Carlos A. Correia, MD
NPI 1255328365ActiveIndividual· Family Medicine· Fall River, MA
Family Medicine (MD) in Fall River, Massachusetts, licensed in MA, with an NPI issued in October 2005. Their prescriptions cost Medicare Part D more than their services did: $243,340 for 3,313 claims, against $5,650 paid for services in 2024.
Overview
| NPI | 1255328365 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Oct 4, 2005 |
| Last updated in NPPES | Apr 21, 2020 |
| Certified by provider | Apr 21, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 79424 | MA |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 33 |
|---|---|
| Services billed | 142 across 6 procedure codes |
| Paid by Medicare | $5,650 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,313 · 8,117 30-day fills |
|---|---|
| Patients | 691 |
| Total drug cost | $243,340 |
| Generic share | 91% of claims |
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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