Raquel S. Ristau, PAC
NPI 1265934384ActiveIndividual· Physician Assistant· Waukon, IA
Physician Assistant (PAC) with Gundersen Clinic Ltd and 1 other group, practicing in Waukon, Iowa. Their prescriptions cost Medicare Part D more than their services did: $260,319 for 4,141 claims, against $67,480 paid for services in 2024. Novo Nordisk Inc reported $21.39 in payments in 2024, mostly food and beverage. Lists Gundersen Lutheran Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1265934384 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | No |
| NPI issued | Mar 5, 2018 |
| Last updated in NPPES | Sep 22, 2020 |
| Certified by provider | Sep 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 090856 | IA |
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 - Physician Assistant (IA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 311 |
|---|---|
| Services billed | 2,155 across 77 procedure codes |
| Paid by Medicare | $67,480 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,141 · 8,652 30-day fills |
|---|---|
| Patients | 400 |
| Total drug cost | $260,319 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical groups
- Gundersen Clinic LtdOnalaska, WI · 418 clinicians
- Gundersen Regional Clinics, LLCDecorah, IA · 53 clinicians
Hospital affiliations
- Gundersen Lutheran Medical CenterLa Crosse, WI
- Veterans Memorial HospitalWaukon, IA
- WinnmedDecorah, IA
Other facilities
- V M H Comunity & Home CareHome health agency · Waukon, IA
Industry payments (Open Payments)
- 2024$21.39 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $21.39 | 1 |
What the 2024 payments were for
- Food and Beverage$21.39 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records