Carmen Gloria Padilla Ortiz, M.D.
NPI 1235167446ActiveIndividual· Specialist· Manati, PR
Specialist (M.D.) in Manati, Puerto Rico, trained at University Central del Caribe Escuela de Medicina (class of 1981). Their prescriptions cost Medicare Part D more than their services did: $547,819 for 8,063 claims, against $6,744 paid for services in 2024.
Overview
| NPI | 1235167446 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 28, 2006 |
| Last updated in NPPES | Jan 2, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 7706 | PR |
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 - Internal Medicine (PR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 24 |
|---|---|
| Services billed | 138 across 1 procedure code |
| Paid by Medicare | $6,744 |
Part D prescriptions in 2024
| Prescriptions (claims) | 8,063 · 18,505 30-day fills |
|---|---|
| Patients | 363 |
| Total drug cost | $547,819 |
| Generic share | 87% of claims |
Education and affiliations
| Medical school | University Central del Caribe Escuela de Medicina |
|---|---|
| Graduation year | 1981 |
| Medicare specialty | Internal Medicine |
Hospital affiliation
- Doctors' Center Hospital, IncManati, PR
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