Ralph S. Augostini, MD
NPI 1104821552ActiveIndividual· Internal Medicine, Clinical Cardiac Electrophysiology· Columbus, OH
Internal Medicine, Clinical Cardiac Electrophysiology (MD) with Osu Internal Medicine LLC and 1 other group, practicing in Columbus, Ohio. Their prescriptions cost Medicare Part D more than their services did: $457,060 for 1,329 claims, against $191,624 paid for services in 2024. Boston Scientific Corporation was the largest of 9 companies reporting payments in 2025, $23,237 in all, mostly speaking and faculty fees. Lists Adena Regional Medical Center and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1104821552 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 14, 2005 |
| Last updated in NPPES | Oct 12, 2026 |
| Certified by provider | Oct 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Clinical Cardiac Electrophysiology Primary | 207RC0001X | 35.075807 | OH |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | 35.075807 | OH |
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 - Cardiac Electrophysiology (OH); Practitioner - Cardiovascular Disease (Cardiology) (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,235 |
|---|---|
| Services billed | 1,874 across 78 procedure codes |
| Paid by Medicare | $191,624 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,329 · 3,270 30-day fills |
|---|---|
| Patients | 290 |
| Total drug cost | $457,060 |
| Generic share | 74% of claims |
Education and affiliations
| Graduation year | 1990 |
|---|---|
| Medicare specialty | Cardiac Electrophysiology |
| Secondary specialties | Cardiovascular Disease (Cardiology) |
Medical groups
- Osu Internal Medicine LLCColumbus, OH · 1,161 clinicians
- Mercy Health Physicians Lima Specialty Care LLCLima, OH · 253 clinicians
Hospital affiliations
- Adena Regional Medical CenterChillicothe, OH
- Lima Memorial Health SystemLima, OH
- Mercy Health St Ritas Medical CenterLima, OH
- Ohio State University State Health SystemColumbus, OH
Industry payments (Open Payments)
- 2025$23,237 · 43 payments from 9 companies
- 2024$24,565 · 52 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $10,825 | 20 |
| Zoll Respicardia, Inc. | $6,736 | 5 |
| Medtronic, Inc. | $3,758 | 6 |
| Philips North America LLC | $1,340 | 6 |
| Abbott Laboratories | $302.58 | 2 |
What the 2025 payments were for
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$7,250 · 3 payments
- Compensation for serving as faculty or as a speaker for a medical education program$6,400 · 2 payments
- Consulting Fee$4,688 · 1 payment
- Travel and Lodging$2,755 · 9 payments
- Food and Beverage$2,145 · 28 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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