Jason R. Lorch, DO
NPI 1649265109ActiveIndividual· Internal Medicine· Paducah, KY
Internal Medicine (DO) with Four Rivers Internal Medicine PLLC, practicing in Paducah, Kentucky. Their prescriptions cost Medicare Part D more than their services did: $1,701,544 for 19,407 claims, against $292,514 paid for services in 2024. Boehringer Ingelheim Pharmaceuticals, Inc. was the largest of 4 companies reporting payments in 2025, $157.89 in all, mostly food and beverage. Lists Baptist Health Paducah and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1649265109 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Sep 12, 2005 |
| Last updated in NPPES | Nov 26, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 02754 | KY |
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 (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,090 |
|---|---|
| Services billed | 25,917 across 46 procedure codes |
| Paid by Medicare | $292,514 |
Part D prescriptions in 2024
| Prescriptions (claims) | 19,407 · 40,397 30-day fills |
|---|---|
| Patients | 1,022 |
| Total drug cost | $1,701,544 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 1998 |
|---|---|
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- Four Rivers Internal Medicine PLLCPaducah, KY · 4 clinicians
Hospital affiliations
- Baptist Health PaducahPaducah, KY
- Jackson Purchase Medical CenterMayfield, KY
- Marshall County HospitalBenton, KY
- Mercy Health - Lourdes HospitalPaducah, KY
Other facilities
- Baptist Health Home Care Ky, LLC DBA Baptist Home Health CareHome health agency · Louisville, KY
- Mercy Health - Home Care, PaducahHome health agency · Paducah, KY
Industry payments (Open Payments)
- 2025$157.89 · 9 payments from 4 companies
- 2024$271.31 · 15 payments from 9 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $73.90 | 4 |
| Novo Nordisk Inc | $41.01 | 3 |
| Medtronic, Inc. | $25.49 | 1 |
| Astrazeneca Pharmaceuticals LP | $17.49 | 1 |
What the 2025 payments were for
- Food and Beverage$157.89 · 9 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 44 internal medicine physicians in Paducah · All internal medicine physicians in Kentucky