Brett Thomas Earnest, MD
NPI 1134389711ActiveIndividual· Family Medicine· New Braunfels, TX
Family Medicine (MD) in New Braunfels, Texas, trained at University of Texas Southwestern Medical School at Dallas (class of 2008). Their prescriptions cost Medicare Part D more than their services did: $397,139 for 4,367 claims, against $40,939 paid for services in 2024. Abbvie Inc. was the largest of 14 companies reporting payments in 2025, $751.56 in all, mostly food and beverage.
Overview
| NPI | 1134389711 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 17, 2008 |
| Last updated in NPPES | Dec 18, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | P0044 | 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 - Family Practice (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 140 |
|---|---|
| Services billed | 751 across 40 procedure codes |
| Paid by Medicare | $40,939 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,367 · 9,929 30-day fills |
|---|---|
| Patients | 301 |
| Total drug cost | $397,139 |
| Generic share | 87% of claims |
Education and affiliations
| Medical school | University of Texas Southwestern Medical School at Dallas |
|---|---|
| Graduation year | 2008 |
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Guadalupe Regional Medical GroupSeguin, TX · 39 clinicians
Hospital affiliations
- Christus Santa Rosa Hospital-San MarcosSan Marcos, TX
- Guadalupe Regional Medical CenterSeguin, TX
- Resolute Health HospitalNew Braunfels, TX
Other facilities
- Advanced Home Health ServicesHome health agency · Seguin, TX
- New Braunfels Regional Rehabilitation HospitalInpatient rehabilitation facility · New Braunfels, TX
Industry payments (Open Payments)
- 2025$751.56 · 38 payments from 14 companies
- 2024$675.50 · 36 payments from 10 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $188.99 | 9 |
| Collegium Pharmaceutical, Inc. | $139.32 | 9 |
| Bayer Healthcare Pharmaceuticals Inc. | $85.29 | 4 |
| Novo Nordisk Inc | $69.54 | 3 |
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $43.75 | 2 |
What the 2025 payments were for
- Food and Beverage$751.56 · 38 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 93 family medicine physicians in New Braunfels · All family medicine physicians in Texas