Mark Allen Esche, M.D.
NPI 1174622740ActiveIndividual· Psychiatry & Neurology, Psychiatry· Austin, TX
Psychiatry & Neurology, Psychiatry (M.D.) in Austin, Texas, trained at Texas Tech University Health Science Center School of Medicine (class of 1997). Their prescriptions cost Medicare Part D more than their services did: $838,443 for 3,804 claims, against $22,929 paid for services in 2024. Alkermes, Inc. was the largest of 14 companies reporting payments in 2025, $2,739 in all, mostly food and beverage.
Overview
| NPI | 1174622740 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Sep 21, 2006 |
| Last updated in NPPES | Sep 3, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Psychiatry Primary | 2084P0800X | L3636 | 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 - Psychiatry (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 111 |
|---|---|
| Services billed | 356 across 4 procedure codes |
| Paid by Medicare | $22,929 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,804 · 5,720 30-day fills |
|---|---|
| Patients | 222 |
| Total drug cost | $838,443 |
| Generic share | 86% of claims |
Education and affiliations
| Medical school | Texas Tech University Health Science Center School of Medicine |
|---|---|
| Graduation year | 1997 |
| Medicare specialty | Psychiatry |
| Telehealth | Offers telehealth |
Medical group
- Austin Psychiatric Alliance, PLLCAustin, TX · 2 clinicians
Industry payments (Open Payments)
- 2025$2,739 · 149 payments from 14 companies
- 2024$2,347 · 129 payments from 16 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Alkermes, Inc. | $722.22 | 42 |
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $497.44 | 24 |
| Otsuka America Pharmaceutical, Inc. | $356.99 | 18 |
| Abbvie Inc. | $306.78 | 20 |
| Takeda Pharmaceuticals U.S.A., Inc. | $186.74 | 12 |
What the 2025 payments were for
- Food and Beverage$2,737 · 148 payments
- Education$1.40 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 437 psychiatrists in Austin · All psychiatrists in Texas