Ralph Bruce Geiger, M.D.
NPI 1245294073ActiveIndividual· Internal Medicine· Sebastian, FL
Internal Medicine (M.D.) in Sebastian, Florida, trained at University of Miami, Lm Miller School of Medicine (class of 1977). Their prescriptions cost Medicare Part D more than their services did: $847,785 for 12,072 claims, against $61,214 paid for services in 2024. Phathom Pharmaceuticals, Inc. was the largest of 9 companies reporting payments in 2025, $348.76 in all, mostly food and beverage.
Overview
| NPI | 1245294073 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Apr 17, 2006 |
| Last updated in NPPES | Jun 10, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | ME 35799 | FL |
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 - Internal Medicine (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 363 |
|---|---|
| Services billed | 945 across 26 procedure codes |
| Paid by Medicare | $61,214 |
Part D prescriptions in 2024
| Prescriptions (claims) | 12,072 · 28,612 30-day fills |
|---|---|
| Patients | 792 |
| Total drug cost | $847,785 |
| Generic share | 91% of claims |
Education and affiliations
| Medical school | University of Miami, Lm Miller School of Medicine |
|---|---|
| Graduation year | 1977 |
| Medicare specialty | Internal Medicine |
Medical group
- Rhg of Florida PAMelbourne, FL · 24 clinicians
Hospital affiliations
- Cleveland Clinic Indian River HospitalVero Beach, FL
- Orlando Health Sebastian River HospitalSebastian, FL
Industry payments (Open Payments)
- 2025$348.76 · 15 payments from 9 companies
- 2024$487.72 · 25 payments from 10 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Phathom Pharmaceuticals, Inc. | $94.33 | 1 |
| Exact Sciences Corporation | $72.95 | 3 |
| Lilly USA, LLC | $46.08 | 3 |
| Abbvie Inc. | $36.79 | 2 |
| Novo Nordisk Inc | $31.40 | 2 |
What the 2025 payments were for
- Food and Beverage$348.76 · 15 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 40 internal medicine physicians in Sebastian · All internal medicine physicians in Florida