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Alheli Arce Gastelum, MD

Internal Medicine · Fresno

NPI 1164909735

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
2
Since medical school
10 years
Graduated 2016

Offices

2 locations · Clinica Sierra Vista · 180 clinicians in this group

Looking this up.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Gastelum’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence A174340 · Current

Licensed to practise in California · since 2021 · expires 2027-08-31 · Autonomous University of Baja California Tijuana School of Medicine.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

School, training and certification

What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.

Specialty certification

  • American Board of Internal Medicine - Endocrinology, Diabetes and Metabolism
  • American Board of Internal Medicine - Internal Medicine

Medicaid work

$17,117 in 2024

Medicaid paid $17,117 for 598 billed services this clinician did in 2024, up to 77 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Clinic visit/encounter, all-inclusive133$16,558
Short return visit (20+ min)17$406
New patient visit (45+ min)154$152
Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use93$2
BODY MASS INDEX DOCD16$0
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)56$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)58$0
Return visit (30+ min)55$0
Bmi is documented above normal parameters and a follow-up plan is documented16$0
Medicaid work by year
2024598977$17,117

Drugs they prescribed that Part D paid

$207,366

Pharmacies billed $207,366 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

227 generic and 233 brand-name prescriptions · $207,366 in drug cost.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Ozempic70$67,988$971
Trulicity50$53,812$1,076
Mounjaro16$16,644$1,040
Farxiga18$11,989$666
Tresiba Flextouch U-10013$8,349$642
See all 10 drugs
Every Part D drug this clinician prescribed
Ozempic70$67,988$971
Trulicity50$53,812$1,076
Mounjaro16$16,644$1,040
Farxiga18$11,989$666
Tresiba Flextouch U-10013$8,349$642
Levothyroxine52$612$12
Methimazole18$397$22
Metformin24$223$9
Carvedilol11$76$7
Dexamethasone14$8$1

Year by year

Part D prescribing by year
2024483126None48%$207,366
202324069NoneNone$76,008
2022129190% (0)None$14,820
202134120% (0)None$2,664
202014NoneNoneNone$1,127
20199527None24%$7,459

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 3 drugs

Part D drugs prescribed in 2023
Trulicity13$20,417$1,571
Hydrocortisone31$1,400$45
Levothyroxine37$668$18

2022: 3 drugs

Part D drugs prescribed in 2022
Hydrocortisone24$1,226$51
Testosterone Cypionate15$510$34
Levothyroxine37$411$11

Money from drug and device companies

$508 in 2025

Industry payments by year
20251219None$508
2024610None$205
202356None$295
202133None$280
202022None$34

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
DexcomDexcom G7 Gss (161)$154
3 payments
  • Meals for Dexcom G7 Gss (161) · 2025-07-29 · $122
  • Meals for Dexcom G6 Transmitter · 2025-07-21 · $21
  • Meals for Dexcom G6 Transmitter · 2025-03-21 · $10
MannkindAfrezza$82
3 payments
  • Meals for Afrezza · 2025-12-11 · $16
  • Education for Afrezza · 2025-05-08 · $43
  • Meals for Afrezza · 2025-05-08 · $24
GlaxoSmithKlineBexsero$50
2 payments
  • Meals for Bexsero · 2025-09-11 · $27
  • Meals for Bexsero · 2025-03-17 · $22
Lilly USAMounjaro$37
2 payments
  • Meals for Mounjaro · 2025-06-24 · $14
  • Meals for Mounjaro · 2025-05-01 · $23
AmgenEvenity$36
2 payments
  • Meals for Evenity · 2025-12-11 · $19
  • Meals for Otezla · 2025-05-21 · $17
Exact SciencesThe Cologuard Plus Collection Kit$30
1 payment
  • Meals for The Cologuard Plus Collection Kit · 2025-04-28 · $30
See all 19 published payments
Every published payment
AmgenMeals · 2025-12-11Evenity$19
MannkindMeals · 2025-12-11Afrezza$16
Shield TherapeuticsMeals · 2025-11-14Accrufer$15
MedtronicMeals · 2025-10-20Minimed 780g$19
Xeris PharmaceuticalsMeals · 2025-10-02Gvoke Hypopen$17
GlaxoSmithKlineMeals · 2025-09-11Bexsero$27
DexcomMeals · 2025-07-29Dexcom G7 Gss (161)$122
DexcomMeals · 2025-07-21Dexcom G6 Transmitter$21
InsuletMeals · 2025-07-07Omnipod$15
Lilly USAMeals · 2025-06-24Mounjaro$14
Abbott LaboratoriesMeals · 2025-06-12Freestyle Libre 3$24
Novo NordiskMeals · 2025-06-06Ozempic$28
AmgenMeals · 2025-05-21Otezla$17
MannkindEducation · 2025-05-08Afrezza$43
MannkindMeals · 2025-05-08Afrezza$24
Lilly USAMeals · 2025-05-01Mounjaro$23
Exact SciencesMeals · 2025-04-28The Cologuard Plus Collection Kit$30
DexcomMeals · 2025-03-21Dexcom G6 Transmitter$10
GlaxoSmithKlineMeals · 2025-03-17Bexsero$22
See earlier years (2024, 2023, 2021, 2020)

2024: $205

Payments by company in 2024
Novo NordiskWegovy$67
3 payments
  • Meals for Wegovy · 2024-08-16 · $22
  • Meals for Wegovy · 2024-05-16 · $22
  • Meals for Wegovy · 2024-05-10 · $24
Corcept TherapeuticsKorlym$44
2 payments
  • Meals for Korlym · 2024-08-08 · $21
  • Meals for Korlym · 2024-07-11 · $23
DexcomDexcom G6 Transmitter$39
2 payments
  • Meals for Dexcom G6 Transmitter · 2024-11-25 · $18
  • Meals for Dexcom G6 Transmitter · 2024-03-15 · $21
MedtronicMinimed 780g$22
1 payment
  • Meals for Minimed 780g · 2024-11-12 · $22
AstraZeneca Pharmaceuticals LPFarxiga$17
1 payment
  • Meals for Farxiga · 2024-03-13 · $17
Abbott LaboratoriesFreestyle Libre 3$15
1 payment
  • Meals for Freestyle Libre 3 · 2024-05-22 · $15

2023: $295

Payments by company in 2023
Tandem Diabetes CareT:Slim X2 Insulin Pump With Control-Iq$119
1 payment
  • Meals for T:Slim X2 Insulin Pump With Control-Iq · 2023-09-21 · $119
AstraZeneca Pharmaceuticals LPFarxiga$105
1 payment
  • Meals for Farxiga · 2023-08-02 · $105
DexcomDexcom G6 Transmitter$34
2 payments
  • Meals for Dexcom G6 Transmitter · 2023-08-28 · $20
  • Meals for Dexcom G6 Transmitter · 2023-08-02 · $14
AmgenEvenity$20
1 payment
  • Meals for Evenity · 2023-09-26 · $20
Horizon Therapeutics plcTepezza$17
1 payment
  • Meals for Tepezza · 2023-09-13 · $17

2021: $280

Payments by company in 2021
MannKindAfrezza$125
1 payment
  • Meals for Afrezza · 2021-09-02 · $125
AstraZeneca Pharmaceuticals LPFarxiga$97
1 payment
  • Meals for Farxiga · 2021-12-16 · $97
AbiomedImpella$58
1 payment
  • Meals for Impella · 2021-05-25 · $58

2020: $34

Payments by company in 2020
Daiichi SankyoEnhertu$18
1 payment
  • Meals for Enhertu · 2020-02-25 · $18
Jazz PharmaceuticalsVyxeos$16
1 payment
  • Meals for Vyxeos · 2020-02-21 · $16

Professional record

NPI
1164909735
Licence
CA A174340, NE 8186California A174340: Current · expires 2027-08-31
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207RE0101X (207RE0101X); Internal medicine (207R00000X)
Mailing address
302 Fresno St Ste 101, Fresno, CA, 93706
NPI first listed
2018-07-25
NPI last updated
2024-10-02
NPI record certified
2024-10-02

This is when the NPI record was last certified, not a medical board exam.