Skip to content

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

NPI1962720326
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedMay 11, 2010
Last updated in NPPESFeb 20, 2019

Specialties and licenses

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Infectious Disease (GA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients109
Services billed367 across 23 procedure codes
Paid by Medicare$30,172

Part D prescriptions in 2024

Prescriptions (claims)403 · 451 30-day fills
Patients68
Total drug cost$621,903
Generic share63% of claims

Medicare sources and data years

Education and affiliations

Graduation year2005
Medicare specialtyInfectious Disease
Secondary specialtiesInternal Medicine

Medical groups

Hospital affiliation

Source: CMS Care Compare

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

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

Other infectious disease specialists in Macon

All infectious disease specialists in Georgia