Ricardo Davalos, M.D.
NPI 1609804749ActiveIndividual· Family Medicine· San Clemente, CA
Family Medicine (M.D.) in San Clemente, California, trained at University of Southern California Keck School of Medicine (class of 1996). Their prescriptions cost Medicare Part D more than their services did: $384,589 for 4,236 claims, against $172,298 paid for services in 2024. Abbvie Inc. was the largest of 10 companies reporting payments in 2025, $609.45 in all, mostly food and beverage.
Overview
| NPI | 1609804749 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 29, 2006 |
| Last updated in NPPES | Jul 9, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | A65157 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 374 |
|---|---|
| Services billed | 2,329 across 52 procedure codes |
| Paid by Medicare | $172,298 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,236 · 10,492 30-day fills |
|---|---|
| Patients | 543 |
| Total drug cost | $384,589 |
| Generic share | 90% of claims |
Education and affiliations
| Medical school | University of Southern California Keck School of Medicine |
|---|---|
| Graduation year | 1996 |
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Hospital affiliations
- Hoag Memorial Hospital PresbyterianNewport Beach, CA
- Memorialcare Saddleback Medical CenterLaguna Hills, CA
- Providence Mission HospitalMission Viejo, CA
Other facilities
- Apex Home Health Care ServicesHome health agency · Santa Ana, CA
- Care Plus Home HealthHome health agency · Laguna Hills, CA
- Green Meadows Home Health Care, IncHome health agency · Santa Ana, CA
- Mission Home Health of Irvine, LLCHome health agency · Irvine, CA
- Providence at Home With Compassus Home Health, Orange County SouthHome health agency · Irvine, CA
Industry payments (Open Payments)
- 2025$609.45 · 30 payments from 10 companies
- 2024$609.47 · 24 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $226.05 | 13 |
| Exact Sciences Corporation | $104.38 | 5 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $85.35 | 3 |
| Lilly USA, LLC | $49.98 | 2 |
| Novartis Pharmaceuticals Corporation | $42.67 | 2 |
What the 2025 payments were for
- Food and Beverage$609.45 · 30 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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