Heather Calmes Bylander, APRN, FNP-C
NPI 1174384531ActiveIndividual· Nurse Practitioner, Primary Care· Cedar Park, TX
Nurse Practitioner, Primary Care (APRN, FNP-C) with Total MD Physicians Group, PLLC, practicing in Cedar Park, Texas. Their prescriptions cost Medicare Part D more than their services did: $71,121 for 1,167 claims, against $23,750 paid for services in 2024. Novo Nordisk Inc was the largest of 16 companies reporting payments in 2025, $1,164 in all, mostly food and beverage.
Overview
| NPI | 1174384531 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN, FNP-C |
| Sole proprietor | Yes |
| NPI issued | Jan 22, 2024 |
| Last updated in NPPES | Mar 5, 2024 |
| Certified by provider | Mar 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | 1150795 | 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 | 163 |
|---|---|
| Services billed | 409 across 30 procedure codes |
| Paid by Medicare | $23,750 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,167 · 2,444 30-day fills |
|---|---|
| Patients | 227 |
| Total drug cost | $71,121 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Total MD Physicians Group, PLLCAustin, TX · 129 clinicians
Industry payments (Open Payments)
- 2025$1,164 · 43 payments from 16 companies
- 2024$1,811 · 60 payments from 14 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $207.00 | 5 |
| Astrazeneca Pharmaceuticals LP | $202.06 | 9 |
| Lilly USA, LLC | $143.85 | 4 |
| Pfizer Inc. | $118.09 | 5 |
| Gilead Sciences, Inc. | $116.15 | 1 |
What the 2025 payments were for
- Food and Beverage$1,164 · 43 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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