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Rufina Pamela Mae Tuyac Miel, MD

NPI 1063470391ActiveIndividual· Internal Medicine, Hematology & Oncology· Fountain Valley, CA

Internal Medicine, Hematology & Oncology (MD) with The Oncology Institute Ca, A Professional Corporation, practicing in Fountain Valley, California. Their prescriptions cost Medicare Part D more than their services did: $2,022,732 for 874 claims, against $222,032 paid for services in 2024. Avyxa Pharma, LLC was the largest of 61 companies reporting payments in 2025, $29,257 in all, mostly consulting fees. Lists Orange County Global Medical Center as a hospital affiliation.

Overview

NPI1063470391
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedMay 3, 2006
Last updated in NPPESNov 19, 2019

Specialties and licenses

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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

Medicare

Enrollment (PECOS)Enrolled Practitioner - Hematology/Oncology (CA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients124
Services billed13,277 across 69 procedure codes
Paid by Medicare$222,032

Part D prescriptions in 2024

Prescriptions (claims)874 · 1,459 30-day fills
Patients158
Total drug cost$2,022,732
Generic share74% of claims

Medicare sources and data years

Education and affiliations

Graduation year1996
Medicare specialtyHematology/Oncology
Secondary specialtiesInternal Medicine

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$29,257 · 295 payments from 61 companies
  • 2024$27,881 · 343 payments from 52 companies

Top paying companies in 2025

What the 2025 payments were for

  • Consulting Fee$10,545 · 7 payments
  • Food and Beverage$9,226 · 265 payments
  • Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$5,912 · 2 payments
  • Travel and Lodging$2,204 · 6 payments
  • Long term medical supply or device loan$1,115 · 12 payments
  • Education$199.98 · 2 payments
  • Gift$55.47 · 1 payment

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

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