Rachael Free Earnest, MD
NPI 1306230537ActiveIndividual· Dermatology· Frisco, TX
Dermatology (MD) in Frisco, Texas, trained at Louisiana State University School of Medicine in Shreveport (class of 2015). Their prescriptions cost Medicare Part D more than their services did: $189,814 for 800 claims, against $108,074 paid for services in 2024. Galderma Laboratories, L.P. was the largest of 17 companies reporting payments in 2025, $1,525 in all, mostly food and beverage.
Overview
| NPI | 1306230537 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Mar 25, 2015 |
| Last updated in NPPES | Jun 10, 2020 |
| Certified by provider | Jun 10, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | S1391 | TX |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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 - Dermatology (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 544 |
|---|---|
| Services billed | 1,990 across 39 procedure codes |
| Paid by Medicare | $108,074 |
Part D prescriptions in 2024
| Prescriptions (claims) | 800 · 862 30-day fills |
|---|---|
| Patients | 310 |
| Total drug cost | $189,814 |
| Generic share | 94% of claims |
Education and affiliations
| Medical school | Louisiana State University School of Medicine in Shreveport |
|---|---|
| Graduation year | 2015 |
| Medicare specialty | Dermatology |
Medical group
- Epiphany Dermatology PABryan, TX · 109 clinicians
Industry payments (Open Payments)
- 2025$1,525 · 70 payments from 17 companies
- 2024$1,892 · 125 payments from 18 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Galderma Laboratories, L.P. | $398.43 | 22 |
| Janssen Biotech, Inc. | $222.10 | 7 |
| Organon LLC | $176.12 | 5 |
| Pfizer Inc. | $120.57 | 6 |
| Abbvie Inc. | $113.29 | 5 |
What the 2025 payments were for
- Food and Beverage$1,412 · 68 payments
- Education$113.16 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 25 dermatologists in Frisco · All dermatologists in Texas