Rachael L. Pachuta, CNS
NPI 1346429586ActiveIndividual· Clinical Nurse Specialist· Cleveland, OH
Clinical Nurse Specialist (CNS) with Cleveland Clinic, practicing in Cleveland, Ohio. Their prescriptions cost Medicare Part D more than their services did: $8,100 for 160 claims, against $4,592 paid for services in 2024. Reflow Medical Inc was the largest of 2 companies reporting payments in 2025, $340.15 in all, mostly food and beverage. Lists Cleveland Clinic as a hospital affiliation.
Overview
| NPI | 1346429586 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CNS |
| Sole proprietor | No |
| NPI issued | Oct 24, 2007 |
| Last updated in NPPES | Dec 7, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Nurse Specialist Primary | 364S00000X | RN301221 | OH |
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 - Certified Clinical Nurse Specialist (Cns) (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 46 |
|---|---|
| Services billed | 100 across 5 procedure codes |
| Paid by Medicare | $4,592 |
Part D prescriptions in 2024
| Prescriptions (claims) | 160 · 185 30-day fills |
|---|---|
| Patients | 65 |
| Total drug cost | $8,100 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Certified Clinical Nurse Specialist (Cns) |
Medical group
- Cleveland ClinicCleveland, OH · 7,090 clinicians
Hospital affiliation
- Cleveland ClinicCleveland, OH
Industry payments (Open Payments)
- 2025$340.15 · 3 payments from 2 companies
- 2024$12.44 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Reflow Medical Inc | $231.70 | 2 |
| Solventum Corporation | $108.45 | 1 |
What the 2025 payments were for
- Food and Beverage$340.15 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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