Alexander R. Gapay, M.D
NPI 1942201777ActiveIndividual· Internal Medicine· Middletown, NY
Internal Medicine (M.D) with Middletown Medical PC, practicing in Middletown, New York. Their prescriptions cost Medicare Part D more than their services did: $1,526,535 for 7,404 claims, against $221,133 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 15 companies reporting payments in 2025, $1,023 in all, mostly food and beverage. Lists Garnet Health Medical Center as a hospital affiliation.
Overview
| NPI | 1942201777 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D |
| Sole proprietor | No |
| NPI issued | Aug 2, 2005 |
| Last updated in NPPES | Jan 24, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 111930 | NY |
| Emergency Medicine | 207P00000X | 111930 | NY |
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 - Family Practice (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 436 |
|---|---|
| Services billed | 12,702 across 228 procedure codes |
| Paid by Medicare | $221,133 |
Part D prescriptions in 2024
| Prescriptions (claims) | 7,404 · 16,668 30-day fills |
|---|---|
| Patients | 442 |
| Total drug cost | $1,526,535 |
| Generic share | 81% of claims |
Education and affiliations
| Graduation year | 1964 |
|---|---|
| Medicare specialty | Family Practice |
| Secondary specialties | Emergency Medicine, Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- Middletown Medical PCMiddletown, NY · 178 clinicians
Hospital affiliation
- Garnet Health Medical CenterMiddletown, NY
Other facilities
- Americare Certified Special Services, Inc ChhaHome health agency · Brooklyn, NY
- Archcare at HomeHome health agency · Valhalla, NY
- Willcare Chha (Newburgh)Home health agency · Newburgh, NY
Industry payments (Open Payments)
- 2025$1,023 · 62 payments from 15 companies
- 2024$1,140 · 70 payments from 17 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $302.30 | 25 |
| Abbvie Inc. | $197.96 | 11 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $86.99 | 5 |
| Lilly USA, LLC | $81.67 | 4 |
| Exact Sciences Corporation | $79.22 | 4 |
What the 2025 payments were for
- Food and Beverage$1,003 · 61 payments
- Education$20.05 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 74 internal medicine physicians in Middletown · All internal medicine physicians in New York