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Sergio Abarca, M.D.

NPI 1245238617ActiveIndividual· Family Medicine· Tooele, UT

Family Medicine (M.D.) in Tooele, Utah, trained at University of California, San Diego School of Medicine (class of 2000). Their prescriptions cost Medicare Part D more than their services did: $587,257 for 4,993 claims, against $39,168 paid for services in 2024. Pfizer Inc. was the largest of 18 companies reporting payments in 2025, $1,088 in all, mostly food and beverage.

Overview

NPI1245238617
StatusActive
Entity typeIndividual
CredentialM.D.
Sole proprietorNo
NPI issuedJul 11, 2005
Last updated in NPPESJan 15, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X5250296-1205UT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Family Practice (UT)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients139
Services billed4,112 across 32 procedure codes
Paid by Medicare$39,168

Part D prescriptions in 2024

Prescriptions (claims)4,993 · 11,887 30-day fills
Patients268
Total drug cost$587,257
Generic share84% of claims

Medicare sources and data years

Education and affiliations

Medical schoolUniversity of California, San Diego School of Medicine
Graduation year2000
Medicare specialtyFamily Practice
TelehealthOffers telehealth

Hospital affiliations

Other facilities

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$1,088 · 61 payments from 18 companies
  • 2024$1,180 · 67 payments from 15 companies

Top paying companies in 2025

CompanyAmountPayments
Pfizer Inc.$193.957
Amgen Inc.$159.3514
Medtronic, Inc.$158.787
Abbvie Inc.$85.244
Novo Nordisk Inc$78.324

What the 2025 payments were for

  • Food and Beverage$1,088 · 61 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Family Medicine providers in Tooele

All Family Medicine providers in Utah →