Nicole D. Arthur, M.D.
NPI 1104188697ActiveIndividual· Family Medicine· Fairfield, CA
Family Medicine (M.D.) with Sutter Valley Medical Foundation, practicing in Fairfield, California. Their prescriptions cost Medicare Part D more than their services did: $194,302 for 4,131 claims, against $9,073 paid for services in 2024. Pfizer Inc. reported $17.44 in payments in 2024, mostly education. Lists Sutter Medical Center, Sacramento and 1 other hospital as hospital affiliations.
Overview
| NPI | 1104188697 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 12, 2012 |
| Last updated in NPPES | Nov 21, 2024 |
| Certified by provider | Nov 21, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 178811 | CA |
| Family Medicine | 207Q00000X | MD34378 | AL |
| Family Medicine | 207Q00000X | 982 | SC |
| Obstetrics & Gynecology, Obstetrics | 207VX0000X | 34378 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Obstetrics/Gynecology (AL); Practitioner - Family Practice (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 62 |
|---|---|
| Services billed | 114 across 22 procedure codes |
| Paid by Medicare | $9,073 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,131 · 9,713 30-day fills |
|---|---|
| Patients | 426 |
| Total drug cost | $194,302 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Family Practice |
| Secondary specialties | Obstetrics/Gynecology |
| Telehealth | Offers telehealth |
Medical group
- Sutter Valley Medical FoundationModesto, CA · 2,500 clinicians
Hospital affiliations
- Sutter Medical Center, SacramentoSacramento, CA
- Sutter Solano Medical CenterVallejo, CA
Other facilities
- Healthflex Home Health ServicesHome health agency · Oakland, CA
Industry payments (Open Payments)
- 2024$17.44 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Pfizer Inc. | $17.44 | 1 |
What the 2024 payments were for
- Education$17.44 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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