Ramiro Sergio Maldonado, M.D.
NPI 1215228036ActiveIndividual· Ophthalmology· Durham, NC
Ophthalmology (M.D.) with Duke Health Integrated Practice, Inc, practicing in Durham, North Carolina. In 2024 Medicare paid $63,561 for 238 patients, and Part D covered 58 of their prescriptions, 67% of them generic. Insmed, Inc. reported $275.00 in payments in 2025, mostly consulting fees. Lists Duke University Hospital as a hospital affiliation.
Overview
| NPI | 1215228036 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Apr 27, 2011 |
| Last updated in NPPES | Apr 6, 2022 |
| Certified by provider | Apr 6, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | 2022-00189 | NC |
| Ophthalmology | 207W00000X | MD457242 | PA |
| Ophthalmology, Retina Specialist | 207WX0107X | 51521 | KY |
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 - Ophthalmology (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 238 |
|---|---|
| Services billed | 1,029 across 24 procedure codes |
| Paid by Medicare | $63,561 |
Part D prescriptions in 2024
| Prescriptions (claims) | 58 · 87 30-day fills |
|---|---|
| Patients | 30 |
| Total drug cost | $6,215 |
| Generic share | 67% of claims |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Ophthalmology |
Medical group
- Duke Health Integrated Practice, IncDurham, NC · 3,185 clinicians
Hospital affiliation
- Duke University HospitalDurham, NC
Industry payments (Open Payments)
- 2025$275.00 · 1 payment from 1 company
- 2024$123.50 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Insmed, Inc. | $275.00 | 1 |
What the 2025 payments were for
- Consulting Fee$275.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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