Hipolito Mance Custodio III, M.D.
NPI 1225244379ActiveIndividual· Obstetrics & Gynecology· Richland, WA
Obstetrics & Gynecology (M.D.) with Bhs Physicians Network, Inc, practicing in Richland, Washington. Their prescriptions cost Medicare Part D more than their services did: $30,321 for 88 claims, against $6,455 paid for services in 2024. Lists Kadlec Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1225244379 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | May 15, 2007 |
| Last updated in NPPES | May 10, 2021 |
| Certified by provider | May 10, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Obstetrics & Gynecology Primary | 207V00000X | MD60074660 | WA |
| Obstetrics & Gynecology | 207V00000X | MT186614 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Obstetrics/Gynecology (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 25 |
|---|---|
| Services billed | 39 across 14 procedure codes |
| Paid by Medicare | $6,455 |
Part D prescriptions in 2024
| Prescriptions (claims) | 88 · 185 30-day fills |
|---|---|
| Patients | 25 |
| Total drug cost | $30,321 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2001 |
|---|---|
| Medicare specialty | Obstetrics/Gynecology |
Medical group
- Bhs Physicians Network, IncBrownsville, TX · 706 clinicians
Hospital affiliation
- Kadlec Regional Medical CenterRichland, WA
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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