Stephen Howard Bury Fiol, M.D.
NPI 1538518501ActiveIndividual· Internal Medicine· Ponce, PR
Internal Medicine (M.D.) with R.E.P Medical Serv, Csp, practicing in Ponce, Puerto Rico. Their prescriptions cost Medicare Part D more than their services did: $921,999 for 13,316 claims, against $13,026 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 9 companies reporting payments in 2025, $1,107 in all, mostly food and beverage. Lists Hospital Episcopal San Lucas II as a hospital affiliation.
Overview
| NPI | 1538518501 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Jun 9, 2016 |
| Last updated in NPPES | Oct 21, 2020 |
| Certified by provider | Oct 20, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 22041 | PR |
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 (PR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 23 |
|---|---|
| Services billed | 205 across 10 procedure codes |
| Paid by Medicare | $13,026 |
Part D prescriptions in 2024
| Prescriptions (claims) | 13,316 · 23,499 30-day fills |
|---|---|
| Patients | 1,009 |
| Total drug cost | $921,999 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Internal Medicine |
Medical group
- R.E.P Medical Serv, CspPonce, PR · 3 clinicians
Hospital affiliation
- Hospital Episcopal San Lucas IIPonce, PR
Other facilities
- Programa de Servicios de Salud En El Hogar y Hospicio San Lucas IncHome health agency · Ponce, PR
Industry payments (Open Payments)
- 2025$1,107 · 38 payments from 9 companies
- 2024$1,208 · 39 payments from 9 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $395.01 | 19 |
| Dexcom, Inc. | $193.69 | 4 |
| Bayer Puerto Rico Inc. | $148.42 | 6 |
| E.R. Squibb & Sons, L.L.C. | $125.00 | 1 |
| Amgen Inc. | $66.59 | 1 |
What the 2025 payments were for
- Food and Beverage$1,107 · 38 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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