Mauricio A. Pedroza, MD
Student in an Organized Health Care Education/Training Program (MD) with Einstein Practice Plan Inc, practicing in Philadelphia, Pennsylvania. Their prescriptions cost Medicare Part D more than their services did: $206,015 for 719 claims, against $53,806 paid for services in 2024. Novartis Pharmaceuticals Corporation was the largest of 12 companies reporting payments in 2025, $853.17 in all, mostly food and beverage. Lists Jefferson Einstein Philadelphia Hospital as a hospital affiliation.
Overview
| NPI | 1265744692 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 14, 2010 |
| Last updated in NPPES | Jul 14, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | MT197874 | PA |
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 - Nephrology (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 176 |
|---|---|
| Services billed | 425 across 14 procedure codes |
| Paid by Medicare | $53,806 |
Part D prescriptions in 2024
| Prescriptions (claims) | 719 · 1,108 30-day fills |
|---|---|
| Patients | 145 |
| Total drug cost | $206,015 |
| Generic share | 82% of claims |
Education and affiliations
| Graduation year | 2001 |
|---|---|
| Medicare specialty | Nephrology |
Medical group
- Einstein Practice Plan IncElkins Park, PA · 794 clinicians
Hospital affiliation
- Jefferson Einstein Philadelphia HospitalPhiladelphia, PA
Other facilities
- Davita Wissahickon DialysisDialysis facility · Philadelphia, PA
Industry payments (Open Payments)
- 2025$853.17 · 42 payments from 12 companies
- 2024$819.83 · 39 payments from 12 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novartis Pharmaceuticals Corporation | $182.77 | 7 |
| Akebia Therapeutics Inc | $107.58 | 5 |
| Ardelyx, Inc. | $104.63 | 4 |
| Bayer Healthcare Pharmaceuticals Inc. | $83.81 | 5 |
| Travere Therapeutics, Inc. | $73.68 | 5 |
What the 2025 payments were for
- Food and Beverage$853.17 · 42 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Student in an Organized Health Care Education/Training Program providers in Philadelphia
- 1053754325
- 1083374532
- 1154810380
- 1245650696
- 1265877013
- 1295275634
- 1316576945
- 1356902308
- 1366930513
- 1568757441
- 1639526999
- 1659049708
All 4,287 Student in an Organized Health Care Education/Training Program providers in Philadelphia · All Student in an Organized Health Care Education/Training Program providers in Pennsylvania