Carlos E. Giraldo Vanegas, MD
NPI 1194096248ActiveIndividual· Internal Medicine· Fremont, NE
Internal Medicine (MD) with Physicians Clinic Inc, practicing in Fremont, Nebraska. Their prescriptions cost Medicare Part D more than their services did: $199,990 for 961 claims, against $14,464 paid for services in 2024. Novo Nordisk Inc was the largest of 16 companies reporting payments in 2025, $534.69 in all, mostly food and beverage. Lists Methodist Fremont Health as a hospital affiliation.
Overview
| NPI | 1194096248 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jan 21, 2012 |
| Last updated in NPPES | Oct 21, 2024 |
| Certified by provider | Oct 21, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 28167 | NE |
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 - Internal Medicine (NE) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 98 |
|---|---|
| Services billed | 334 across 26 procedure codes |
| Paid by Medicare | $14,464 |
Part D prescriptions in 2024
| Prescriptions (claims) | 961 · 2,033 30-day fills |
|---|---|
| Patients | 205 |
| Total drug cost | $199,990 |
| Generic share | 78% of claims |
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Internal Medicine |
Medical group
- Physicians Clinic IncOmaha, NE · 561 clinicians
Hospital affiliation
- Methodist Fremont HealthFremont, NE
Other facilities
- Methodist Fremont Health Home CareHome health agency · Fremont, NE
- Dunklau GardensNursing home · Fremont, NE
Industry payments (Open Payments)
- 2025$534.69 · 30 payments from 16 companies
- 2024$158.59 · 8 payments from 8 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $100.87 | 6 |
| Viatris Specialty LLC | $70.66 | 3 |
| Lilly USA, LLC | $60.61 | 4 |
| Abbvie Inc. | $35.98 | 2 |
| Amgen Inc. | $34.52 | 2 |
What the 2025 payments were for
- Food and Beverage$534.69 · 30 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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