Ralph Garcia-Pacheco, M.D.
NPI 1093923088ActiveIndividual· Internal Medicine, Pulmonary Disease· Bakersfield, CA
Internal Medicine, Pulmonary Disease (M.D.) with Kern County Hospital Authority, practicing in Bakersfield, California. Their prescriptions cost Medicare Part D more than their services did: $120,715 for 477 claims, against $48,774 paid for services in 2024. Abbvie Inc. was the largest of 8 companies reporting payments in 2025, $235.55 in all, mostly food and beverage. Lists Adventist Health Bakersfield and 1 other hospital as hospital affiliations.
Overview
| NPI | 1093923088 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | May 21, 2007 |
| Last updated in NPPES | Jul 30, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | A110188 | CA |
| Internal Medicine, Critical Care Medicine | 207RC0200X | A110188 | CA |
| Internal Medicine | 207R00000X | A110188 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pulmonary Disease (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 190 |
|---|---|
| Services billed | 495 across 37 procedure codes |
| Paid by Medicare | $48,774 |
Part D prescriptions in 2024
| Prescriptions (claims) | 477 · 710 30-day fills |
|---|---|
| Patients | 57 |
| Total drug cost | $120,715 |
| Generic share | 51% of claims |
Education and affiliations
| Graduation year | 2001 |
|---|---|
| Medicare specialty | Pulmonary Disease |
| Secondary specialties | Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- Kern County Hospital AuthorityBakersfield, CA · 266 clinicians
Hospital affiliations
- Adventist Health BakersfieldBakersfield, CA
- Kern Medical CenterBakersfield, CA
Industry payments (Open Payments)
- 2025$235.55 · 12 payments from 8 companies
- 2024$94.58 · 5 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $70.15 | 3 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $39.45 | 2 |
| Intuitive Surgical, Inc. | $27.76 | 1 |
| Astellas Pharma US Inc | $23.27 | 1 |
| Otsuka America Pharmaceutical, Inc. | $20.13 | 1 |
What the 2025 payments were for
- Food and Beverage$235.55 · 12 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 31 pulmonologists in Bakersfield · All pulmonologists in California