Shirin Afrasiabi, M.D. INC
NPI 1548219140ActiveIndividual· Internal Medicine· Costa Mesa, CA
Internal Medicine (M.D. INC) in Costa Mesa, California, trained at University of Texas Medical Branch at Galveston (class of 1992). Their prescriptions cost Medicare Part D more than their services did: $204,573 for 1,683 claims, against $27,319 paid for services in 2024. Lilly USA, LLC was the largest of 4 companies reporting payments in 2025, $144.19 in all, mostly food and beverage.
Overview
| NPI | 1548219140 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. INC |
| Sole proprietor | No |
| NPI issued | May 9, 2006 |
| Last updated in NPPES | Oct 4, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | A54306 | CA |
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 (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 47 |
|---|---|
| Services billed | 327 across 22 procedure codes |
| Paid by Medicare | $27,319 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,683 · 4,175 30-day fills |
|---|---|
| Patients | 101 |
| Total drug cost | $204,573 |
| Generic share | 84% of claims |
Education and affiliations
| Medical school | University of Texas Medical Branch at Galveston |
|---|---|
| Graduation year | 1992 |
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Hospital affiliation
- Hoag Memorial Hospital PresbyterianNewport Beach, CA
Industry payments (Open Payments)
- 2025$144.19 · 6 payments from 4 companies
- 2024$199.18 · 8 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $68.37 | 3 |
| Novo Nordisk Inc | $30.49 | 1 |
| Esperion Therapeutics, Inc. | $23.66 | 1 |
| Astrazeneca Pharmaceuticals LP | $21.67 | 1 |
What the 2025 payments were for
- Food and Beverage$144.19 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 35 internal medicine physicians in Costa Mesa · All internal medicine physicians in California