Esteban Garces, APRN
NPI 1295176998ActiveIndividual· Nurse Practitioner, Family· Jacksonville Beach, FL
Nurse Practitioner, Family (APRN) with Cleveland W. Randolph, Jr, MD, PA, practicing in Jacksonville Beach, Florida. Their prescriptions cost Medicare Part D more than their services did: $62,885 for 1,134 claims, against $18,839 paid for services in 2024. Axsome Therapeutics, Inc. was the largest of 11 companies reporting payments in 2025, $402.56 in all, mostly food and beverage. Lists Baptist Health Medical Center - Jacksonville as a hospital affiliation.
Overview
| NPI | 1295176998 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | No |
| NPI issued | Jul 10, 2013 |
| Last updated in NPPES | Aug 11, 2021 |
| Certified by provider | Aug 11, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 9274006 | 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 - Nurse Practitioner (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 190 |
|---|---|
| Services billed | 327 across 5 procedure codes |
| Paid by Medicare | $18,839 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,134 · 2,299 30-day fills |
|---|---|
| Patients | 179 |
| Total drug cost | $62,885 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Cleveland W. Randolph, Jr, MD, PAJacksonville, FL · 8 clinicians
Hospital affiliation
- Baptist Health Medical Center - JacksonvilleJacksonville, FL
Industry payments (Open Payments)
- 2025$402.56 · 21 payments from 11 companies
- 2024$343.78 · 18 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Axsome Therapeutics, Inc. | $73.45 | 3 |
| Novo Nordisk Inc | $69.25 | 4 |
| Bayer Healthcare Pharmaceuticals Inc. | $44.48 | 2 |
| Mayne Pharma Commercial LLC | $41.56 | 2 |
| Abbvie Inc. | $40.84 | 3 |
What the 2025 payments were for
- Food and Beverage$402.56 · 21 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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