Richard L. Converse Jr., MD
NPI 1013001486ActiveIndividual· Internal Medicine, Cardiovascular Disease· Durango, CO
Internal Medicine, Cardiovascular Disease (MD) in Durango, Colorado, trained at Johns Hopkins University School of Medicine (class of 1987). Their prescriptions cost Medicare Part D more than their services did: $356,749 for 2,034 claims, against $82,671 paid for services in 2024. Pfizer Inc. reported $20.90 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1013001486 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Oct 3, 2006 |
| Last updated in NPPES | Mar 7, 2023 |
| Certified by provider | Mar 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | DR.0069901 | CO |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | 20030692 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Cardiovascular Disease (Cardiology) (CO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,616 |
|---|---|
| Services billed | 2,955 across 41 procedure codes |
| Paid by Medicare | $82,671 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,034 · 5,167 30-day fills |
|---|---|
| Patients | 371 |
| Total drug cost | $356,749 |
| Generic share | 84% of claims |
Education and affiliations
| Medical school | Johns Hopkins University School of Medicine |
|---|---|
| Graduation year | 1987 |
| Medicare specialty | Cardiovascular Disease (Cardiology) |
Hospital affiliations
- Centura Health-Penrose St Francis Health ServicesColorado Springs, CO
- Mercy Regional Medical CenterDurango, CO
- Pagosa Springs Medical CenterPagosa Springs, CO
- San Juan Regional Medical Center IncFarmington, NM
- Southwest Memorial HospitalCortez, CO
Industry payments (Open Payments)
- 2025$20.90 · 1 payment from 1 company
- 2024$144.08 · 6 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Pfizer Inc. | $20.90 | 1 |
What the 2025 payments were for
- Food and Beverage$20.90 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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