About Amy Umble:
Amy Umble is health reporter for The Free Lance-Star

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State board of medicine reprimands two local physicians

NextCare operates urgent care clinics in the area.

The former medical director of a chain of urgent care clinics and one of the doctors who worked there have been disciplined by the Virginia Board of Medicine.

Dr. Sebastian Sicari was reprimanded and ordered to pay a $1,000 fine. Dr. Carlos Martinez was also reprimanded and ordered to refrain from practicing medicine until he successfully completes a state-sponsored, alcohol-treatment program.

The board canceled separate May 31 disciplinary hearings for the two physicians when they signed consent orders.

Sicari signed a consent order on May 22. He admitted that he entered a state computer database without authorization and disclosed private information that he found there.  At the time of the incident, Sicari, 51, was medical director of the Fredericksburg-area offices of the NextCare Urgent Care chain. He now works for Kaiser Permanente at its Fredericksburg office.

A family practitioner, Sicari obtained information about “Individual A” from the state’s Prescription Monitoring Program. Sicari did not have a “bona fide practitioner/patient relationship” with Individual A. He entered the database in September 2010 and used information during a legal proceeding in Virginia on June 6, 2011. Sicari said recently that he knew Individual A and feared that she was using his name to obtain drugs.

Martinez signed his consent order May 31, admitting that he was unable to practice medicine with reasonable skill and safety because of an alcohol problem. A family practitioner, Martinez agreed to complete the state’s Health Practitioners’ Monitoring Program.

Martinez, 38, has been convicted of various alcohol-related incidents, beginning in 1997 and continuing through 2010. He started work at NextCare in 2009 and went to part-time status in 2010. He worked four shifts for the clinic in 2012 and eight shifts in the year prior to his termination, according to a statement from the company. NextCare fired Martinez last month when it learned about his latest disciplinary problems.