Nicole Ramos Petro, PA-C
NPI 1134373392ActiveIndividual· Physician Assistant, Medical· Walnut Creek, CA
Physician Assistant, Medical (PA-C) with Pinnacle Dermatology SC, practicing in Walnut Creek, California. Their prescriptions cost Medicare Part D more than their services did: $58,922 for 273 claims, against $24,079 paid for services in 2024. Galderma Laboratories, L.P. was the largest of 20 companies reporting payments in 2025, $2,287 in all, mostly food and beverage.
Overview
| NPI | 1134373392 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Nov 13, 2008 |
| Last updated in NPPES | Jun 8, 2022 |
| Certified by provider | Jun 8, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 1083930 | CA |
| Physician Assistant | 363A00000X | PA15806 | TX |
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 - Physician Assistant (CA); Practitioner - Physician Assistant (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 148 |
|---|---|
| Services billed | 543 across 25 procedure codes |
| Paid by Medicare | $24,079 |
Part D prescriptions in 2024
| Prescriptions (claims) | 273 · 299 30-day fills |
|---|---|
| Patients | 112 |
| Total drug cost | $58,922 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Pinnacle Dermatology SCChicago, IL · 148 clinicians
Industry payments (Open Payments)
- 2025$2,287 · 140 payments from 20 companies
- 2024$1,282 · 62 payments from 17 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Galderma Laboratories, L.P. | $456.17 | 38 |
| Janssen Biotech, Inc. | $246.00 | 21 |
| E.R. Squibb & Sons, L.L.C. | $204.60 | 10 |
| Abbvie Inc. | $178.37 | 11 |
| Arcutis Biotherapeutics, Inc. | $154.49 | 13 |
What the 2025 payments were for
- Food and Beverage$2,188 · 139 payments
- Education$99.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 16 physician assistants in Walnut Creek · All physician assistants in California