Benny Nieves-Matias, M.D.
NPI 1669874681ActiveIndividual· General Practice· Guaynabo, PR
General Practice (M.D.) in Guaynabo, Puerto Rico, trained at Ponce School of Medicine (class of 2011). Their prescriptions cost Medicare Part D more than their services did: $150,469 for 3,816 claims, against $1,195 paid for services in 2024.
Overview
| NPI | 1669874681 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Sep 22, 2014 |
| Last updated in NPPES | Sep 22, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 18893 | 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 - General Practice (PR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 15 across 8 procedure codes |
| Paid by Medicare | $1,195 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,816 · 5,650 30-day fills |
|---|---|
| Patients | 497 |
| Total drug cost | $150,469 |
| Generic share | 90% of claims |
Education and affiliations
| Medical school | Ponce School of Medicine |
|---|---|
| Graduation year | 2011 |
| Medicare specialty | General Practice |
Hospital affiliation
- Hospital Menonita Humacao, IncHumacao, PR
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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