Pamela Antonietta Alfafara, M.D.
NPI 1558387985ActiveIndividual· Psychiatry & Neurology, Psychiatry· Bakersfield, CA
Psychiatry & Neurology, Psychiatry (M.D.) with Comprehensive Psychiatric Services A Medical Group, practicing in Bakersfield, California. Their prescriptions cost Medicare Part D more than their services did: $29,651 for 295 claims, against $9,274 paid for services in 2024. E.R. Squibb & Sons, L.L.C. was the largest of 14 companies reporting payments in 2025, $1,099 in all, mostly food and beverage.
Overview
| NPI | 1558387985 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Jul 15, 2006 |
| Last updated in NPPES | Jul 9, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Psychiatry Primary | 2084P0800X | C51471 | 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 - Psychiatry (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 14 |
|---|---|
| Services billed | 122 across 6 procedure codes |
| Paid by Medicare | $9,274 |
Part D prescriptions in 2024
| Prescriptions (claims) | 295 · 532 30-day fills |
|---|---|
| Patients | 20 |
| Total drug cost | $29,651 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 1988 |
|---|---|
| Medicare specialty | Psychiatry |
| Telehealth | Offers telehealth |
Medical group
- Comprehensive Psychiatric Services A Medical GroupWalnut Creek, CA · 76 clinicians
Industry payments (Open Payments)
- 2025$1,099 · 42 payments from 14 companies
- 2024$1,021 · 41 payments from 10 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| E.R. Squibb & Sons, L.L.C. | $175.29 | 7 |
| Neurocrine Biosciences, Inc. | $156.99 | 6 |
| Teva Pharmaceuticals USA, Inc. | $125.41 | 4 |
| Lundbeck LLC | $114.38 | 4 |
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $112.61 | 4 |
What the 2025 payments were for
- Food and Beverage$1,099 · 42 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 117 psychiatrists in Bakersfield · All psychiatrists in California