Robert R. Ramirez, M.D,
NPI 1285606996ActiveIndividual· Internal Medicine· New Braunfels, TX
Internal Medicine (M.D,) in New Braunfels, Texas, trained at Baylor College of Medicine (class of 1997). Their prescriptions cost Medicare Part D more than their services did: $863,088 for 10,841 claims, against $35,462 paid for services in 2024. Genentech USA, Inc. was the largest of 9 companies reporting payments in 2025, $559.93 in all, mostly food and beverage.
Overview
| NPI | 1285606996 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D, |
| Sole proprietor | No |
| NPI issued | Feb 6, 2006 |
| Last updated in NPPES | Mar 26, 2026 |
| Certified by provider | Mar 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | L0528 | TX |
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 (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 127 |
|---|---|
| Services billed | 520 across 30 procedure codes |
| Paid by Medicare | $35,462 |
Part D prescriptions in 2024
| Prescriptions (claims) | 10,841 · 26,916 30-day fills |
|---|---|
| Patients | 1,132 |
| Total drug cost | $863,088 |
| Generic share | 88% of claims |
Education and affiliations
| Medical school | Baylor College of Medicine |
|---|---|
| Graduation year | 1997 |
| Medicare specialty | Internal Medicine |
Medical group
- Conviva Medical Center Management of Texas, P.A.San Antonio, TX · 143 clinicians
Hospital affiliations
- Christus Santa Rosa Hospital-San MarcosSan Marcos, TX
- Guadalupe Regional Medical CenterSeguin, TX
Other facilities
- Christus HomecareHome health agency · New Braunfels, TX
- Vitas Healthcare of Texas LPHospice · San Antonio, TX
Industry payments (Open Payments)
- 2025$559.93 · 18 payments from 9 companies
- 2024$175.13 · 9 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Genentech USA, Inc. | $117.86 | 1 |
| Genentech, Inc. | $112.25 | 2 |
| Astrazeneca Pharmaceuticals LP | $96.98 | 4 |
| Glaxosmithkline, LLC. | $87.68 | 4 |
| Bayer Healthcare Pharmaceuticals Inc. | $63.77 | 3 |
What the 2025 payments were for
- Food and Beverage$559.93 · 18 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 41 internal medicine physicians in New Braunfels · All internal medicine physicians in Texas