Buddy Karl Festerling, M.D.
NPI 1396816567ActiveIndividual· Family Medicine· Hilo, HI
Family Medicine (M.D.) in Hilo, Hawaii, trained at University of Hawaii John A. Burns School of Medicine (class of 1993). Their prescriptions cost Medicare Part D more than their services did: $1,268,756 for 7,837 claims, against $39,145 paid for services in 2024. Amgen Inc. was the largest of 21 companies reporting payments in 2025, $2,780 in all, mostly food and beverage.
Overview
| NPI | 1396816567 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Nov 10, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | MD - 10056 | HI |
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 - Family Practice (HI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 177 |
|---|---|
| Services billed | 431 across 13 procedure codes |
| Paid by Medicare | $39,145 |
Part D prescriptions in 2024
| Prescriptions (claims) | 7,837 · 15,053 30-day fills |
|---|---|
| Patients | 341 |
| Total drug cost | $1,268,756 |
| Generic share | 82% of claims |
Education and affiliations
| Medical school | University of Hawaii John A. Burns School of Medicine |
|---|---|
| Graduation year | 1993 |
| Medicare specialty | Family Practice |
Hospital affiliation
- Hilo Benioff Medical CenterHilo, HI
Other facilities
- DBA Hawai'I Care ChoicesHospice · Hilo, HI
Industry payments (Open Payments)
- 2025$2,780 · 146 payments from 21 companies
- 2024$1,853 · 109 payments from 14 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Amgen Inc. | $517.41 | 25 |
| Novo Nordisk Inc | $300.24 | 10 |
| Astrazeneca Pharmaceuticals LP | $296.46 | 18 |
| Pfizer Inc. | $292.99 | 25 |
| Lilly USA, LLC | $161.34 | 5 |
What the 2025 payments were for
- Food and Beverage$2,727 · 144 payments
- Education$53.18 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 73 family medicine physicians in Hilo · All family medicine physicians in Hawaii