Carol E. Sgambelluri, MD
NPI 1255363701ActiveIndividual· Family Medicine· Green Brook, NJ
Family Medicine (MD) in Green Brook, New Jersey, trained at Rutgers New Jersey Medical School (class of 1988). Their prescriptions cost Medicare Part D more than their services did: $518,182 for 6,039 claims, against $119,222 paid for services in 2024. Boehringer Ingelheim Pharmaceuticals, Inc. reported $19.81 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1255363701 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 7, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 25MA05327000 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 267 |
|---|---|
| Services billed | 5,911 across 107 procedure codes |
| Paid by Medicare | $119,222 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,039 · 13,167 30-day fills |
|---|---|
| Patients | 445 |
| Total drug cost | $518,182 |
| Generic share | 89% of claims |
Education and affiliations
| Medical school | Rutgers New Jersey Medical School |
|---|---|
| Graduation year | 1988 |
| Medicare specialty | Family Practice |
Medical group
- Medemerge LLCGreen Brook, NJ · 22 clinicians
Industry payments (Open Payments)
- 2025$19.81 · 1 payment from 1 company
- 2024$23.65 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $19.81 | 1 |
What the 2025 payments were for
- Food and Beverage$19.81 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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