Pramesh Baral, M
NPI 1912516022ActiveIndividual· Family Medicine· Rio Rancho, NM
Family Medicine (M) with Presbyterian Healthcare Services, practicing in Rio Rancho, New Mexico. Their prescriptions cost Medicare Part D more than their services did: $384,916 for 6,349 claims, against $31,438 paid for services in 2024. Krystal Biotech Inc was the largest of 6 companies reporting payments in 2024, $129.44 in all, mostly food and beverage. Lists Presbyterian Hospital as a hospital affiliation.
Overview
| NPI | 1912516022 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M |
| Sole proprietor | No |
| NPI issued | Jul 24, 2020 |
| Last updated in NPPES | Oct 18, 2023 |
| Certified by provider | Oct 16, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | MD2023-0290 | NM |
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 - Family Practice (NM) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 245 |
|---|---|
| Services billed | 579 across 17 procedure codes |
| Paid by Medicare | $31,438 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,349 · 14,833 30-day fills |
|---|---|
| Patients | 640 |
| Total drug cost | $384,916 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Presbyterian Healthcare ServicesAlbuquerque, NM · 1,395 clinicians
Hospital affiliation
- Presbyterian HospitalAlbuquerque, NM
Other facilities
- Presbyterian Home HealthcareHome health agency · Albuquerque, NM
Industry payments (Open Payments)
- 2024$129.44 · 6 payments from 6 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Krystal Biotech Inc | $31.17 | 1 |
| Exact Sciences Corporation | $24.51 | 1 |
| Abbvie Inc. | $21.85 | 1 |
| Lilly USA, LLC | $18.91 | 1 |
| Pfizer Inc. | $18.61 | 1 |
What the 2024 payments were for
- Food and Beverage$129.44 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 50 family medicine physicians in Rio Rancho · All family medicine physicians in New Mexico