Theodore R. Dacosta, DO
NPI 1114420155ActiveIndividual· Internal Medicine, Gastroenterology· West Orange, NJ
Internal Medicine, Gastroenterology (DO) in West Orange, New Jersey, licensed in NJ, with an NPI issued in March 2018. Part D covered 60 prescriptions written in 2024, 92% of them generic. Novo Nordisk Inc was the largest of 5 companies reporting payments in 2025, $114.36 in all, mostly food and beverage.
Overview
| NPI | 1114420155 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Mar 15, 2018 |
| Last updated in NPPES | May 30, 2024 |
| Certified by provider | May 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | 25MB12193600 | NJ |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | 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 - Gastroenterology (NJ) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 60 · 85 30-day fills |
|---|---|
| Patients | 39 |
| Total drug cost | $2,209 |
| Generic share | 92% of claims |
Industry payments (Open Payments)
- 2025$114.36 · 6 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $49.52 | 2 |
| Glaxosmithkline, LLC. | $19.11 | 1 |
| Madrigal Pharmaceuticals | $16.71 | 1 |
| Aimmune Therapeutics, Inc. | $15.12 | 1 |
| Braintree Laboratories, Inc. | $13.90 | 1 |
What the 2025 payments were for
- Food and Beverage$114.36 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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