Ernesto J. Carames, M.D.
NPI 1528099603ActiveIndividual· Internal Medicine· St Augustine, FL
Internal Medicine (M.D.) with Ability Health Services and Rehabilitation LP and 2 other groups, practicing in St Augustine, Florida. Their prescriptions cost Medicare Part D more than their services did: $1,699,349 for 15,782 claims, against $251,780 paid for services in 2024. Novo Nordisk Inc was the largest of 26 companies reporting payments in 2025, $1,306 in all, mostly food and beverage. Lists Adventhealth Daytona Beach and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1528099603 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jul 6, 2006 |
| Last updated in NPPES | Nov 11, 2024 |
| Certified by provider | Nov 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | ME65960 | FL |
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 (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 530 |
|---|---|
| Services billed | 3,966 across 48 procedure codes |
| Paid by Medicare | $251,780 |
Part D prescriptions in 2024
| Prescriptions (claims) | 15,782 · 33,694 30-day fills |
|---|---|
| Patients | 1,051 |
| Total drug cost | $1,699,349 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 1989 |
|---|---|
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Medical groups
- Ability Health Services and Rehabilitation LPSanford, FL · 1,269 clinicians
- Ability Health Services, IncSanford, FL · 1,258 clinicians
- Millennium Physician Group LLCJacksonville, FL · 982 clinicians
Hospital affiliations
- Adventhealth Daytona BeachDaytona Beach, FL
- Adventhealth Palm Coast ParkwayPalm Coast, FL
- Adventhealth Palm CoastPalm Coast, FL
- Baptist Health Medical Center - JacksonvilleJacksonville, FL
- Flagler HospitalSaint Augustine, FL
Other facilities
- Bravery Home HealthcareHome health agency · St Augustine, FL
- Brooks Rehabilitation Home HealthHome health agency · Jacksonville, FL
- Confident Care of Florida CorpHome health agency · Palm Coast, FL
- Confident Care of Florida CorpHome health agency · Jacksonville, FL
- Community Hospice of Northeast Florida IncHospice · Jacksonville, FL
- Vitas Healthcare Corporation of FloridaHospice · Melbourne, FL
- Brooks Rehabilitation Hospital University CampusInpatient rehabilitation facility · Jacksonville, FL
Industry payments (Open Payments)
- 2025$1,306 · 72 payments from 26 companies
- 2024$1,505 · 75 payments from 25 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $181.63 | 16 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $164.44 | 9 |
| Insmed, Inc. | $118.20 | 5 |
| Astrazeneca Pharmaceuticals LP | $90.75 | 5 |
| Angiodynamics, Inc. | $88.52 | 4 |
What the 2025 payments were for
- Food and Beverage$1,289 · 71 payments
- Education$17.38 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 53 internal medicine physicians in St Augustine · All internal medicine physicians in Florida