Ricardo C. Bierrenbach Decastro, M.D
NPI 1881645505ActiveIndividual· Psychiatry & Neurology, Psychiatry· Asheville, NC
Psychiatry & Neurology, Psychiatry (M.D) in Asheville, North Carolina, licensed in NC, with an NPI issued in May 2006. Their prescriptions cost Medicare Part D more than their services did: $74,698 for 920 claims, against $12,649 paid for services in 2024. Otsuka America Pharmaceutical, Inc. was the largest of 4 companies reporting payments in 2025, $115.86 in all, mostly food and beverage.
Overview
| NPI | 1881645505 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D |
| Sole proprietor | Yes |
| NPI issued | May 15, 2006 |
| Last updated in NPPES | Dec 19, 2019 |
| Certified by provider | Dec 19, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Psychiatry Primary | 2084P0800X | 200200866 | NC |
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 (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 36 |
|---|---|
| Services billed | 202 across 5 procedure codes |
| Paid by Medicare | $12,649 |
Part D prescriptions in 2024
| Prescriptions (claims) | 920 · 1,599 30-day fills |
|---|---|
| Patients | 71 |
| Total drug cost | $74,698 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 1989 |
|---|---|
| Medicare specialty | Psychiatry |
Industry payments (Open Payments)
- 2025$115.86 · 6 payments from 4 companies
- 2024$257.82 · 18 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Otsuka America Pharmaceutical, Inc. | $40.37 | 2 |
| Almatica Pharma LLC | $33.84 | 2 |
| Lundbeck LLC | $22.53 | 1 |
| Takeda Pharmaceuticals U.S.A., Inc. | $19.12 | 1 |
What the 2025 payments were for
- Food and Beverage$115.86 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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