Thomas Reagan Graffagnino, FNP-C
NPI 1134604457ActiveIndividual· Nurse Practitioner· Livingston, TX
Nurse Practitioner (FNP-C) with Elite Hospital Partners, PLLC, practicing in Livingston, Texas. 98 Medicare patients in 2024, $12,473 paid; nearly all of their 237 Part D prescriptions were generic (91%).
Overview
| NPI | 1134604457 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-C |
| Sole proprietor | No |
| NPI issued | Oct 2, 2018 |
| Last updated in NPPES | Sep 28, 2024 |
| Certified by provider | Sep 28, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | AP139031 | TX |
| Nurse Practitioner, Family | 363LF0000X | AP139031 | 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 | 98 |
|---|---|
| Services billed | 500 across 55 procedure codes |
| Paid by Medicare | $12,473 |
Part D prescriptions in 2024
| Prescriptions (claims) | 237 · 259 30-day fills |
|---|---|
| Patients | 138 |
| Total drug cost | $3,033 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Elite Hospital Partners, PLLCHouston, TX · 67 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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