Nicole Prestiano Maksymiw, D.O.
Opted out of Medicare from January 2025 to January 2027. Internal Medicine (D.O.) in Monroe, Connecticut, licensed in CT, with an NPI issued in June 2012. Their prescriptions cost Medicare Part D more than their services did: $209,213 for 1,965 claims, against $35,725 paid for services in 2024. Astellas Pharma US Inc reported $140.00 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1679835748 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | Yes |
| NPI issued | Jun 13, 2012 |
| Last updated in NPPES | Nov 30, 2024 |
| Certified by provider | Nov 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 054258 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 Jan 7, 2025 – Jan 7, 2027 |
| 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 | 124 |
|---|---|
| Services billed | 537 across 31 procedure codes |
| Paid by Medicare | $35,725 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,965 · 4,418 30-day fills |
|---|---|
| Patients | 266 |
| Total drug cost | $209,213 |
| Generic share | 85% of claims |
Industry payments (Open Payments)
- 2025$140.00 · 1 payment from 1 company
- 2024$682.99 · 37 payments from 11 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astellas Pharma US Inc | $140.00 | 1 |
What the 2025 payments were for
- Food and Beverage$140.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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