Alejandra Palmeros-Irvine, MD
NPI 1154341915ActiveIndividual· Family Medicine· Spring, TX
Family Medicine (MD) in Spring, Texas, trained at University of Texas Medical School at San Antonio (class of 1997). Their prescriptions cost Medicare Part D more than their services did: $301,588 for 3,954 claims, against $77,540 paid for services in 2024. Salix Pharmaceuticals, A Division of Bausch Health US, LLC was the largest of 4 companies reporting payments in 2025, $191.94 in all, mostly food and beverage.
Overview
| NPI | 1154341915 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 21, 2006 |
| Last updated in NPPES | Apr 29, 2021 |
| Certified by provider | Apr 29, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | K7856 | 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 | 338 |
|---|---|
| Services billed | 1,705 across 45 procedure codes |
| Paid by Medicare | $77,540 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,954 · 9,748 30-day fills |
|---|---|
| Patients | 478 |
| Total drug cost | $301,588 |
| Generic share | 88% of claims |
Education and affiliations
| Medical school | University of Texas Medical School at San Antonio |
|---|---|
| Graduation year | 1997 |
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Ikp Family Medicine, P.A.Spring, TX · 7 clinicians
Hospital affiliations
- HCA Houston Healthcare TomballTomball, TX
- Houston Methodist the Woodlands HospitalThe Woodlands, TX
- Houston Methodist Willowbrook HospitalHouston, TX
- St Luke's the Woodlands HospitalThe Woodlands, TX
- Tops Surgical Specialty HospitalHouston, TX
Other facilities
- Phoenix Family Healthcare Inc.Home health agency · Houston, TX
Industry payments (Open Payments)
- 2025$191.94 · 5 payments from 4 companies
- 2024$80.60 · 4 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | $110.42 | 1 |
| Lilly USA, LLC | $32.07 | 2 |
| Astellas Pharma US Inc | $26.71 | 1 |
| Dexcom, Inc. | $22.74 | 1 |
What the 2025 payments were for
- Food and Beverage$191.94 · 5 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 103 family medicine physicians in Spring · All family medicine physicians in Texas