NPPES file of Aug 9, 2026

Ralph L. Aquadro, MD

Internal Medicine Physician · Florence, AL

Ralph L. Aquadro, MD is an internal medicine physician with a practice address in Florence, Alabama, and NPI 1396797288, issued on May 17, 2006. Check the license (Alabama 9113, as entered in NPPES) on the Alabama Board of Medical Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1396797288
Name
Ralph L. Aquadro
Credential
MD
Primary taxonomy
Internal Medicine Physician 207R00000X
License number
9113 AL
Self-reported in NPPES; status is on the state search
Practice location
204 Ana Drive, Florence, AL 35630
Phone
(256) 767-5940
Enumerated
May 17, 2006
Record last updated
Dec 21, 2009 (not updated in 17 years: call before relying on the address or phone)
Fax
(256) 767-5943
Medicare enrollment
Enrolled (PECOS I20101115000866); accepts Medicare assignment
Medical or professional school
University Of Tennessee, Hsc, College Of Medicine, 1979
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 204 Ana Drive

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Danny Martin, MDInternal Medicine Physician1184676884
  2. Michael Mitchell, MDInternal Medicine Physician1093767709

Verify Ralph L. Aquadro in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersAlabama Board of Medical Examiners
    Search for license 9113
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Alabama license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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3.3 times the Medicare Part D claims of the average internal medicine physician in 2024

10,355 Medicare Part D claims for 509 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. Brand-name drugs were 12% of claims. 119 claims were for opioids.

  1. Ralph Aquadro10,355
  2. Specialty average3,176

Most prescribed

  1. Amlodipine Besylate656 claims
  2. Omeprazole494 claims
  3. Atorvastatin Calcium443 claims
  4. Levothyroxine Sodium350 claims
  5. Eliquis305 claims
  6. Methylprednisolone274 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

No measured MIPS final score for 2023

CMS assigned the neutral MIPS final score of 75 without scoring Quality, Cost, Promoting Interoperability or Improvement Activities. It is an administrative threshold, so PlainDoctor does not compare it with measured clinicians.

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $1,016.90

54 payments; by number, the most common kind was food and beverage; the largest payer was Lilly USA, LLC. The 50,334 providers of this specialty with any payment received $1,303.06 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Ralph Aquadro$1,016.90
  2. Specialty average$1,303.06

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Inter Nal Medicine Clinic,llcFlorence, AL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Ralph L. Aquadro among 1,705 internal medicine physician records in Alabama

Ralph L. Aquadro, MD is one of 1,705 internal medicine physician records with a practice address in Alabama. 84% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 9% of them.

  • NPI issued2006 · 9% of these records are older, 49% newer
  • In a Medicare fileYes · 84% of these records are
  • In the CMS Doctors and Clinicians fileYes · 67% of these records are
  • Graduated1979 · median 2003 among the 1,136 with a school on file
  • Record last updated2009 · 55% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a Alabama practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

49 internal medicine physician records list a practice address in Florence

They are 49 of the 1,138 NPPES records with a practice address in Florence, and 1,705 internal medicine physician records in Alabama.

The 8 internal medicine physician records with the nearest ZIP codes

  1. Mohamed Ahmed, M.D.Florence, AL 356301366444861
  2. David Bachofer, MDFlorence, AL 356301316058100
  3. John Bartmess, M.D.Florence, AL 356301205837317
  4. David Brown, M.D.Florence, AL 356301700888708
  5. Charlie Ferguson, MDFlorence, AL 356301962488429
  6. Robert Flowers, MDFlorence, AL 356301114922317
  7. Ricky Irons, MDFlorence, AL 356301851402648
  8. Evans Kyei-Nimako, MDFlorence, AL 356301871506287

Common questions

What is Ralph L. Aquadro, MD's NPI number?

Ralph L. Aquadro, MD's National Provider Identifier (NPI) is 1396797288, issued on May 17, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Ralph L. Aquadro, MD located?

The NPPES record lists a practice address at 204 Ana Drive, Florence, AL, 35630. Phone: (256) 767-5940. Providers update this record themselves, so call before visiting.

How can I verify Ralph L. Aquadro, MD's license?

NPPES lists Alabama license number 9113, as entered by the provider. Search the Alabama Board of Medical Examiners at https://www.albme.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Ralph L. Aquadro, MD prescribe under Medicare Part D?

In 2024, Ralph L. Aquadro, MD had 10,355 Medicare Part D claims for 509 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.

What is Ralph L. Aquadro, MD's MIPS final score?

CMS assigned the neutral MIPS final score of 75 for 2023 without scoring any category, so it is not a measured result.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.