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Richard Pretorius, MD, MPH

NPI 1013900505ActiveIndividual· Family Medicine· Irving, NY

Family Medicine (MD, MPH) in Irving, New York, trained at University of Virginia School of Medicine (class of 1986). 37 Medicare patients in 2024, $4,148 paid; nearly all of their 187 Part D prescriptions were generic (95%).

Overview

NPI1013900505
StatusActive
Entity typeIndividual
CredentialMD, MPH
Sole proprietorNo
NPI issuedAug 30, 2005
Last updated in NPPESNov 18, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X35-057683OH
Emergency Medicine207P00000X46970KY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Emergency Medicine (IA); Practitioner - Emergency Medicine (MN); Practitioner - Emergency Medicine (OH)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients37
Services billed44 across 9 procedure codes
Paid by Medicare$4,148

Part D prescriptions in 2024

Prescriptions (claims)187 · 189 30-day fills
Patients124
Total drug cost$2,425
Generic share95% of claims

Medicare sources and data years

Education and affiliations

Medical schoolUniversity of Virginia School of Medicine
Graduation year1986
Medicare specialtyEmergency Medicine

Medical groups

Hospital affiliations

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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