Ralph L. Aquadro Jr., MD
NPI 1396797288ActiveIndividual· Internal Medicine· Florence, AL
Internal Medicine (MD) in Florence, Alabama, trained at University of Tennessee, Hsc, College of Medicine (class of 1979). Their prescriptions cost Medicare Part D more than their services did: $925,155 for 10,355 claims, against $104,010 paid for services in 2024. Novo Nordisk Inc was the largest of 12 companies reporting payments in 2025, $997.85 in all, mostly food and beverage.
Overview
| NPI | 1396797288 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | May 17, 2006 |
| Last updated in NPPES | Dec 21, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 9113 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (AL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 279 |
|---|---|
| Services billed | 2,758 across 38 procedure codes |
| Paid by Medicare | $104,010 |
Part D prescriptions in 2024
| Prescriptions (claims) | 10,355 · 22,137 30-day fills |
|---|---|
| Patients | 509 |
| Total drug cost | $925,155 |
| Generic share | 88% of claims |
Education and affiliations
| Medical school | University of Tennessee, Hsc, College of Medicine |
|---|---|
| Graduation year | 1979 |
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- Inter Nal Medicine Clinic,llcFlorence, AL · 4 clinicians
Hospital affiliations
- Helen Keller HospitalSheffield, AL
- North Alabama Medical CenterFlorence, AL
- North Alabama Shoals HospitalMuscle Shoals, AL
Other facilities
- Centerwell Home HealthHome health agency · Moulton, AL
- Keller Home CareHome health agency · Red Bay, AL
- Preferred Home HealthHome health agency · Florence, AL
Industry payments (Open Payments)
- 2025$997.85 · 43 payments from 12 companies
- 2024$1,017 · 54 payments from 16 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $298.90 | 11 |
| Astrazeneca Pharmaceuticals LP | $260.69 | 11 |
| Abbvie Inc. | $86.62 | 5 |
| Revance Therapeutics, Inc. | $75.00 | 1 |
| Exact Sciences Corporation | $74.24 | 4 |
What the 2025 payments were for
- Food and Beverage$997.85 · 43 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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