Nestor Cerda, M.D.
NPI 1164957767ActiveIndividual· Family Medicine, Geriatric Medicine· New Square, NY
Family Medicine, Geriatric Medicine (M.D.) with Optum Medical Care PC and 2 other groups, practicing in New Square, New York. Their prescriptions cost Medicare Part D more than their services did: $47,268 for 408 claims, against $4,279 paid for services in 2024.
Overview
| NPI | 1164957767 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Apr 21, 2017 |
| Last updated in NPPES | Jun 18, 2024 |
| Certified by provider | Jun 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Geriatric Medicine Primary | 207QG0300X | 307803 | NY |
| Family Medicine, Geriatric Medicine | 207QG0300X | 25MA11234100 | NJ |
| Preventive Medicine, Obesity Medicine | 2083B0002X | 307803 | NY |
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 - Family Practice (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 64 |
|---|---|
| Services billed | 90 across 18 procedure codes |
| Paid by Medicare | $4,279 |
Part D prescriptions in 2024
| Prescriptions (claims) | 408 · 821 30-day fills |
|---|---|
| Patients | 131 |
| Total drug cost | $47,268 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Family Practice |
| Secondary specialties | Geriatric Medicine |
| Telehealth | Offers telehealth |
Medical groups
- Optum Medical Care PCPoughkeepsie, NY · 1,010 clinicians
- Refuah Health Center IncNew Square, NY · 89 clinicians
- Optum Urgent Care PLLCWest Islip, NY · 68 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records