Carlos A. Espinosa, M.D.
NPI 1194798967ActiveIndividual· Internal Medicine, Nephrology· Laredo, TX
Internal Medicine, Nephrology (M.D.) in Laredo, Texas, trained at University Central del Caribe Escuela de Medicina (class of 1992). Their prescriptions cost Medicare Part D more than their services did: $308,733 for 1,996 claims, against $59,880 paid for services in 2024. Bayer Healthcare Pharmaceuticals Inc. reported $140.00 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1194798967 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Feb 10, 2006 |
| Last updated in NPPES | Oct 14, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | K4418 | TX |
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 - Nephrology (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 121 |
|---|---|
| Services billed | 717 across 16 procedure codes |
| Paid by Medicare | $59,880 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,996 · 3,618 30-day fills |
|---|---|
| Patients | 205 |
| Total drug cost | $308,733 |
| Generic share | 86% of claims |
Education and affiliations
| Medical school | University Central del Caribe Escuela de Medicina |
|---|---|
| Graduation year | 1992 |
| Medicare specialty | Nephrology |
| Secondary specialties | Internal Medicine |
Hospital affiliations
- Doctors Hospital of LaredoLaredo, TX
- Laredo Medical CenterLaredo, TX
Other facilities
- Usrc Laredo DialysisDialysis facility · Laredo, TX
- Usrc Laredo South DialysisDialysis facility · Laredo, TX
- Usrc Las Canteras DialysisDialysis facility · Laredo, TX
Industry payments (Open Payments)
- 2025$140.00 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Bayer Healthcare Pharmaceuticals Inc. | $140.00 | 1 |
What the 2025 payments were for
- Food and Beverage$140.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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