Rafael Mestre, APRN
NPI 1316592298ActiveIndividual· Nurse Practitioner, Primary Care· Doral, FL
Nurse Practitioner, Primary Care (APRN) in Doral, Florida, licensed in FL, with an NPI issued in August 2019. Their prescriptions cost Medicare Part D more than their services did: $120,791 for 1,165 claims, against $9,960 paid for services in 2024. Boehringer Ingelheim Pharmaceuticals, Inc. was the largest of 9 companies reporting payments in 2025, $416.67 in all, mostly food and beverage.
Overview
| NPI | 1316592298 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | Yes |
| NPI issued | Aug 7, 2019 |
| Last updated in NPPES | Jan 7, 2026 |
| Certified by provider | Jan 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | APRN11003233 | FL |
| Nurse Practitioner, Family | 363LF0000X | APRN11003233 | 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 | 47 |
|---|---|
| Services billed | 162 across 15 procedure codes |
| Paid by Medicare | $9,960 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,165 · 2,513 30-day fills |
|---|---|
| Patients | 225 |
| Total drug cost | $120,791 |
| Generic share | 85% of claims |
Industry payments (Open Payments)
- 2025$416.67 · 19 payments from 9 companies
- 2024$467.80 · 23 payments from 11 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $100.37 | 4 |
| Novo Nordisk Inc | $91.08 | 5 |
| Exact Sciences Corporation | $72.52 | 3 |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | $53.79 | 2 |
| Abbvie Inc. | $25.85 | 1 |
What the 2025 payments were for
- Food and Beverage$416.67 · 19 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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