Rachel Lee Lagaly, PA-C
NPI 1114190055ActiveIndividual· Physician Assistant· Tomball, TX
Physician Assistant (PA-C) in Tomball, Texas, trained at University of Texas Medical Branch at Galveston (class of 2007). 464 Medicare patients in 2024, $57,208 paid; nearly all of their 640 Part D prescriptions were generic (95%). Aerin Medical Inc. was the largest of 3 companies reporting payments in 2025, $219.61 in all, mostly food and beverage.
Overview
| NPI | 1114190055 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Apr 11, 2008 |
| Last updated in NPPES | Oct 28, 2025 |
| Certified by provider | Oct 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA05590 | 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 - Physician Assistant (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 464 |
|---|---|
| Services billed | 1,332 across 24 procedure codes |
| Paid by Medicare | $57,208 |
Part D prescriptions in 2024
| Prescriptions (claims) | 640 · 870 30-day fills |
|---|---|
| Patients | 265 |
| Total drug cost | $18,380 |
| Generic share | 95% of claims |
Education and affiliations
| Medical school | University of Texas Medical Branch at Galveston |
|---|---|
| Graduation year | 2007 |
| Medicare specialty | Physician Assistant |
Medical group
- Texas Ear, Nose and Throat Specialists, PLLCHouston, TX · 128 clinicians
Hospital affiliation
- HCA Houston Healthcare TomballTomball, TX
Industry payments (Open Payments)
- 2025$219.61 · 6 payments from 3 companies
- 2024$88.91 · 3 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Aerin Medical Inc. | $151.66 | 3 |
| Hikma Pharmaceuticals USA | $42.45 | 2 |
| Inspire Medical Systems, Inc. | $25.50 | 1 |
What the 2025 payments were for
- Food and Beverage$219.61 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 28 physician assistants in Tomball · All physician assistants in Texas