Roberto Ortiz, M.D.
NPI 1407995640ActiveIndividual· Internal Medicine, Endocrinology, Diabetes & Metabolism· Providence, RI
Internal Medicine, Endocrinology, Diabetes & Metabolism (M.D.) with Diabetes and Endocrinology Associates, Inc., practicing in Providence, Rhode Island. Their prescriptions cost Medicare Part D more than their services did: $3,684,165 for 12,307 claims, against $189,206 paid for services in 2024. Abbvie Inc. was the largest of 3 companies reporting payments in 2025, $126.43 in all, mostly food and beverage. Lists Kent County Memorial Hospital and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1407995640 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Feb 5, 2007 |
| Last updated in NPPES | Jun 9, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Endocrinology, Diabetes & Metabolism Primary | 207RE0101X | 08984 | RI |
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 - Internal Medicine (RI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 619 |
|---|---|
| Services billed | 8,406 across 43 procedure codes |
| Paid by Medicare | $189,206 |
Part D prescriptions in 2024
| Prescriptions (claims) | 12,307 · 26,933 30-day fills |
|---|---|
| Patients | 1,210 |
| Total drug cost | $3,684,165 |
| Generic share | 53% of claims |
Education and affiliations
| Graduation year | 1985 |
|---|---|
| Medicare specialty | Internal Medicine |
| Secondary specialties | Endocrinology |
Medical group
- Diabetes and Endocrinology Associates, Inc.Providence, RI · 5 clinicians
Hospital affiliations
- Kent County Memorial HospitalWarwick, RI
- Newport HospitalNewport, RI
- Rhode Island HospitalProvidence, RI
- South County Hospital IncWakefield, RI
- The Miriam HospitalProvidence, RI
Industry payments (Open Payments)
- 2025$126.43 · 6 payments from 3 companies
- 2024$36.85 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $57.30 | 3 |
| Theratechnologies Inc. | $44.43 | 2 |
| Amgen Inc. | $24.70 | 1 |
What the 2025 payments were for
- Food and Beverage$126.43 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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