Manuel R. Flores, FNP
NPI 1023287653ActiveIndividual· Nurse Practitioner, Family· Boerne, TX
Nurse Practitioner, Family (FNP) with National Sinus Institute PLLC, practicing in Boerne, Texas. Their prescriptions cost Medicare Part D more than their services did: $32,712 for 404 claims, against $11,166 paid for services in 2024. Glaxosmithkline, LLC. was the largest of 3 companies reporting payments in 2025, $104.54 in all, mostly food and beverage. Lists Doctors Hospital of Laredo as a hospital affiliation.
Overview
| NPI | 1023287653 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Feb 28, 2008 |
| Last updated in NPPES | Mar 27, 2023 |
| Certified by provider | Mar 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 687932 | TX |
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 - Nurse Practitioner (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 53 |
|---|---|
| Services billed | 266 across 9 procedure codes |
| Paid by Medicare | $11,166 |
Part D prescriptions in 2024
| Prescriptions (claims) | 404 · 539 30-day fills |
|---|---|
| Patients | 166 |
| Total drug cost | $32,712 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- National Sinus Institute PLLCEagle Pass, TX · 37 clinicians
Hospital affiliation
- Doctors Hospital of LaredoLaredo, TX
Industry payments (Open Payments)
- 2025$104.54 · 3 payments from 3 companies
- 2024$14.14 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Glaxosmithkline, LLC. | $60.09 | 1 |
| Regeneron Healthcare Solutions, Inc. | $26.42 | 1 |
| Ars Pharmaceuticals Operations, Inc. | $18.03 | 1 |
What the 2025 payments were for
- Food and Beverage$104.54 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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