Jose Gerardo Vergara, M.D.
NPI 1194796920ActiveIndividual· Family Medicine· Elizabethtown, NC
Family Medicine (M.D.) with Bladen Healthcare LLC, practicing in Elizabethtown, North Carolina. Their prescriptions cost Medicare Part D more than their services did: $1,000,704 for 9,400 claims, against $841.94 paid for services in 2024. Lists Cape Fear Valley Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1194796920 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jan 30, 2006 |
| Last updated in NPPES | Apr 17, 2026 |
| Certified by provider | Apr 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 2017-02435 | NC |
| Internal Medicine | 207R00000X | MD19527 | ME |
| Internal Medicine, Gastroenterology | 207RG0100X | A55692 | CA |
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 (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 125 across 4 procedure codes |
| Paid by Medicare | $841.94 |
Part D prescriptions in 2024
| Prescriptions (claims) | 9,400 · 16,542 30-day fills |
|---|---|
| Patients | 437 |
| Total drug cost | $1,000,704 |
| Generic share | 82% of claims |
Education and affiliations
| Graduation year | 1989 |
|---|---|
| Medicare specialty | Internal Medicine |
Medical group
- Bladen Healthcare LLCElizabethtown, NC · 42 clinicians
Hospital affiliations
- Cape Fear Valley Medical CenterFayetteville, NC
- Cape Fear Valley-Bladen County HospitalElizabethtown, NC
Other facilities
- Liberty Home CareHome health agency · Whiteville, NC
- Well Care Home HealthHome health agency · Wilmington, NC
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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