Jack Victor Carlisle, MD
NPI 1326023060ActiveIndividual· Family Medicine· Grand Rapids, MN
Family Medicine (MD) in Grand Rapids, Minnesota, trained at Rush Medical College of Rush University (class of 1987). Their prescriptions cost Medicare Part D more than their services did: $623,529 for 4,551 claims, against $11,117 paid for services in 2024. Smith+nephew, Inc. reported $36.38 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1326023060 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Dec 14, 2005 |
| Last updated in NPPES | Feb 12, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 31750 | MN |
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 - Family Practice (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 91 |
|---|---|
| Services billed | 191 across 22 procedure codes |
| Paid by Medicare | $11,117 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,551 · 9,296 30-day fills |
|---|---|
| Patients | 367 |
| Total drug cost | $623,529 |
| Generic share | 90% of claims |
Education and affiliations
| Medical school | Rush Medical College of Rush University |
|---|---|
| Graduation year | 1987 |
| Medicare specialty | Family Practice |
Medical group
- Grand Itasca Clinic and HospitalGrand Rapids, MN · 323 clinicians
Hospital affiliation
- Grand Itasca Clinic and HospitalGrand Rapids, MN
Industry payments (Open Payments)
- 2025$36.38 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Smith+nephew, Inc. | $36.38 | 1 |
What the 2025 payments were for
- Food and Beverage$36.38 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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