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NPI 1245790393ActiveIndividual· Internal Medicine· Burlington, VT

Internal Medicine in Burlington, Vermont, licensed in VT and NH, with an NPI issued in March 2019. Part D covered 53 prescriptions written in 2024, 77% of them generic.

Overview

NPI1245790393
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedMar 24, 2019
Last updated in NPPESNov 7, 2024
Certified by providerNov 7, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Internal Medicine Primary207R00000X042.0015777VT
Internal Medicine207R00000X22358NH

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 - Internal Medicine (NH)

Part D prescriptions in 2024

Prescriptions (claims)53 · 106 30-day fills
Patients15
Total drug cost$14,004
Generic share77% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

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

Other Internal Medicine providers in Burlington

All Internal Medicine providers in Vermont →