Kermith Rafael Ayala, MD
NPI 1306247606ActiveIndividual· Urology· Coto Laurel, PR
Urology (MD) in Coto Laurel, Puerto Rico, trained at University of Puerto Rico School of Medicine (class of 2016). Their prescriptions cost Medicare Part D more than their services did: $321,254 for 5,498 claims, against $1,735 paid for services in 2024. Pbg Puerto Rico LLC was the largest of 6 companies reporting payments in 2025, $184.68 in all, mostly food and beverage.
Overview
| NPI | 1306247606 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Sep 6, 2014 |
| Last updated in NPPES | Aug 1, 2022 |
| Certified by provider | Aug 1, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | 22282 | 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 - Urology (PR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 19 across 5 procedure codes |
| Paid by Medicare | $1,735 |
Part D prescriptions in 2024
| Prescriptions (claims) | 5,498 · 6,703 30-day fills |
|---|---|
| Patients | 1,358 |
| Total drug cost | $321,254 |
| Generic share | 95% of claims |
Education and affiliations
| Medical school | University of Puerto Rico School of Medicine |
|---|---|
| Graduation year | 2016 |
| Medicare specialty | Urology |
Hospital affiliation
- Hospital Menonita PoncePonce, PR
Industry payments (Open Payments)
- 2025$184.68 · 10 payments from 6 companies
- 2024$265.27 · 6 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Pbg Puerto Rico LLC | $57.78 | 3 |
| Merck Sharp & Dohme LLC | $31.55 | 2 |
| Tolmar, Inc. | $30.51 | 2 |
| Boston Scientific Corporation | $29.42 | 1 |
| Verity Pharmaceuticals Inc. | $19.43 | 1 |
What the 2025 payments were for
- Food and Beverage$184.68 · 10 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Urology providers in Coto Laurel
- 1558007195
- 1831492214
- 1770688509