Raffi Djevalikian, M.D.
NPI 1992749121ActiveIndividual· Family Medicine· Henryetta, OK
Family Medicine (M.D.) with San Joaquin Emergency Medical Associates, practicing in Henryetta, Oklahoma. 392 Medicare patients in 2024, $52,585 paid; nearly all of their 134 Part D prescriptions were generic (95%). Lists Mercy Medical Center as a hospital affiliation.
Overview
| NPI | 1992749121 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 16, 2006 |
| Last updated in NPPES | Jul 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 22166 | OK |
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 (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 392 |
|---|---|
| Services billed | 576 across 21 procedure codes |
| Paid by Medicare | $52,585 |
Part D prescriptions in 2024
| Prescriptions (claims) | 134 · 146 30-day fills |
|---|---|
| Patients | 101 |
| Total drug cost | $891.00 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Family Practice |
| Secondary specialties | Emergency Medicine |
Medical group
- San Joaquin Emergency Medical AssociatesMerced, CA · 15 clinicians
Hospital affiliation
- Mercy Medical CenterMerced, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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