Vanessa Alvarez, M.D.
NPI 1023034196ActiveIndividual· Internal Medicine, Pulmonary Disease· Elgin, IL
Internal Medicine, Pulmonary Disease (M.D.) with Canton-Potsdam Hospital, practicing in Elgin, Illinois. Their prescriptions cost Medicare Part D more than their services did: $457,482 for 728 claims, against $67,781 paid for services in 2024. Insmed, Inc. was the largest of 8 companies reporting payments in 2025, $308.56 in all, mostly food and beverage. Lists Canton-Potsdam Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1023034196 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jul 14, 2006 |
| Last updated in NPPES | Sep 3, 2024 |
| Certified by provider | Sep 3, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | S9090 | TX |
| Internal Medicine, Critical Care Medicine | 207RC0200X | 229965 | NY |
| Internal Medicine, Critical Care Medicine | 207RC0200X | D65179 | MD |
| Internal Medicine, Critical Care Medicine | 207RC0200X | MD2012-0867 | NM |
| Internal Medicine, Pulmonary Disease | 207RP1001X | 229965 | NY |
| Internal Medicine, Pulmonary Disease | 207RP1001X | 036-150072 | IL |
| Internal Medicine, Pulmonary Disease | 207RP1001X | D65179 | MD |
| Internal Medicine, Pulmonary Disease | 207RP1001X | MD2012-0867 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pulmonary Disease (IL); Practitioner - Pulmonary Disease (MD); Practitioner - Critical Care (Intensivists) (NM); Practitioner - Pulmonary Disease (NY); Practitioner - Internal Medicine (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 269 |
|---|---|
| Services billed | 765 across 31 procedure codes |
| Paid by Medicare | $67,781 |
Part D prescriptions in 2024
| Prescriptions (claims) | 728 · 894 30-day fills |
|---|---|
| Patients | 179 |
| Total drug cost | $457,482 |
| Generic share | 24% of claims |
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Pulmonary Disease |
Medical group
- Canton-Potsdam HospitalPotsdam, NY · 252 clinicians
Hospital affiliations
- Canton-Potsdam HospitalPotsdam, NY
- Heartland Regional Medical CenterMarion, IL
- The Medical Center of Southeast TexasPort Arthur, TX
Industry payments (Open Payments)
- 2025$308.56 · 16 payments from 8 companies
- 2024$341.02 · 18 payments from 8 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Insmed, Inc. | $112.53 | 6 |
| Astrazeneca Pharmaceuticals LP | $51.47 | 3 |
| Grifols USA, LLC | $34.98 | 2 |
| Merck Sharp & Dohme LLC | $26.37 | 1 |
| Verona Pharma, Inc. | $25.81 | 1 |
What the 2025 payments were for
- Food and Beverage$308.56 · 16 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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