Rudrick Villoso Ledesma, M.D.
NPI 1306125836ActiveIndividual· Internal Medicine, Nephrology· Tyler, TX
Internal Medicine, Nephrology (M.D.) with Etmc Physician Group, Inc. and 1 other group, practicing in Tyler, Texas. Their prescriptions cost Medicare Part D more than their services did: $532,628 for 2,263 claims, against $193,958 paid for services in 2024. Amgen Inc. was the largest of 7 companies reporting payments in 2025, $440.38 in all, mostly food and beverage. Lists Christus Mother Frances Hospital and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1306125836 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Aug 15, 2011 |
| Last updated in NPPES | Apr 20, 2023 |
| Certified by provider | Apr 20, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | Q7224 | TX |
| Internal Medicine, Nephrology | 207RN0300X | 33999 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nephrology (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 635 |
|---|---|
| Services billed | 3,014 across 26 procedure codes |
| Paid by Medicare | $193,958 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,263 · 4,154 30-day fills |
|---|---|
| Patients | 401 |
| Total drug cost | $532,628 |
| Generic share | 83% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Nephrology |
| Secondary specialties | Internal Medicine |
| Telehealth | Offers telehealth |
Medical groups
- Etmc Physician Group, Inc.Flint, TX · 381 clinicians
- Tyler Nephrology Associates PATyler, TX · 27 clinicians
Hospital affiliations
- Christus Mother Frances HospitalTyler, TX
- Christus Mother Frances Hospital- JacksonvilleJacksonville, TX
- Titus Regional Medical CenterMount Pleasant, TX
- Ut Health East Texas Jacksonville HospitalJacksonville, TX
- Ut Health East Texas Tyler Regional HospitalTyler, TX
Other facilities
- Jacksonville Dialysis CenterDialysis facility · Jacksonville, TX
- Renal Care Group - GilmerDialysis facility · Gilmer, TX
Industry payments (Open Payments)
- 2025$440.38 · 21 payments from 7 companies
- 2024$994.04 · 29 payments from 11 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Amgen Inc. | $179.53 | 8 |
| Fresenius USA Marketing, Inc. | $70.38 | 3 |
| Mallinckrodt Hospital Products Inc. | $51.88 | 2 |
| Novartis Pharmaceuticals Corporation | $47.51 | 2 |
| Astrazeneca Pharmaceuticals LP | $46.75 | 3 |
What the 2025 payments were for
- Food and Beverage$438.72 · 20 payments
- Education$1.66 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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