Joyce M. Ildesa, M.D.
Opted out of Medicare from October 2026 to October 2028. Family Medicine (M.D.) in Santee, California, licensed in CA, with an NPI issued in October 2006. Their prescriptions cost Medicare Part D more than their services did: $279,977 for 3,145 claims, against $61,539 paid for services in 2024. Lilly USA, LLC was the largest of 15 companies reporting payments in 2025, $859.92 in all, mostly food and beverage. Lists Scripps Green Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1134215684 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Oct 4, 2006 |
| Last updated in NPPES | Jan 3, 2020 |
| Certified by provider | Jan 3, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | A75872 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Oct 1, 2026 – Oct 1, 2028 |
| Can order and refer | Yes |
| Accepts assignment | Yes (participating) |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Medicare services in 2024
| Medicare patients | 257 |
|---|---|
| Services billed | 932 across 37 procedure codes |
| Paid by Medicare | $61,539 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,145 · 7,467 30-day fills |
|---|---|
| Patients | 329 |
| Total drug cost | $279,977 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 1998 |
|---|---|
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Hospital affiliations
- Scripps Green HospitalLa Jolla, CA
- Scripps Memorial Hospital la JollaLa Jolla, CA
- Scripps Mercy HospitalSan Diego, CA
Industry payments (Open Payments)
- 2025$859.92 · 35 payments from 15 companies
- 2024$1,087 · 59 payments from 15 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $206.48 | 9 |
| Abbvie Inc. | $126.84 | 5 |
| Bayer Healthcare Pharmaceuticals Inc. | $104.30 | 1 |
| Amgen Inc. | $82.34 | 4 |
| Pfizer Inc. | $54.31 | 3 |
What the 2025 payments were for
- Food and Beverage$859.92 · 35 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 35 family medicine physicians in Santee · All family medicine physicians in California