Rafael Andres Ponce Terashima, MD
NPI 1962720326ActiveIndividual· Internal Medicine, Infectious Disease· Macon, GA
Internal Medicine, Infectious Disease (MD) with Privia Medical Group of Georgia LLC and 1 other group, practicing in Macon, Georgia. Their prescriptions cost Medicare Part D more than their services did: $621,903 for 403 claims, against $30,172 paid for services in 2024. Tetraphase Pharmaceuticals, Inc. was the largest of 2 companies reporting payments in 2025, $31.93 in all, mostly food and beverage. Lists Atrium Health Navicent the Medical Center as a hospital affiliation.
Overview
| NPI | 1962720326 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 11, 2010 |
| Last updated in NPPES | Feb 20, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Infectious Disease Primary | 207RI0200X | 070409 | GA |
| Internal Medicine | 207R00000X | 430109038 | MI |
| Internal Medicine | 207R00000X | 070409 | GA |
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 - Infectious Disease (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 109 |
|---|---|
| Services billed | 367 across 23 procedure codes |
| Paid by Medicare | $30,172 |
Part D prescriptions in 2024
| Prescriptions (claims) | 403 · 451 30-day fills |
|---|---|
| Patients | 68 |
| Total drug cost | $621,903 |
| Generic share | 63% of claims |
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Infectious Disease |
| Secondary specialties | Internal Medicine |
Medical groups
- Privia Medical Group of Georgia LLCFayetteville, GA · 462 clinicians
- Houston County Health DepartmentMacon, GA · 2 clinicians
Hospital affiliation
Industry payments (Open Payments)
- 2025$31.93 · 2 payments from 2 companies
- 2024$83.07 · 4 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Tetraphase Pharmaceuticals, Inc. | $17.99 | 1 |
| La Jolla Pharmaceutical Company | $13.94 | 1 |
What the 2025 payments were for
- Food and Beverage$31.93 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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