Arash Rafiei Karkvand, MD
NPI 1306074646ActiveIndividual· Urology· Orange City, FL
Urology (MD) with Advanced Urology Institute LLC, practicing in Orange City, Florida. Their prescriptions cost Medicare Part D more than their services did: $7,766,418 for 6,516 claims, against $876,253 paid for services in 2024. Medtronic, Inc. was the largest of 29 companies reporting payments in 2025, $4,426 in all, mostly food and beverage. Lists Adventhealth Deland and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1306074646 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 25, 2009 |
| Last updated in NPPES | Mar 4, 2025 |
| Certified by provider | Mar 4, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | ME 123842 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Urology (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,374 |
|---|---|
| Services billed | 21,948 across 100 procedure codes |
| Paid by Medicare | $876,253 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,516 · 13,094 30-day fills |
|---|---|
| Patients | 1,899 |
| Total drug cost | $7,766,418 |
| Generic share | 82% of claims |
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Urology |
| Telehealth | Offers telehealth |
Medical group
- Advanced Urology Institute LLCSafety Harbor, FL · 144 clinicians
Hospital affiliations
- Adventhealth DelandDeland, FL
- Adventhealth Fish MemorialOrange City, FL
- Adventhealth OrlandoOrlando, FL
Industry payments (Open Payments)
- 2025$4,426 · 101 payments from 29 companies
- 2024$3,076 · 79 payments from 28 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $1,281 | 11 |
| Ferring Pharmaceuticals Inc. | $497.04 | 13 |
| Coloplast Corp | $451.83 | 4 |
| Telix Pharmaceuticals | $218.88 | 2 |
| Procept Biorobotics Corporation | $218.04 | 5 |
What the 2025 payments were for
- Food and Beverage$3,509 · 94 payments
- Travel and Lodging$813.96 · 5 payments
- Education$103.06 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Urology providers in Orange City
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