Medicare Enrolled

Dr. Rafael Sepulveda-Acosta, MD

Internal Medicine · Sonoma, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
369 PERKINS ST, Sonoma, CA 95476
7077766154
In practice since 2012 (13 years)
NPI: 1558611459 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Sepulveda-Acosta from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Sepulveda-Acosta

Dr. Rafael Sepulveda-Acosta is an internal medicine specialist in Sonoma, CA, with 13 years of NPI registration. Based on federal Medicare data, Dr. Sepulveda-Acosta performed 822 Medicare services across 497 unique beneficiaries.

Between the years covered by Open Payments, Dr. Sepulveda-Acosta received a total of $2,024 from 19 pharmaceutical and/or device companies across 62 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Sepulveda-Acosta is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 13 years in practice ▲ Top 38% volume in CA $2,024 industry payments

Medicare Practice Summary

Medicare Utilization ↗
822
Medicare services
Top 38% in CA for internal medicine
497
Unique beneficiaries
$138
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~63 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
402 $146 $522
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
121 $109 $415
New patient office visit, complex (60-74 min) 115 $175 $683
Home sleep study test with type II portable monitor
An unattended sleep study performed at home using a portable monitor that records at least seven channels, including brain activity, eye movement, muscle activity, heart rate, airflow, breathing effort, and oxygen levels.
76 $153 $504
Positive pressure ventilator therapy
A therapy procedure that uses a positive pressure ventilator to assist with breathing.
50 $56 $208
Whole body composition and fluid measurement
A test that measures the composition of tissues and fluids throughout the entire body. The results are interpreted and reported by a medical professional.
26 $3 $85
Sleep study in sleep lab (age 6+)
An overnight test conducted in a sleep laboratory to monitor sleep patterns and bodily functions in patients aged 6 years or older.
18 $358 $2,136
Prolonged office E/M service, first 15 minutes
This code is used for additional time spent by a physician beyond the maximum required time of a primary office or outpatient evaluation and management service. It is billed in 15-minute increments based on total time spent on the date of the primary service.
14 $26 $93
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$2,024
Total received (2018-2024)
Avg $289/year across 7 years
Top 26% in CA for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
19
Companies
62
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$2,005 (99.1%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$18 (0.9%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$988
2023
$373
2022
$268
2021
$133
2020
$55
2019
$154
2018
$53

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Inspire Medical Systems, Inc.
$578
JAZZ PHARMACEUTICALS INC.
$285
Resmed Corp
$54
Novo Nordisk Inc
$41
Currax Pharmaceuticals LLC
$17
Lilly USA, LLC
$14
Top 3 companies account for 92.7% of 2024 payments
All-time payments by company (2018-2024) ›
Inspire Medical Systems, Inc.
$735
JAZZ PHARMACEUTICALS INC.
$680
Boehringer Ingelheim Pharmaceuticals, Inc.
$103
Axsome Therapeutics, Inc.
$83
Resmed Corp
$82
Novo Nordisk Inc
$78
Jazz Pharmaceuticals Inc.
$56
Lilly USA, LLC
$27
EISAI INC.
$21
ADVANCED RESPIRATORY, INC
$21
Itamar Medical Inc
$18
Fisher & Paykel Healthcare Inc
$18
Philips Electronics North America Corporation
$17
Currax Pharmaceuticals LLC
$17
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$15
Advanced Respiratory, Inc
$14
AstraZeneca Pharmaceuticals LP
$13
Harmony Biosciences LLC
$13
Janssen Pharmaceuticals, Inc
$13
Top 3 companies account for 75.0% of all-time payments
Associated products mentioned in payments ›
(8275) DreamStat Cpap Auto · AIRSENSE · AirFit · CONTRAVE · Dayvigo · FISHER & PAYKEL HEALTHCARE · INSPIRE · OFEV · STIOLTO RESPIMAT · SUNOSI · Sunosi · The Monarch Airway Clearance System · The Vest System Model 105 Home Care · Wakix · WatchPAT · Wegovy · XARELTO · XIFAXAN · XYREM · XYWAV · Xyrem · ZEPBOUND
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an internal medicine specialist in Sonoma?
Compare internal medicine physicians in the Sonoma area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Internal medicine physicians within 10 mi
572
Per 100K population
117.8
County median income
$102,840
Nearest hospital
SONOMA VALLEY HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Sepulveda-Acosta is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Sepulveda-Acosta experienced with office visit, established patient, complex (40-54 min)?
Based on Medicare claims data, Dr. Sepulveda-Acosta performed 402 office visit, established patient, complex (40-54 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Sepulveda-Acosta receive payments from pharmaceutical companies?
Yes. Dr. Sepulveda-Acosta received a total of $2,024 from 19 companies across 62 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Sepulveda-Acosta's costs compare to other internal medicine physicians in Sonoma?
Dr. Sepulveda-Acosta's average Medicare payment per service is $138. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Sepulveda-Acosta) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →