Madeleine Taylor Adams, NP
NPI 1144938135ActiveIndividual· Nurse Practitioner, Family· Bay City, TX
Nurse Practitioner, Family (NP) with Alpesh D. Desai, DO, PA, practicing in Bay City, Texas. Their prescriptions cost Medicare Part D more than their services did: $178,460 for 551 claims, against $73,111 paid for services in 2024. Genzyme Corporation reported $20.98 in payments in 2025, mostly food and beverage. Lists Matagorda Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1144938135 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Nov 9, 2022 |
| Last updated in NPPES | Sep 13, 2023 |
| Certified by provider | Sep 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 1097731 | 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 | 293 |
|---|---|
| Services billed | 1,711 across 49 procedure codes |
| Paid by Medicare | $73,111 |
Part D prescriptions in 2024
| Prescriptions (claims) | 551 · 567 30-day fills |
|---|---|
| Patients | 223 |
| Total drug cost | $178,460 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Alpesh D. Desai, DO, PAHouston, TX · 27 clinicians
Hospital affiliation
- Matagorda Regional Medical CenterBay City, TX
Industry payments (Open Payments)
- 2025$20.98 · 1 payment from 1 company
- 2024$292.29 · 6 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Genzyme Corporation | $20.98 | 1 |
What the 2025 payments were for
- Food and Beverage$20.98 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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