Sara Custodio, M.D.
NPI 1417162173ActiveIndividual· Internal Medicine· Kalamazoo, MI
Internal Medicine (M.D.) in Kalamazoo, Michigan, trained at Michigan State University College of Human Medicine (class of 2005). Their prescriptions cost Medicare Part D more than their services did: $336,802 for 4,265 claims, against $20,882 paid for services in 2024.
Overview
| NPI | 1417162173 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | May 14, 2007 |
| Last updated in NPPES | Nov 27, 2023 |
| Certified by provider | Oct 2, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 4301085859 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 125 |
|---|---|
| Services billed | 309 across 22 procedure codes |
| Paid by Medicare | $20,882 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,265 · 9,927 30-day fills |
|---|---|
| Patients | 411 |
| Total drug cost | $336,802 |
| Generic share | 89% of claims |
Education and affiliations
| Medical school | Michigan State University College of Human Medicine |
|---|---|
| Graduation year | 2005 |
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- Bronson Methodist HospitalKalamazoo, MI · 729 clinicians
Hospital affiliations
- Bronson Battle Creek HospitalBattle Creek, MI
- Bronson Lakeview HospitalPaw Paw, MI
- Bronson Methodist HospitalKalamazoo, MI
Other facilities
- Centrica Care NavigatorsHospice · Kalamazoo, MI
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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