Carlos A. Alvarez, MD
NPI 1891805610ActiveIndividual· Internal Medicine· Bakersfield, CA
Internal Medicine (MD) with Downtown Wellness A California Medical Corporation, practicing in Bakersfield, California. Their prescriptions cost Medicare Part D more than their services did: $2,711,433 for 20,593 claims, against $424,525 paid for services in 2024. Smith+nephew, Inc. was the largest of 38 companies reporting payments in 2025, $10,277 in all, mostly debt forgiveness. Lists Adventist Health Bakersfield and 1 other hospital as hospital affiliations.
Overview
| NPI | 1891805610 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Aug 30, 2006 |
| Last updated in NPPES | Nov 4, 2022 |
| Certified by provider | Nov 2, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | A429860 | CA |
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) | Enrolled Practitioner - Internal Medicine (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 661 |
|---|---|
| Services billed | 16,252 across 50 procedure codes |
| Paid by Medicare | $424,525 |
Part D prescriptions in 2024
| Prescriptions (claims) | 20,593 · 36,600 30-day fills |
|---|---|
| Patients | 1,081 |
| Total drug cost | $2,711,433 |
| Generic share | 80% of claims |
Education and affiliations
| Graduation year | 1981 |
|---|---|
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- Downtown Wellness A California Medical CorporationBakersfield, CA · 2 clinicians
Hospital affiliations
- Adventist Health BakersfieldBakersfield, CA
- Adventist Health DelanoDelano, CA
Other facilities
- American Health Associates, IncHome health agency · Bakersfield, CA
- Around the Clock Home CareHome health agency · Bakersfield, CA
- Gifted Arms Home Healthcare ServicesHome health agency · Bakersfield, CA
- Lighthouse Home Health Care, IncHome health agency · Bakersfield, CA
- Purpose Driven Home Health, LLCHome health agency · Bakersfield, CA
- American Hospice Care, IncHospice · Bakersfield, CA
Industry payments (Open Payments)
- 2025$10,277 · 166 payments from 38 companies
- 2024$3,987 · 180 payments from 39 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Smith+nephew, Inc. | $6,319 | 4 |
| Abbvie Inc. | $424.99 | 21 |
| Merck Sharp & Dohme LLC | $266.33 | 12 |
| Corcept Therapeutics | $234.88 | 6 |
| Novo Nordisk Inc | $229.48 | 6 |
What the 2025 payments were for
- Debt forgiveness$6,278 · 1 payment
- Food and Beverage$3,957 · 164 payments
- Education$42.50 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 280 internal medicine physicians in Bakersfield · All internal medicine physicians in California