Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. John C. Arrabal , MD

General Practice • Chestertown, MD

Active NPI 1295727063 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

6602 Church Hill Rd, Suite 500
Chestertown, MD 216202310

Call 4107786410 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

6602 Church Hill Rd
Suite 500

Chestertown, MD 216202310

Telephone 4107786410
Fax 4107782144
Organization at the Same NPPES Address or Phone
Julio A. Ramirez, M.d., P.c. Facility NPI 1326093287

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

1976

Medicare patients

407 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $242,840 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $182,918 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

19,548 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$708,129 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $339.52 across 16 records.

By nature of payment

  • Food and Beverage: $320.67 across 15 records.
  • Education: $18.85 across 1 record.

Reporting-company totals (3 largest of 11)

  • Exact Sciences Corporation: $55.89 across 3 records.
  • Boehringer Ingelheim Pharmaceuticals, Inc.: $43.50 across 2 records.
  • Otsuka America Pharmaceutical, Inc.: $37.60 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

50 years (graduated 1976)

CMS Doctors and Clinicians data list 1976 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Arrabal has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Arrabal as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Chestertown and Maryland

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 75% of clinicians listed under General Practice in Maryland (2024, 39 clinicians with data). Median for this group: 584. Middle half: 182 to 1,717.

Too few clinicians listed under General Practice in Chestertown have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 80% of clinicians listed under General Practice in Maryland (2024, 39 clinicians with data). Median for this group: $66,766. Middle half: $20,489 to $126,461.

Too few clinicians listed under General Practice in Chestertown have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 80% of clinicians listed under General Practice in Maryland (2024, 39 clinicians with data). Median for this group: $47,417. Middle half: $14,265 to $94,712.

Too few clinicians listed under General Practice in Chestertown have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 95% of clinicians listed under General Practice in Maryland (2024, 49 clinicians with data). Median for this group: 780. Middle half: 75 to 1,943.

Too few clinicians listed under General Practice in Chestertown have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 95% of clinicians listed under General Practice in Maryland (2024, 49 clinicians with data). Median for this group: $40,393. Middle half: $925 to $220,636.

Too few clinicians listed under General Practice in Chestertown have Medicare Part D data for 2024 to compare.

3 active clinicians are listed under General Practice with a practice address in Chestertown, MD (385 in Maryland).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 16 records totaling $339.52.

Manufacturer Payment Nature Product Type Amount ($)
Lundbeck LLC
Food and Beverage
Cash or cash equivalent
REXULTI General $31.81
Astellas Pharma US Inc
Food and Beverage
In-kind items and services
Veozah General $28.74
Radius Health, Inc.
Food and Beverage
In-kind items and services
Binosto General $25.96
Exact Sciences Corporation
Food and Beverage
In-kind items and services
The Cologuard Plus Collection Kit General $25.42
Boehringer Ingelheim Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
JARDIANCE General $24.65
Teva Pharmaceuticals USA, Inc.
Food and Beverage
In-kind items and services
AUSTEDO XR General $22.80
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
FASENRA General $22.00
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
Food and Beverage
In-kind items and services
CAPLYTA General $20.07
Otsuka America Pharmaceutical, Inc.
Food and Beverage
In-kind items and services
REXULTI General $19.85
Boehringer Ingelheim Pharmaceuticals, Inc.
Education
In-kind items and services
JARDIANCE General $18.85
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Rybelsus General $17.89
Otsuka America Pharmaceutical, Inc.
Food and Beverage
In-kind items and services
REXULTI General $17.75
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
TRELEGY ELLIPTA General $17.11
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
Food and Beverage
In-kind items and services
CAPLYTA General $16.15
Exact Sciences Corporation
Food and Beverage
In-kind items and services
The Cologuard Plus Collection Kit General $15.72
Exact Sciences Corporation
Food and Beverage
In-kind items and services
The Cologuard Plus Collection Kit General $14.75

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
483 84 $175.00 $143.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
438 215 $175.17 $121.72
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
335 183 $135.00 $83.74
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
267 40 $250.00 $118.99
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes
159 32 $249.69 $173.38
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
120 120 $188.00 $120.54
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
66 65 $50.00 $13.56
99306 Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more
51 47 $200.00 $170.28
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
50 40 $200.00 $170.54
82270 Stool analysis for blood to screen for colon tumors
39 39 $19.00 $4.29

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 614 30,843 $10,410.77 128
Amlodipine Besylate Amlodipine Besylate 501 30,147 $4,162.34 116
Pantoprazole Sodium Pantoprazole Sodium 361 20,226 $5,471.14 81
Furosemide Furosemide 351 17,324 $1,950.20 89
Quetiapine Fumarate Quetiapine Fumarate 289 9,154 $6,964.94 38
Simvastatin Simvastatin 285 20,541 $2,813.35 68
Lisinopril Lisinopril 276 15,953 $2,557.62 63
Metoprolol Succinate Metoprolol Succinate 267 18,666 $3,912.67 67
Levothyroxine Sodium Levothyroxine Sodium 259 12,387 $3,346.53 50
Donepezil Hcl Donepezil Hcl 245 10,898 $4,990.54 39
Allopurinol Allopurinol 244 13,031 $2,849.86 42
Potassium Chloride Potassium Chloride 221 11,655 $4,154.08 42
Eliquis Apixaban 219 6,752 $130,691.23 35
Losartan Potassium Losartan Potassium 213 14,131 $2,376.37 48
Gabapentin Gabapentin 206 7,479 $3,505.11 50
Tamsulosin Hcl Tamsulosin Hcl 200 8,821 $3,637.71 41
Metformin Hcl Metformin Hcl 194 13,211 $1,876.54 62
Alprazolam Alprazolam 189 5,307 $856.79 39
Levocetirizine Dihydrochloride Levocetirizine Dihydrochloride 165 6,063 $2,563.63 47
Rosuvastatin Calcium Rosuvastatin Calcium 157 11,603 $5,533.58 49
Albuterol Sulfate Hfa Albuterol Sulfate 154 4,060 $3,578.04 42
Finasteride Finasteride 148 7,199 $1,820.83 28
Sertraline Hcl Sertraline Hcl 143 6,714 $1,900.17 36
Mirtazapine Mirtazapine 135 4,471 $3,364.74 22
Jardiance Empagliflozin 135 5,191 $97,894.84 28

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES MD D0023889

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Maryland Board of Physicians.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
171700600 (MD)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL PRACTICE

Medicare Enrollment ID

I20100324000231

Enrollment State Jurisdiction

MD

PECOS Control ID

0345375788

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
NPI 1245299932

Doctor of Medicine (M.D.)

Elizabeth Sipala , CRNP

Nurse Practitioner - Primary Care

NPI 1043210032

Certified Registered Nurse Practitioner

Career & Practice History

NPI enumerated August 18, 2005.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1295727063
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2005
Last Update: May 14, 2015
Sole Proprietor: Yes

Mailing Address

6602 Church Hill Rd, Suite 500

Chestertown, MD 216202310

Phone: 4107786410

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.