Alberto Pinzon Ardila, MD
NPI 1154643120ActiveIndividual· Psychiatry & Neurology, Epilepsy· Miami, FL
Psychiatry & Neurology, Epilepsy (MD) with Saint Lukes Physician Group Inc and 1 other group, practicing in Miami, Florida. Their prescriptions cost Medicare Part D more than their services did: $2,078,668 for 2,602 claims, against $169,829 paid for services in 2024. Ucb, Inc. was the largest of 36 companies reporting payments in 2025, $20,494 in all, mostly speaking and faculty fees. Lists Baptist Hospital of Miami and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1154643120 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Feb 18, 2010 |
| Last updated in NPPES | Dec 5, 2025 |
| Certified by provider | Dec 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Epilepsy Primary | 2084E0001X | ME104275 | FL |
| Psychiatry & Neurology, Neurology | 2084N0400X | ME104275 | FL |
| Psychiatry & Neurology, Epilepsy | 2084E0001X | 2025049644 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Endocrinology (FL); Practitioner - Epileptologists (KS); Practitioner - Epileptologists (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 423 |
|---|---|
| Services billed | 4,603 across 34 procedure codes |
| Paid by Medicare | $169,829 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,602 · 4,128 30-day fills |
|---|---|
| Patients | 252 |
| Total drug cost | $2,078,668 |
| Generic share | 79% of claims |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Epileptologists |
| Secondary specialties | Neurology |
| Telehealth | Offers telehealth |
Medical groups
- Saint Lukes Physician Group IncOverland Park, KS · 1,237 clinicians
- Neuroscience Consultants LLPDelray Beach, FL · 115 clinicians
Hospital affiliations
- Baptist Hospital of MiamiMiami, FL
- Fishermen's Community HospitalMarathon, FL
- Homestead HospitalHomestead, FL
- St Lukes Hospital of Kansas CityKansas City, MO
- West Kendall Baptist HospitalMiami, FL
Industry payments (Open Payments)
- 2025$20,494 · 210 payments from 36 companies
- 2024$25,263 · 258 payments from 40 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Ucb, Inc. | $12,292 | 30 |
| Ucb Sa | $2,689 | 1 |
| Jazz Pharmaceuticals Inc. | $1,396 | 44 |
| Abbvie Inc. | $898.28 | 36 |
| Livanova USA, Inc. | $702.49 | 5 |
What the 2025 payments were for
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$11,000 · 5 payments
- Food and Beverage$6,252 · 200 payments
- Consulting Fee$2,689 · 1 payment
- Travel and Lodging$552.79 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Psychiatry & Neurology, Epilepsy providers in Miami
- 1265630735
- 1407173974
- 1487093654
- 1992292072
- 1407238421
- 1225532104