Rafael O. Duchesne, M.D.
NPI 1588657332ActiveIndividual· Internal Medicine, Nephrology· Dalton, GA
Internal Medicine, Nephrology (M.D.) in Dalton, Georgia, trained at Emory University School of Medicine (class of 1995). Their prescriptions cost Medicare Part D more than their services did: $805,849 for 3,615 claims, against $212,671 paid for services in 2024. Fresenius USA Marketing, Inc. was the largest of 20 companies reporting payments in 2025, $1,595 in all, mostly food and beverage.
Overview
| NPI | 1588657332 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Aug 26, 2005 |
| Last updated in NPPES | Feb 21, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | 041424 | GA |
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 - Nephrology (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 485 |
|---|---|
| Services billed | 4,264 across 49 procedure codes |
| Paid by Medicare | $212,671 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,615 · 7,227 30-day fills |
|---|---|
| Patients | 507 |
| Total drug cost | $805,849 |
| Generic share | 84% of claims |
Education and affiliations
| Medical school | Emory University School of Medicine |
|---|---|
| Graduation year | 1995 |
| Medicare specialty | Nephrology |
| Secondary specialties | Internal Medicine |
Medical group
- Nephrology and Hypertension Specialists PCDalton, GA · 8 clinicians
Hospital affiliation
- Hamilton Medical CenterDalton, GA
Other facilities
- US Renal Care Calhoun DialysisDialysis facility · Calhoun, GA
- Usrc Dalton DialysisDialysis facility · Dalton, GA
- Usrc Murray County DialysisDialysis facility · Chatsworth, GA
Industry payments (Open Payments)
- 2025$1,595 · 78 payments from 20 companies
- 2024$1,549 · 72 payments from 19 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Fresenius USA Marketing, Inc. | $187.49 | 10 |
| Travere Therapeutics, Inc. | $172.99 | 8 |
| Novartis Pharmaceuticals Corporation | $128.24 | 5 |
| Otsuka America Pharmaceutical, Inc. | $126.37 | 5 |
| Ardelyx, Inc. | $120.41 | 6 |
What the 2025 payments were for
- Food and Beverage$1,577 · 76 payments
- Education$18.16 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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