Noel Totti III, MD
NPI 1649237181ActiveIndividual· Internal Medicine, Pulmonary Disease· Hato Rey, PR
Internal Medicine, Pulmonary Disease (MD) in Hato Rey, Puerto Rico, trained at San Juan Bautista School of Medicine (class of 1976). Their prescriptions cost Medicare Part D more than their services did: $1,357,071 for 3,858 claims, against $44,002 paid for services in 2024. Glaxosmithkline, LLC. was the largest of 12 companies reporting payments in 2025, $2,273 in all, mostly food and beverage.
Overview
| NPI | 1649237181 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 27, 2006 |
| Last updated in NPPES | Sep 8, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | 6216 | PR |
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 - Pulmonary Disease (PR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 140 |
|---|---|
| Services billed | 1,068 across 11 procedure codes |
| Paid by Medicare | $44,002 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,858 · 5,227 30-day fills |
|---|---|
| Patients | 657 |
| Total drug cost | $1,357,071 |
| Generic share | 64% of claims |
Education and affiliations
| Medical school | San Juan Bautista School of Medicine |
|---|---|
| Graduation year | 1976 |
| Medicare specialty | Pulmonary Disease |
| Secondary specialties | Critical Care (Intensivists), Internal Medicine |
Medical group
- Respiratory Care Specialists LLPHato Rey, PR · 5 clinicians
Hospital affiliation
- Auxilio Mutuo HospitalSan Juan, PR
Industry payments (Open Payments)
- 2025$2,273 · 99 payments from 12 companies
- 2024$1,872 · 84 payments from 12 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Glaxosmithkline, LLC. | $482.91 | 20 |
| Astrazeneca Pharmaceuticals LP | $371.25 | 19 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $296.46 | 12 |
| Genzyme Corporation | $294.18 | 12 |
| Janssen Pharmaceuticals, Inc | $202.77 | 8 |
What the 2025 payments were for
- Food and Beverage$2,265 · 98 payments
- Education$8.25 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Internal Medicine, Pulmonary Disease providers in Hato Rey
- 1508565730
- 1669741120
- 1538127014
- 1023007523
All Internal Medicine, Pulmonary Disease providers in Puerto Rico →