Michelle Gamio, FNP
NPI 1164820643ActiveIndividual· Nurse Practitioner, Family· San Antonio, TX
Nurse Practitioner, Family (FNP) with Methodist Physician Practices PLLC, practicing in San Antonio, Texas. Their prescriptions cost Medicare Part D more than their services did: $305,636 for 2,894 claims, against $49,212 paid for services in 2024. Amgen Inc. was the largest of 15 companies reporting payments in 2025, $605.50 in all, mostly food and beverage.
Overview
| NPI | 1164820643 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Dec 15, 2014 |
| Last updated in NPPES | Jan 31, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | AP127105 | 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 - Nurse Practitioner (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 266 |
|---|---|
| Services billed | 1,352 across 35 procedure codes |
| Paid by Medicare | $49,212 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,894 · 7,587 30-day fills |
|---|---|
| Patients | 300 |
| Total drug cost | $305,636 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Methodist Physician Practices PLLCLive Oak, TX · 175 clinicians
Industry payments (Open Payments)
- 2025$605.50 · 32 payments from 15 companies
- 2024$448.56 · 24 payments from 10 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Amgen Inc. | $83.58 | 4 |
| Novo Nordisk Inc | $76.43 | 4 |
| Pfizer Inc. | $71.42 | 4 |
| Lilly USA, LLC | $62.94 | 3 |
| Bayer Healthcare Pharmaceuticals Inc. | $61.29 | 3 |
What the 2025 payments were for
- Food and Beverage$605.50 · 32 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 1,441 family nurse practitioners in San Antonio · All family nurse practitioners in Texas