Fletcher Douglas Srygley IV, MD
NPI 1124290416ActiveIndividual· Internal Medicine, Gastroenterology· Austin, TX
Internal Medicine, Gastroenterology (MD) in Austin, Texas, trained at University of Texas Southwestern Medical School at Dallas (class of 2004). Their prescriptions cost Medicare Part D more than their services did: $879,431 for 1,581 claims, against $120,909 paid for services in 2024. Abbvie Inc. was the largest of 12 companies reporting payments in 2025, $985.37 in all, mostly food and beverage.
Overview
| NPI | 1124290416 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Mar 27, 2008 |
| Last updated in NPPES | Jul 16, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | P2791 | 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 - Gastroenterology (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 537 |
|---|---|
| Services billed | 1,218 across 55 procedure codes |
| Paid by Medicare | $120,909 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,581 · 2,776 30-day fills |
|---|---|
| Patients | 406 |
| Total drug cost | $879,431 |
| Generic share | 78% of claims |
Education and affiliations
| Medical school | University of Texas Southwestern Medical School at Dallas |
|---|---|
| Graduation year | 2004 |
| Medicare specialty | Gastroenterology |
| Telehealth | Offers telehealth |
Medical group
- Austin Gastroenterology PLLCRound Rock, TX · 76 clinicians
Hospital affiliation
- St David's South Austin Medical CenterAustin, TX
Industry payments (Open Payments)
- 2025$985.37 · 48 payments from 12 companies
- 2024$720.29 · 36 payments from 10 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $647.79 | 32 |
| Madrigal Pharmaceuticals | $60.38 | 2 |
| Aimmune Therapeutics, Inc. | $58.74 | 3 |
| Takeda Pharmaceuticals U.S.A., Inc. | $49.47 | 2 |
| Janssen Biotech, Inc. | $38.21 | 2 |
What the 2025 payments were for
- Food and Beverage$985.37 · 48 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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