Kharisa Nur Rachmasari, M.D.
NPI 1225525215ActiveIndividual· Internal Medicine, Endocrinology, Diabetes & Metabolism· La Crosse, WI
Internal Medicine, Endocrinology, Diabetes & Metabolism (M.D.) with Mayo Clinic Health System-Southwest Wisconsin Region Inc, practicing in La Crosse, Wisconsin. Their prescriptions cost Medicare Part D more than their services did: $145,474 for 316 claims, against $15,000 paid for services in 2024. Dexcom, Inc. reported $115.27 in payments in 2025, mostly food and beverage. Lists Mayo Clinic Health System Chippewa Valley and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1225525215 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Apr 16, 2018 |
| Last updated in NPPES | Jun 27, 2024 |
| Certified by provider | Jun 27, 2024 |
| Reactivated | Dec 19, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Endocrinology, Diabetes & Metabolism Primary | 207RE0101X | 82656 | WI |
| Internal Medicine, Endocrinology, Diabetes & Metabolism | 207RE0101X | 69190 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Endocrinology (MN); Practitioner - Endocrinology (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 128 |
|---|---|
| Services billed | 210 across 12 procedure codes |
| Paid by Medicare | $15,000 |
Part D prescriptions in 2024
| Prescriptions (claims) | 316 · 566 30-day fills |
|---|---|
| Patients | 110 |
| Total drug cost | $145,474 |
| Generic share | 45% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Endocrinology |
| Telehealth | Offers telehealth |
Medical group
- Mayo Clinic Health System-Southwest Wisconsin Region IncLa Crosse, WI · 534 clinicians
Hospital affiliations
- Mayo Clinic Health System Chippewa ValleyBloomer, WI
- Mayo Clinic Health System Eau Claire HospitalEau Claire, WI
- Mayo Clinic Health System-Franciscan Medical Center IncLa Crosse, WI
- Mayo Clinic Health System-NorthlandBarron, WI
- Mayo Clinic Health System-Red Cedar IncMenomonie, WI
Industry payments (Open Payments)
- 2025$115.27 · 1 payment from 1 company
- 2024$89.69 · 2 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Dexcom, Inc. | $115.27 | 1 |
What the 2025 payments were for
- Food and Beverage$115.27 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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