Cesar Augusto Ramirez Astacio, M.D
NPI 1336359033ActiveIndividual· Internal Medicine· New Iberia, LA
Internal Medicine (M.D) with Curana Health of Louisiana LLC and 3 other groups, practicing in New Iberia, Louisiana. Their prescriptions cost Medicare Part D more than their services did: $1,263,419 for 19,236 claims, against $363,379 paid for services in 2024. Rxsight Inc was the largest of 2 companies reporting payments in 2025, $258.74 in all, mostly food and beverage. Lists Iberia Medical Center and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1336359033 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D |
| Sole proprietor | No |
| NPI issued | May 23, 2007 |
| Last updated in NPPES | Apr 20, 2021 |
| Certified by provider | Apr 20, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | MD.203023 | LA |
| 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 - Internal Medicine (LA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 2,712 |
|---|---|
| Services billed | 7,703 across 22 procedure codes |
| Paid by Medicare | $363,379 |
Part D prescriptions in 2024
| Prescriptions (claims) | 19,236 · 20,326 30-day fills |
|---|---|
| Patients | 792 |
| Total drug cost | $1,263,419 |
| Generic share | 83% of claims |
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Internal Medicine |
Medical groups
- Curana Health of Louisiana LLCNew Orleans, LA · 141 clinicians
- Coolidge Physician Services LLCLafayette, LA · 51 clinicians
- Ch Mssp Services la LLCSulphur, LA · 44 clinicians
- Acadiana Renal Physicians AmcLafayette, LA · 17 clinicians
Hospital affiliations
- Iberia Medical CenterNew Iberia, LA
- Ochsner Lafayette General Medical CenterLafayette, LA
- Ochsner St Martin HospitalBreaux Bridge, LA
- Our Lady of Lourdes Regional Medical Center, IncLafayette, LA
- Park Place Surgical HospitalLafayette, LA
Other facilities
- Acadian Homecare, LLCHome health agency · Lafayette, LA
- Audubon Hospice of Lafayette, IncHospice · Lafayette, LA
- Southern Grace HospiceHospice · Breaux Bridge, LA
- Traditions HealthHospice · Lafayette, LA
- Lafayette-Amg Physical Rehabilitation HospitalInpatient rehabilitation facility · Lafayette, LA
- Lafayette - A M G Specialty HospitalLong-term care hospital · Lafayette, LA
- Camelot of BroussardNursing home · Broussard, LA
- Cornerstone at the RanchNursing home · Lafayette, LA
- Landmark of AcadianaNursing home · Saint Martinville, LA
- Landmark of RayneNursing home · Rayne, LA
- River Oaks Retirement ManorNursing home · Lafayette, LA
Industry payments (Open Payments)
- 2025$258.74 · 3 payments from 2 companies
- 2024$153.29 · 4 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Rxsight Inc | $153.36 | 2 |
| Acadia Pharmaceuticals Inc | $105.38 | 1 |
What the 2025 payments were for
- Food and Beverage$258.74 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 17 internal medicine physicians in New Iberia · All internal medicine physicians in Louisiana