Douglas Robert Fletcher, MD
NPI 1740236090ActiveIndividual· Internal Medicine, Pulmonary Disease· Middletown, NY
Internal Medicine, Pulmonary Disease (MD) with Middletown Medical PC, practicing in Middletown, New York. Their prescriptions cost Medicare Part D more than their services did: $668,813 for 2,410 claims, against $238,145 paid for services in 2024. Genzyme Corporation was the largest of 14 companies reporting payments in 2025, $1,098 in all, mostly food and beverage. Lists Ellenville Regional Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1740236090 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 26, 2006 |
| Last updated in NPPES | Feb 27, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | 177652 1 | NY |
| Internal Medicine, Critical Care Medicine | 207RC0200X | 177652 1 | NY |
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) | Enrolled Practitioner - Pulmonary Disease (CT); Practitioner - Pulmonary Disease (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 390 |
|---|---|
| Services billed | 6,800 across 97 procedure codes |
| Paid by Medicare | $238,145 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,410 · 3,567 30-day fills |
|---|---|
| Patients | 312 |
| Total drug cost | $668,813 |
| Generic share | 72% of claims |
Education and affiliations
| Graduation year | 1986 |
|---|---|
| Medicare specialty | Pulmonary Disease |
| Secondary specialties | Critical Care (Intensivists), Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- Middletown Medical PCMiddletown, NY · 178 clinicians
Hospital affiliations
- Ellenville Regional HospitalEllenville, NY
- Garnet Health Medical CenterMiddletown, NY
Industry payments (Open Payments)
- 2025$1,098 · 58 payments from 14 companies
- 2024$957.27 · 47 payments from 12 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Genzyme Corporation | $199.43 | 8 |
| Astrazeneca Pharmaceuticals LP | $188.62 | 16 |
| Glaxosmithkline, LLC. | $161.42 | 10 |
| Regeneron Healthcare Solutions, Inc. | $144.66 | 10 |
| Verona Pharma, Inc. | $104.47 | 4 |
What the 2025 payments were for
- Food and Beverage$1,002 · 57 payments
- Education$95.99 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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