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 - Gastroenterology (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 157 |
|---|---|
| Services billed | 315 across 24 procedure codes |
| Paid by Medicare | $23,723 |
Part D prescriptions in 2024
| Prescriptions (claims) | 169 · 266 30-day fills |
|---|---|
| Patients | 81 |
| Total drug cost | $12,550 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Gastroenterology |
| Telehealth | Offers telehealth |
Medical group
- Cleveland ClinicCleveland, OH · 7,090 clinicians
Hospital affiliation
- Cleveland ClinicCleveland, OH
Industry payments (Open Payments)
- 2025$18.24 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $18.24 | 1 |
What the 2025 payments were for
- Food and Beverage$18.24 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other gastroenterologists in Cleveland
- 1003908047
- 1013379395
- 1033172879
- 1033805981
- 1043673486
- 1053399063
- 1073959078
- 1083658934
- 1104087865
- 1114915337
- 1134140577
- 1134390032
All 133 gastroenterologists in Cleveland · All gastroenterologists in Ohio