D Scott Upton, M.D.
NPI 1417994898ActiveIndividual· Internal Medicine· San Diego, CA
Internal Medicine (M.D.) in San Diego, California, trained at Baylor College of Medicine (class of 1998). Their prescriptions cost Medicare Part D more than their services did: $509,909 for 3,834 claims, against $79,667 paid for services in 2024. Actelion Pharmaceuticals US, Inc. was the largest of 8 companies reporting payments in 2025, $551.75 in all, mostly food and beverage.
Overview
| NPI | 1417994898 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 2, 2006 |
| Last updated in NPPES | Nov 20, 2020 |
| Certified by provider | Nov 20, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | A84415 | CA |
| Internal Medicine, Sports Medicine | 207RS0010X | A84415 | CA |
| Pediatrics | 208000000X | A84415 | CA |
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 (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 325 |
|---|---|
| Services billed | 2,049 across 45 procedure codes |
| Paid by Medicare | $79,667 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,834 · 8,544 30-day fills |
|---|---|
| Patients | 395 |
| Total drug cost | $509,909 |
| Generic share | 84% of claims |
Education and affiliations
| Medical school | Baylor College of Medicine |
|---|---|
| Graduation year | 1998 |
| Medicare specialty | Internal Medicine |
| Secondary specialties | Pediatric Medicine |
| Telehealth | Offers telehealth |
Medical groups
- Emergency and Acute Care Medical CorporationLa Mesa, CA · 422 clinicians
- Focus on Health IncSan Diego, CA · 64 clinicians
Hospital affiliations
- Grossmont HospitalLa Mesa, CA
- Sharp Chula Vista Medical CenterChula Vista, CA
- Sharp Coronado Hospital and Hlthcr CtrCoronado, CA
- Sharp Memorial HospitalSan Diego, CA
Other facilities
- Shield Home HealthHome health agency · San Diego, CA
Industry payments (Open Payments)
- 2025$551.75 · 19 payments from 8 companies
- 2024$193.14 · 9 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Actelion Pharmaceuticals US, Inc. | $149.14 | 1 |
| Sanofi Pasteur Inc. | $114.86 | 5 |
| Pfizer Inc. | $93.63 | 5 |
| Lilly USA, LLC | $60.54 | 3 |
| Medtronic, Inc. | $59.90 | 2 |
What the 2025 payments were for
- Food and Beverage$551.75 · 19 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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