Herbert J. Rudolph, MD
NPI 1871633370ActiveIndividual· Family Medicine· Atascadero, CA
Family Medicine (MD) in Atascadero, California, trained at Rutgers, Robert Woood Johnson Medical School (class of 1985). Their prescriptions cost Medicare Part D more than their services did: $324,664 for 2,406 claims, against $731.32 paid for services in 2024. Exact Sciences Corporation was the largest of 3 companies reporting payments in 2025, $57.57 in all, mostly food and beverage.
Overview
| NPI | 1871633370 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Feb 7, 2007 |
| Last updated in NPPES | Nov 26, 2024 |
| Certified by provider | Nov 26, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 57620 | CA |
| Family Medicine | 207Q00000X | MA049045 | NJ |
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); Practitioner - Internal Medicine (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 17 |
|---|---|
| Services billed | 26 across 10 procedure codes |
| Paid by Medicare | $731.32 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,406 · 5,177 30-day fills |
|---|---|
| Patients | 341 |
| Total drug cost | $324,664 |
| Generic share | 83% of claims |
Education and affiliations
| Medical school | Rutgers, Robert Woood Johnson Medical School |
|---|---|
| Graduation year | 1985 |
| Medicare specialty | Family Practice |
Medical groups
- David B. HammerTempleton, CA · 123 clinicians
- Community Health Centers of the Central Coast IncNipomo, CA · 73 clinicians
Hospital affiliations
- Adventist Health Twin CitiesTempleton, CA
- French Hospital Medical CenterSan Luis Obispo, CA
Other facilities
- Central Coast Home Health IncHome health agency · San Luis Obispo, CA
Industry payments (Open Payments)
- 2025$57.57 · 3 payments from 3 companies
- 2024$15.91 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Exact Sciences Corporation | $22.52 | 1 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $17.74 | 1 |
| Lilly USA, LLC | $17.31 | 1 |
What the 2025 payments were for
- Food and Beverage$57.57 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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