Skip to content

Jose M. Nieto, DO

NPI 1225190002ActiveIndividual· Internal Medicine, Gastroenterology· Sebring, FL

Internal Medicine, Gastroenterology (DO) with Digestive Disease Consultants, practicing in Sebring, Florida. Their prescriptions cost Medicare Part D more than their services did: $129,031 for 206 claims, against $25,507 paid for services in 2024. Abbvie Inc. was the largest of 11 companies reporting payments in 2025, $9,882 in all, mostly speaking and faculty fees.

Overview

NPI1225190002
StatusActive
Entity typeIndividual
CredentialDO
Sole proprietorNo
NPI issuedDec 15, 2006
Last updated in NPPESFeb 8, 2023
Certified by providerFeb 8, 2023

Specialties and licenses

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Gastroenterology (FL); Practitioner - Gastroenterology (GA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients111
Services billed217 across 27 procedure codes
Paid by Medicare$25,507

Part D prescriptions in 2024

Prescriptions (claims)206 · 321 30-day fills
Patients74
Total drug cost$129,031
Generic share66% of claims

Medicare sources and data years

Education and affiliations

Graduation year2000
Medicare specialtyGastroenterology
Secondary specialtiesInternal Medicine

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$9,882 · 23 payments from 11 companies
  • 2024$50,081 · 66 payments from 19 companies

Top paying companies in 2025

CompanyAmountPayments
Abbvie Inc.$9,0178
US Endoscopy$500.001
Lilly USA, LLC$91.801
Boston Scientific Corporation$68.012
Ardelyx, Inc.$52.772

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$7,500 · 2 payments
  • Travel and Lodging$1,319 · 1 payment
  • Food and Beverage$562.66 · 19 payments
  • Consulting Fee$500.00 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Internal Medicine, Gastroenterology providers in Sebring

All Internal Medicine, Gastroenterology providers in Florida →