Jose N. Prudencio Jr., M.D.
NPI 1376590588ActiveIndividual· Urology· Harrisburg, PA
Urology (M.D.) with Pinnacle Health Medical Services and 1 other group, practicing in Harrisburg, Pennsylvania. Their prescriptions cost Medicare Part D more than their services did: $148,534 for 2,663 claims, against $88,902 paid for services in 2024. Coloplast Corp was the largest of 3 companies reporting payments in 2025, $82.79 in all, mostly food and beverage. Lists Fulton County Medical Center and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1376590588 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | May 31, 2006 |
| Last updated in NPPES | Jul 23, 2021 |
| Certified by provider | Jul 23, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | MD035222E | PA |
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 (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 524 |
|---|---|
| Services billed | 4,624 across 59 procedure codes |
| Paid by Medicare | $88,902 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,663 · 5,654 30-day fills |
|---|---|
| Patients | 705 |
| Total drug cost | $148,534 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 1978 |
|---|---|
| Medicare specialty | Urology |
Medical groups
- Pinnacle Health Medical ServicesHarrisburg, PA · 1,019 clinicians
- Fulton County Medical CenterMc Connellsburg, PA · 29 clinicians
Hospital affiliations
- Fulton County Medical CenterMcConnellsburg, PA
- Upmc CarlisleCarlisle, PA
- Upmc Pinnacle HospitalsHarrisburg, PA
- Wellspan Chambersburg HospitalChambersburg, PA
Industry payments (Open Payments)
- 2025$82.79 · 4 payments from 3 companies
- 2024$179.07 · 9 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Coloplast Corp | $41.86 | 2 |
| Merck Sharp & Dohme LLC | $26.23 | 1 |
| Laborie Medical Technologies Corp. | $14.70 | 1 |
What the 2025 payments were for
- Food and Beverage$82.79 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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