Jose Enrique San Miguel-Ruiz, M.D.
NPI 1144675505ActiveIndividual· Orthopaedic Surgery· Durham, NC
Orthopaedic Surgery (M.D.) in Durham, North Carolina, trained at University of Minnesota Medical School (class of 2016). 186 Medicare patients in 2024, $47,726 paid; all of their 803 Part D prescriptions were generic. Vertex Pharmaceuticals Incorporated was the largest of 3 companies reporting payments in 2025, $94.95 in all, mostly food and beverage.
Overview
| NPI | 1144675505 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | May 4, 2016 |
| Last updated in NPPES | Dec 20, 2021 |
| Certified by provider | Dec 20, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | 2021-02458 | NC |
| 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 - Orthopedic Surgery (NC); Practitioner - Orthopedic Surgery (VT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 186 |
|---|---|
| Services billed | 349 across 36 procedure codes |
| Paid by Medicare | $47,726 |
Part D prescriptions in 2024
| Prescriptions (claims) | 803 · 1,093 30-day fills |
|---|---|
| Patients | 269 |
| Total drug cost | $8,665 |
| Generic share | 100% of claims |
Education and affiliations
| Medical school | University of Minnesota Medical School |
|---|---|
| Graduation year | 2016 |
| Medicare specialty | Orthopedic Surgery |
Medical group
- Caldwell Memorial Hospital IncLenoir, NC · 218 clinicians
Hospital affiliations
- Caldwell Memorial HospitalLenoir, NC
- Watauga Medical CenterBoone, NC
Other facilities
- Centerwell Home HealthHome health agency · Hickory, NC
Industry payments (Open Payments)
- 2025$94.95 · 5 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Vertex Pharmaceuticals Incorporated | $61.10 | 3 |
| Smith+nephew, Inc. | $17.21 | 1 |
| Medtronic, Inc. | $16.64 | 1 |
What the 2025 payments were for
- Food and Beverage$94.95 · 5 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 87 orthopedic surgeons in Durham · All orthopedic surgeons in North Carolina