A Wilmington psychiatrist, Dr. Karl McIntosh, has been indicted on charges he submitted more than $100,000 in insurance claims over a two-year period for visits that did not occur.
To facilitate this fraud, Dr. Karl McIntosh used his patients' personal identifying information without their consent, according to the state Department of Insurance's fraud unit. At least four of the 11 people whose identities were stolen by 53-year-old McIntosh were minors, court documents show.
McIntosh was indicted on Monday by a New Castle County grand jury on charges of health care fraud, insurance fraud, theft and 11 counts of identity theft. He was arrested on Tuesday but released after posting $50,000 bail.
McIntosh, who could not be reached for comment on Thursday, was ordered to surrender his passport and not leave the state as a condition of bail, according to the Insurance Department.
His medical license remained active, and a petition to suspend it had not been made as of Thursday, according to the Department of State's Division of Professional Regulation.
McIntosh's 14-count indictment culminates a yearlong investigation by the Insurance Department's fraud prevention unit and state prosecutors. The indictment comes a month after the Insurance Department ran ads to let people know more about its fraud unit.
"The fraud unit of the Department of Insurance takes these cases seriously and actively investigates all reported cases of fraud," Insurance Commissioner Trinidad Navarro said in a statement. "We work closely with our partners at the Department of Justice to see these cases through, protecting consumers.
"A case such as this brings to light that insurance fraud costs everyone."
McIntosh served as president of the Delaware Board of Medicine from 2006 to 2008. He also was the board's vice president in 2005 and its secretary treasurer in 2004.
When a consumer advocacy organization rated Delaware's board of medical practice among the worst in the nation at disciplining doctors, McIntosh defended the board's practices."The Delaware Board of Medical Practice really takes a very serious stance on public protection as our primary role," McIntosh told The News Journal in 2004. "It's not to protect doctors or anyone else but citizens.
Wilmington Doctor Indicted For Insurance Fraud, Health Care Fraud
Date Posted: Wednesday, July 26th, 2017
JULY 26, 2017
Dover, DE—Joint work by the Delaware Department of Insurance and Delaware Department of Justice led to the indictment this week of Dr. Karl McIntosh on 14 felony counts including theft, health care fraud, insurance fraud, and identity theft.
McIntosh, 53, of Wilmington, was indicted on Monday, July 24 by a New Castle County grand jury following a year-long joint investigation by the DOI Fraud Prevention Unit and the DOJ Investor Protection Unit. McIntosh was arrested on Tuesday, July 25. Bail was set at $50,000 secured, which was posted by McIntosh Tuesday. Dr. McIntosh was ordered to surrender his passport and not to leave the state as a condition of bail.
The indictment alleges that over a period spanning more than two years, McIntosh submitted insurance claims for office visits that did not take place, resulting in McIntosh improperly receiving over $100,000 of insurance reimbursements. To facilitate this fraud, the indictment further alleges that McIntosh used his patients’ personal identifying information without their consent.
This case was investigated by DOI Fraud Investigator Steve Kutch and DOJ Special Investigator Mark Hawk, and is being prosecuted by DOJ Deputy Attorney General William Green.
Commissioner Trinidad Navarro stated, “The fraud unit of the Department of Insurance takes these cases seriously and actively investigates all reported cases of fraud. We work closely with our partners at the Department of Justice to see these cases through, protecting consumers. A case such as this brings to light that insurance fraud costs everyone.”
The Delaware Department of Insurance protects Delawareans through regulation and education while providing oversight of the insurance industry to best serve the public. Delawareans are encouraged to report suspected incidents of insurance fraud by calling the DOI Fraud Prevention Unit at 1-800-632-5154.
The Delaware Department of Justice reminds the public that an indictment is merely an allegation and is not evidence of guilt. In all cases, defendants are presumed innocent until and unless proven guilty.
Dr. Karl Mcintosh MD
(302) 594-9000 Phone Number
21+ Years in Practice
Office Location & Contact
Wilmington, DE 19806
Specialties & Qualifications
Subspecialties: General Psychiatry, Child & Adolescent Psychiatry
Education & Medical Training
- Georgetown University Hospital Residency , Psychiatry
- Johns Hopkins University Fellowship , Child and Adolescent Psychiatry
- Meharry Medical College Medical School
Certifications & Licensure
- American Board of Psychiatry and Neurology Certified in Psychiatry
- DE State Medical License Active through 2013
- MD State Medical License Active through 2013
- VA State Medical License Active through 2014
Awards, Honors & Recognitions
- Hugh Hussey Award For Excellence In Medical Student Teaching 1993