Paul Jerome Palafox Custodio, M.D.
NPI 1093997280ActiveIndividual· Internal Medicine, Endocrinology, Diabetes & Metabolism· New Kensington, PA
Internal Medicine, Endocrinology, Diabetes & Metabolism (M.D.) with Einstein Practice Plan Inc and 2 other groups, practicing in New Kensington, Pennsylvania. Their prescriptions cost Medicare Part D more than their services did: $89,943 for 193 claims, against $5,823 paid for services in 2024. Lists Jefferson Einstein Montgomery Hospital and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1093997280 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Nov 29, 2007 |
| Last updated in NPPES | Oct 8, 2020 |
| Certified by provider | Oct 8, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Endocrinology, Diabetes & Metabolism Primary | 207RE0101X | MD456308 | PA |
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 - Endocrinology (NY); Practitioner - Endocrinology (OH); Practitioner - Endocrinology (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 46 |
|---|---|
| Services billed | 87 across 8 procedure codes |
| Paid by Medicare | $5,823 |
Part D prescriptions in 2024
| Prescriptions (claims) | 193 · 410 30-day fills |
|---|---|
| Patients | 103 |
| Total drug cost | $89,943 |
| Generic share | 37% of claims |
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Endocrinology |
| Telehealth | Offers telehealth |
Medical groups
- Einstein Practice Plan IncElkins Park, PA · 794 clinicians
- Summa Physicians LLCAkron, OH · 671 clinicians
- Susquehanna Physician ServicesWilliamsport, PA · 612 clinicians
Hospital affiliations
- Jefferson Einstein Montgomery HospitalEast Norriton, PA
- Summa Health SystemAkron, OH
- Upmc MuncyMuncy, PA
- Upmc WilliamsportWilliamsport, PA
- Wellspan Evangelical Community HospitalLewisburg, PA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other endocrinologists in New Kensington
- 1194016808
- 1417536889