Sivaram Neppala, MD
NPI 1104385186ActiveIndividual· Hospitalist· San Antonio, TX
Hospitalist (MD) with Guadalupe County Hospital Board, practicing in San Antonio, Texas. Their prescriptions cost Medicare Part D more than their services did: $70,714 for 395 claims, against $5,608 paid for services in 2024. Abbott Laboratories was the largest of 6 companies reporting payments in 2025, $755.92 in all, mostly food and beverage. Lists Guadalupe Regional Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1104385186 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Mar 18, 2019 |
| Last updated in NPPES | Jun 29, 2023 |
| Certified by provider | Jun 29, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Hospitalist Primary | 208M00000X | T4441 | TX |
| Internal Medicine | 207R00000X | T4441 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Hospitalist (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 21 |
|---|---|
| Services billed | 65 across 5 procedure codes |
| Paid by Medicare | $5,608 |
Part D prescriptions in 2024
| Prescriptions (claims) | 395 · 514 30-day fills |
|---|---|
| Patients | 160 |
| Total drug cost | $70,714 |
| Generic share | 80% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Hospitalist |
| Secondary specialties | Internal Medicine |
Medical group
- Guadalupe County Hospital BoardSeguin, TX · 31 clinicians
Hospital affiliations
- Guadalupe Regional Medical CenterSeguin, TX
- University Health SystemSan Antonio, TX
- Ut Health San Antonio Multispecialty & Research HoSan Antonio, TX
Industry payments (Open Payments)
- 2025$755.92 · 7 payments from 6 companies
- 2024$259.39 · 4 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbott Laboratories | $289.23 | 2 |
| Actelion Pharmaceuticals US, Inc. | $121.86 | 1 |
| E.R. Squibb & Sons, L.L.C. | $121.20 | 1 |
| Amgen Inc. | $109.30 | 1 |
| Bridgebio Pharma, Inc. | $93.09 | 1 |
What the 2025 payments were for
- Food and Beverage$466.69 · 5 payments
- Education$289.23 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 305 hospitalists in San Antonio · All hospitalists in Texas