Alexander Munchiando, AGNP-C
NPI 1174048219ActiveIndividual· Nurse Practitioner· Dearborn, MI
Nurse Practitioner (AGNP-C) with Alliance Physician Services of Michigan, P.C., practicing in Dearborn, Michigan. Their prescriptions cost Medicare Part D more than their services did: $48,874 for 348 claims, against $28,135 paid for services in 2024. Pfizer Inc. was the largest of 2 companies reporting payments in 2025, $239.07 in all, mostly food and beverage. Lists Beaumont Hospital Royal Oak and 1 other hospital as hospital affiliations.
Overview
| NPI | 1174048219 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AGNP-C |
| Sole proprietor | No |
| NPI issued | Aug 10, 2017 |
| Last updated in NPPES | Sep 11, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 4704288308 | MI |
| Registered Nurse | 163W00000X | 4704288308 | MI |
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 (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 289 |
|---|---|
| Services billed | 1,739 across 25 procedure codes |
| Paid by Medicare | $28,135 |
Part D prescriptions in 2024
| Prescriptions (claims) | 348 · 793 30-day fills |
|---|---|
| Patients | 135 |
| Total drug cost | $48,874 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Alliance Physician Services of Michigan, P.C.West Bloomfield, MI · 82 clinicians
Hospital affiliations
- Beaumont Hospital Royal OakRoyal Oak, MI
- Beaumont Hospital, TroyTroy, MI
Industry payments (Open Payments)
- 2025$239.07 · 3 payments from 2 companies
- 2024$467.04 · 17 payments from 10 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Pfizer Inc. | $223.42 | 2 |
| Abbvie Inc. | $15.65 | 1 |
What the 2025 payments were for
- Food and Beverage$122.07 · 2 payments
- Education$117.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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