Joseph James Peila, MD
Opted out of Medicare from April 2024 to April 2028. Internal Medicine (MD) in Billings, Montana, licensed in CO, with an NPI issued in April 2012. Their prescriptions cost Medicare Part D more than their services did: $528,970 for 5,254 claims, against $8,573 paid for services in 2024. Takeda Pharmaceuticals U.S.A., Inc. was the largest of 3 companies reporting payments in 2025, $37,901 in all, mostly consulting fees.
Overview
| NPI | 1669739710 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 13, 2012 |
| Last updated in NPPES | Jul 16, 2024 |
| Certified by provider | Jul 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 0055409 | CO |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Apr 1, 2024 – Apr 1, 2028 |
| Can order and refer | Yes |
| Accepts assignment | Yes (participating) |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Medicare services in 2024
| Medicare patients | 184 |
|---|---|
| Services billed | 289 across 15 procedure codes |
| Paid by Medicare | $8,573 |
Part D prescriptions in 2024
| Prescriptions (claims) | 5,254 · 13,133 30-day fills |
|---|---|
| Patients | 518 |
| Total drug cost | $528,970 |
| Generic share | 86% of claims |
Industry payments (Open Payments)
- 2025$37,901 · 17 payments from 3 companies
- 2024$36,149 · 19 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | $37,800 | 12 |
| Novo Nordisk Inc | $73.81 | 4 |
| Inspire Medical Systems, Inc. | $26.98 | 1 |
What the 2025 payments were for
- Consulting Fee$37,800 · 12 payments
- Food and Beverage$100.79 · 5 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 86 internal medicine physicians in Billings · All internal medicine physicians in Montana