Mariellen Dentino, M.D.
NPI 1275533622ActiveIndividual· Internal Medicine, Nephrology· Evansville, IN
Internal Medicine, Nephrology (M.D.) in Evansville, Indiana, trained at Indiana University School of Medicine (class of 1973). Their prescriptions cost Medicare Part D more than their services did: $153,310 for 657 claims, against $46,033 paid for services in 2024.
Overview
| NPI | 1275533622 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jul 28, 2005 |
| Last updated in NPPES | Jun 17, 2022 |
| Certified by provider | Jun 17, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | 1024941 | IN |
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 - Nephrology (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 61 |
|---|---|
| Services billed | 298 across 11 procedure codes |
| Paid by Medicare | $46,033 |
Part D prescriptions in 2024
| Prescriptions (claims) | 657 · 1,159 30-day fills |
|---|---|
| Patients | 47 |
| Total drug cost | $153,310 |
| Generic share | 80% of claims |
Education and affiliations
| Medical school | Indiana University School of Medicine |
|---|---|
| Graduation year | 1973 |
| Medicare specialty | Nephrology |
| Secondary specialties | Internal Medicine |
Medical groups
- St Marys Medical Group LLCEvansville, IN · 228 clinicians
- Nephrology Associates, LLCEvansville, IN · 8 clinicians
Hospital affiliation
- Ascension St Vincent EvansvilleEvansville, IN
Other facilities
- Davita Jasper DialysisDialysis facility · Jasper, IN
- Davita Paoli DialysisDialysis facility · Paoli, IN
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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