Ralph A. Highshaw, MD
NPI 1386726453ActiveIndividual· Urology· Palm Coast, FL
Urology (MD) in Palm Coast, Florida, trained at University of Southern California Keck School of Medicine (class of 1993). 305 Medicare patients in 2024, $116,523 paid; nearly all of their 388 Part D prescriptions were generic (99%). Intuitive Surgical, Inc. was the largest of 11 companies reporting payments in 2025, $2,641 in all, mostly education.
Overview
| NPI | 1386726453 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Oct 19, 2006 |
| Last updated in NPPES | Oct 25, 2023 |
| Certified by provider | Oct 25, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | ME129129 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Urology (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 305 |
|---|---|
| Services billed | 850 across 56 procedure codes |
| Paid by Medicare | $116,523 |
Part D prescriptions in 2024
| Prescriptions (claims) | 388 · 708 30-day fills |
|---|---|
| Patients | 168 |
| Total drug cost | $5,998 |
| Generic share | 99% of claims |
Education and affiliations
| Medical school | University of Southern California Keck School of Medicine |
|---|---|
| Graduation year | 1993 |
| Medicare specialty | Urology |
| Telehealth | Offers telehealth |
Medical group
- Florida Hospital Healthcare Partners, IncPalm Coast, FL · 642 clinicians
Hospital affiliations
- Adventhealth Daytona BeachDaytona Beach, FL
- Adventhealth Palm Coast ParkwayPalm Coast, FL
- Adventhealth Palm CoastPalm Coast, FL
Industry payments (Open Payments)
- 2025$2,641 · 24 payments from 11 companies
- 2024$1,033 · 29 payments from 13 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Intuitive Surgical, Inc. | $1,775 | 3 |
| Boston Scientific Corporation | $264.13 | 3 |
| Procept Biorobotics Corporation | $245.35 | 5 |
| Teleflex LLC | $109.01 | 3 |
| Myriad Genetic Laboratories, Inc. | $65.32 | 3 |
What the 2025 payments were for
- Education$1,500 · 1 payment
- Food and Beverage$866.45 · 21 payments
- Travel and Lodging$274.88 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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