Dr. Amer Arshad , MD
Internal Medicine • Defiance, OH
1250 Ralston Ave, Suite 202
Defiance, OH 435125311
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on August 25, 2005; this date does not establish years in practice.
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Published CMS data list 2,657 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99213 — Established patient outpatient office visit: 907 service units.
- 99214 — Established patient outpatient office visit: 406 service units.
- G0439 — Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit: 317 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 20 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 16,169 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Atorvastatin Calcium — 765 prescription fills, including refills.
- Levothyroxine Sodium — 520 prescription fills, including refills.
- Gabapentin — 469 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 194 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 90% of clinicians listed under Internal Medicine in Ohio (2024, 3,145 clinicians with data). Median for this group: 574. Middle half: 262 to 1,043.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 3,216 in 2020 to 2,657 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
1250 Ralston Ave
Suite 202
Defiance, OH 435125311
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Promedica Multi Specialty Physicians. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
1991
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
541 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $230,881 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.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
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 $176,459 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
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
34,342 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
$1,680,515 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
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: $520.31 across 30 records.
By nature of payment
- Food and Beverage: $520.31 across 30 records.
Reporting-company totals (3 largest of 15)
- Dexcom, Inc.: $100.92 across 5 records.
- AstraZeneca Pharmaceuticals LP: $61.84 across 4 records.
- Novo Nordisk Inc: $52.02 across 3 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.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
35 years (graduated 1991)
CMS Doctors and Clinicians data list 1991 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished 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.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
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.
Enrolled in Medicare (PECOS)
Dr. Arshad 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.
Can order Medicare-covered services
CMS lists Dr. Arshad 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.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
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.
Compared with the same specialty in Defiance and Ohio
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 90% of clinicians listed under Internal Medicine in Ohio (2024, 3,145 clinicians with data). Median for this group: 574. Middle half: 262 to 1,043.
Too few clinicians listed under Internal Medicine in Defiance have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 95% of clinicians listed under Internal Medicine in Ohio (2024, 3,145 clinicians with data). Median for this group: $50,782. Middle half: $23,884 to $83,638.
Too few clinicians listed under Internal Medicine in Defiance have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 95% of clinicians listed under Internal Medicine in Ohio (2024, 3,145 clinicians with data). Median for this group: $37,953. Middle half: $17,413 to $63,670.
Too few clinicians listed under Internal Medicine in Defiance have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 95% of clinicians listed under Internal Medicine in Ohio (2024, 3,362 clinicians with data). Median for this group: 883. Middle half: 119 to 5,445.
Too few clinicians listed under Internal Medicine in Defiance 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 Internal Medicine in Ohio (2024, 3,362 clinicians with data). Median for this group: $79,160. Middle half: $4,027 to $440,452.
Too few clinicians listed under Internal Medicine in Defiance have Medicare Part D data for 2024 to compare.
7 active clinicians are listed under Internal Medicine with a practice address in Defiance, OH (5,283 in Ohio).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 17% from 3,216 in 2020 to 2,657 in 2024.
- 2020: 3,216
- 2021: 3,041
- 2022: 3,063
- 2023: 3,034
- 2024: 2,657
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Medicare-allowed amount
Medicare-allowed amount stayed about the same: $252,787 in 2020 and $230,881 in 2024.
- 2020: $252,787
- 2021: $268,493
- 2022: $246,834
- 2023: $251,655
- 2024: $230,881
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Paid by Medicare
Paid by Medicare stayed about the same: $192,551 in 2020 and $176,459 in 2024.
- 2020: $192,551
- 2021: $215,192
- 2022: $190,126
- 2023: $194,909
- 2024: $176,459
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Medicare Part D prescriptions
Medicare Part D prescriptions stayed about the same: 16,978 in 2020 and 16,169 in 2024.
- 2020: 16,978
- 2021: 15,284
- 2022: 15,569
- 2023: 16,275
- 2024: 16,169
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30-day fills
30-day fills stayed about the same: 35,463 in 2020 and 34,342 in 2024.
- 2020: 35,463
- 2021: 33,715
- 2022: 33,887
- 2023: 35,302
- 2024: 34,342
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Part D drug cost
Part D drug cost increased 26% from $1,336,845 in 2020 to $1,680,515 in 2024.
- 2020: $1,336,845
- 2021: $1,373,262
- 2022: $1,447,870
- 2023: $1,918,378
- 2024: $1,680,515
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $241.15 in 2021 to $520.31 in 2025.
- 2021: $241.15
- 2022: $586.41
- 2023: $345.34
- 2024: $388.17
- 2025: $520.31
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
Program year 2025 (payments made January 1 – December 31, 2025): 30 records totaling $520.31.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Dexcom, Inc. |
Food and Beverage
In-kind items and services
|
Dexcom G6 Transmitter | General | $24.25 |
| Dexcom, Inc. |
Food and Beverage
In-kind items and services
|
Dexcom G6 Transmitter | General | $23.69 |
| Radius Health, Inc. |
Food and Beverage
In-kind items and services
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Tymlos | General | $21.42 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) |
Food and Beverage
In-kind items and services
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CAPLYTA | General | $21.19 |
| VERTEX PHARMACEUTICALS INCORPORATED |
Food and Beverage
In-kind items and services
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JOURNAVX | General | $21.04 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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NURTEC ODT | General | $20.97 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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OTEZLA | General | $20.68 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Ozempic | General | $19.74 |
| Dexcom, Inc. |
Food and Beverage
In-kind items and services
|
Dexcom G6 Transmitter | General | $18.45 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
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MOUNJARO | General | $18.44 |
| Dexcom, Inc. |
Food and Beverage
In-kind items and services
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Dexcom G6 Transmitter | General | $18.43 |
| Phathom Pharmaceuticals, Inc. |
Food and Beverage
Cash or cash equivalent
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VOQUEZNA | General | $17.28 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
QULIPTA | General | $17.13 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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AIRSUPRA | General | $16.97 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Ozempic | General | $16.93 |
| Viatris Specialty LLC |
Food and Beverage
In-kind items and services
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YUPELRI | General | $16.74 |
| Radius Health, Inc. |
Food and Beverage
In-kind items and services
|
Tymlos | General | $16.35 |
| Dexcom, Inc. |
Food and Beverage
In-kind items and services
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Dexcom G6 Transmitter | General | $16.10 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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AIRSUPRA | General | $15.71 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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NURTEC ODT | General | $15.38 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC |
Food and Beverage
In-kind items and services
|
XIFAXAN | General | $15.37 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Ozempic | General | $15.35 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
|
TRELEGY ELLIPTA | General | $15.11 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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FARXIGA | General | $15.10 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
|
JARDIANCE | General | $15.02 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
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 |
|---|---|---|---|---|
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
907 | 375 | $127.00 | $85.88 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
406 | 274 | $179.00 | $121.10 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
317 | 317 | $325.00 | $123.05 |
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83036
Hemoglobin a1c level
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251 | 145 | $38.00 | $9.43 |
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G0008
Administration of influenza virus vaccine
|
107 | 107 | $37.00 | $30.39 |
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90653
Influenza vaccine, inactivated
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97 | 97 | $125.00 | $81.82 |
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99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
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89 | 46 | $127.00 | $75.10 |
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99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
|
74 | 66 | $239.00 | $123.26 |
|
96372
Injection of drug or substance under skin or into muscle
|
61 | 29 | $46.00 | $13.47 |
|
99496
Transitional care management services for problem of high complexity
|
53 | 45 | $673.00 | $260.23 |
|
87428
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
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48 | 42 | $115.00 | $68.88 |
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93000
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
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40 | 38 | $80.00 | $13.50 |
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G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
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37 | 33 | $38.00 | $15.74 |
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G0180
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
|
33 | 28 | $105.00 | $50.47 |
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99495
Transitional care management services for problem of at least moderate complexity
|
32 | 27 | $395.00 | $195.14 |
|
99238
Hospital discharge day management, 30 minutes or less
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29 | 29 | $127.00 | $76.98 |
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J3420
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
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27 | 13 | $10.00 | $1.19 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
20 | 20 | $315.00 | $159.45 |
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G0402
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
|
18 | 18 | $328.00 | $157.19 |
|
90656
Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage
|
11 | 11 | $82.00 | $19.91 |
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.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 765 | 60,881 | $7,437.23 | 239 |
| Levothyroxine Sodium | Levothyroxine Sodium | 520 | 36,421 | $5,074.58 | 130 |
| Gabapentin | Gabapentin | 469 | 23,216 | $8,711.64 | 127 |
| Omeprazole | Omeprazole | 435 | 32,929 | $4,551.02 | 126 |
| Pantoprazole Sodium | Pantoprazole Sodium | 431 | 27,746 | $6,263.81 | 119 |
| Lisinopril | Lisinopril | 428 | 35,346 | $2,191.24 | 136 |
| Losartan Potassium | Losartan Potassium | 426 | 36,382 | $4,130.17 | 140 |
| Amlodipine Besylate | Amlodipine Besylate | 386 | 29,401 | $1,780.65 | 132 |
| Potassium Chloride | Potassium Chloride | 374 | 23,403 | $9,124.85 | 112 |
| Metoprolol Succinate | Metoprolol Succinate | 360 | 29,109 | $5,461.53 | 111 |
| Metformin Hcl | Metformin Hcl | 337 | 27,480 | $2,150.06 | 112 |
| Prednisone | Prednisone | 322 | 4,336 | $575.03 | 209 |
| Furosemide | Furosemide | 297 | 18,332 | $1,575.44 | 100 |
| Metoprolol Tartrate | Metoprolol Tartrate | 284 | 21,250 | $1,692.12 | 96 |
| Glimepiride | Glimepiride | 272 | 21,491 | $1,960.60 | 82 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 256 | 21,620 | $4,154.11 | 79 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 238 | 19,590 | $4,224.90 | 75 |
| Januvia | Sitagliptin Phosphate | 224 | 13,791 | $249,076.69 | 53 |
| Carvedilol | Carvedilol | 223 | 16,305 | $1,602.30 | 72 |
| Tamsulosin Hcl | Tamsulosin Hcl | 221 | 17,714 | $5,080.09 | 69 |
| Allopurinol | Allopurinol | 214 | 12,496 | $1,815.71 | 50 |
| Pravastatin Sodium | Pravastatin Sodium | 191 | 16,424 | $2,612.11 | 64 |
| Ozempic | Semaglutide | 188 | 7,000 | $227,071.87 | 35 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 187 | 6,202 | $6,045.14 | 72 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 184 | 5,480 | $2,000.35 | 85 |
(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
NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - INTERNAL MEDICINE
I20040614000306
OH
5698759215
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Promedica Multi Specialty Physicians
1250 Ralston Ave, Defiance, OH 435125309
Phone: 4197842776
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated August 25, 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.
NPI Administrative Meta
Other Internal Medicine Providers in Defiance
- Dr. J Reeves, MD
- Dr. Stavros Karatsoridis, DO
- Dr. Salvatore Veltri, MD
- Dr. Ehab Ali, MD
- Dr. Samer Obri, MD
Mailing Address
1250 Ralston Ave, Suite 202
Defiance, OH 435125311
Phone: 4197842776