Ricardo Cardona Guarache, M.D.
NPI 1962667485ActiveIndividual· Internal Medicine, Clinical Cardiac Electrophysiology· Everett, WA
Internal Medicine, Clinical Cardiac Electrophysiology (M.D.) with Optum Care Washington PLLC and 1 other group, practicing in Everett, Washington. Their prescriptions cost Medicare Part D more than their services did: $501,685 for 2,628 claims, against $203,677 paid for services in 2024. Abbott Laboratories was the largest of 4 companies reporting payments in 2025, $655.37 in all, mostly food and beverage. Lists Providence Regional Medical Center Everett and 1 other hospital as hospital affiliations.
Overview
| NPI | 1962667485 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jul 24, 2008 |
| Last updated in NPPES | Jul 9, 2026 |
| Certified by provider | Jul 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Clinical Cardiac Electrophysiology Primary | 207RC0001X | MD60954575 | WA |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | A145825 | CA |
| Internal Medicine | 207R00000X | 246854 | MA |
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 - Cardiovascular Disease (Cardiology) (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 689 |
|---|---|
| Services billed | 3,140 across 90 procedure codes |
| Paid by Medicare | $203,677 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,628 · 6,830 30-day fills |
|---|---|
| Patients | 617 |
| Total drug cost | $501,685 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Cardiovascular Disease (Cardiology) |
| Telehealth | Offers telehealth |
Medical groups
- Optum Care Washington PLLCEverett, WA · 683 clinicians
- The Polyclinic PLLCSeattle, WA · 365 clinicians
Hospital affiliations
- Providence Regional Medical Center EverettEverett, WA
- Whidbeyhealth Medical CenterCoupeville, WA
Industry payments (Open Payments)
- 2025$655.37 · 9 payments from 4 companies
- 2024$98.63 · 3 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbott Laboratories | $426.89 | 6 |
| Biosense Webster, Inc. | $140.44 | 1 |
| Boston Scientific Corporation | $55.77 | 1 |
| Novo Nordisk Inc | $32.27 | 1 |
What the 2025 payments were for
- Food and Beverage$623.10 · 8 payments
- Education$32.27 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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