Michael S. Vrana, MD
NPI 1164602868ActiveIndividual· Orthopaedic Surgery· New Braunfels, TX
Orthopaedic Surgery (MD) with Osinb, PA, practicing in New Braunfels, Texas. 695 Medicare patients in 2024, $277,113 paid; nearly all of their 547 Part D prescriptions were generic (99%). Smith+nephew, Inc. was the largest of 4 companies reporting payments in 2025, $2,049 in all, mostly travel and lodging. Lists Children's Hospital of San Antonio and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1164602868 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Nov 9, 2007 |
| Last updated in NPPES | Sep 4, 2025 |
| Certified by provider | Sep 4, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | N6757 | TX |
| Specialist | 174400000X | N6757 | 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 - Orthopedic Surgery (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 695 |
|---|---|
| Services billed | 5,630 across 78 procedure codes |
| Paid by Medicare | $277,113 |
Part D prescriptions in 2024
| Prescriptions (claims) | 547 · 547 30-day fills |
|---|---|
| Patients | 245 |
| Total drug cost | $5,855 |
| Generic share | 99% of claims |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Orthopedic Surgery |
| Secondary specialties | Sports Medicine |
Medical group
- Osinb, PANew Braunfels, TX · 5 clinicians
Hospital affiliations
- Children's Hospital of San AntonioSan Antonio, TX
- Christus Santa Rosa Hospital-San MarcosSan Marcos, TX
- Lavaca Medical CenterHallettsville, TX
- Resolute Health HospitalNew Braunfels, TX
- Yoakum Community HospitalYoakum, TX
Other facilities
- Advanced Home Health ServicesHome health agency · Seguin, TX
- Christus HomecareHome health agency · New Braunfels, TX
- Soar Home Care LLCHome health agency · New Braunfels, TX
- New Braunfels Regional Rehabilitation HospitalInpatient rehabilitation facility · New Braunfels, TX
Industry payments (Open Payments)
- 2025$2,049 · 11 payments from 4 companies
- 2024$1,890 · 10 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Smith+nephew, Inc. | $1,974 | 8 |
| Stryker Corporation | $35.00 | 1 |
| Pacira Pharmaceuticals Incorporated | $21.95 | 1 |
| Bioventus LLC | $18.55 | 1 |
What the 2025 payments were for
- Travel and Lodging$1,309 · 3 payments
- Food and Beverage$740.58 · 8 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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