Michael P. Raines, M.D
NPI 1144215872ActiveIndividual· Family Medicine· Americus, GA
Family Medicine (M.D) with Privia Medical Group of Georgia LLC, practicing in Americus, Georgia. Their prescriptions cost Medicare Part D more than their services did: $1,192,870 for 23,991 claims, against $24,054 paid for services in 2024. Novo Nordisk Inc was the largest of 5 companies reporting payments in 2024, $127.66 in all, mostly food and beverage. Lists Phoebe Sumter Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1144215872 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D |
| Sole proprietor | No |
| NPI issued | Sep 19, 2005 |
| Last updated in NPPES | Nov 21, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 035979 | GA |
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 - Family Practice (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 321 |
|---|---|
| Services billed | 720 across 48 procedure codes |
| Paid by Medicare | $24,054 |
Part D prescriptions in 2024
| Prescriptions (claims) | 23,991 · 36,248 30-day fills |
|---|---|
| Patients | 926 |
| Total drug cost | $1,192,870 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 1988 |
|---|---|
| Medicare specialty | Family Practice |
Medical group
- Privia Medical Group of Georgia LLCFayetteville, GA · 462 clinicians
Hospital affiliations
- Phoebe Sumter Medical CenterAmericus, GA
- Southeast Georgia Health System- Brunswick CampusBrunswick, GA
Other facilities
- Hospice of the Golden IslesHospice · Brunswick, GA
- Phoebe Sumter HospiceHospice · Americus, GA
Industry payments (Open Payments)
- 2024$127.66 · 7 payments from 5 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $39.53 | 2 |
| Astrazeneca Pharmaceuticals LP | $29.51 | 2 |
| Glaxosmithkline, LLC. | $21.68 | 1 |
| Exact Sciences Corporation | $19.66 | 1 |
| Lilly USA, LLC | $17.28 | 1 |
What the 2024 payments were for
- Food and Beverage$127.66 · 7 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Family Medicine providers in Americus
- 1336330976
- 1992192900
- 1750546958
- 1730418021
- 1689743866
- 1356434500
- 1073584504
- 1023323516
- 1932170461
- 1154632685
- 1275911828