James Scott Gaertner, MD
NPI 1225068315ActiveIndividual· Family Medicine· Bee Cave, TX
Family Medicine (MD) with Scott and White Clinic, practicing in Bee Cave, Texas. Their prescriptions cost Medicare Part D more than their services did: $123,762 for 2,237 claims, against $60,169 paid for services in 2024. Lilly USA, LLC was the largest of 4 companies reporting payments in 2025, $75.47 in all, mostly food and beverage. Lists Baylor Scott & White Medical Center - Round Rock and 1 other hospital as hospital affiliations.
Overview
| NPI | 1225068315 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Jul 4, 2006 |
| Last updated in NPPES | Dec 17, 2021 |
| Certified by provider | Dec 17, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | J2016 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 198 |
|---|---|
| Services billed | 1,073 across 24 procedure codes |
| Paid by Medicare | $60,169 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,237 · 5,264 30-day fills |
|---|---|
| Patients | 240 |
| Total drug cost | $123,762 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 1991 |
|---|---|
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Scott and White ClinicCollege Station, TX · 2,461 clinicians
Hospital affiliations
- Baylor Scott & White Medical Center - Round RockRound Rock, TX
- Baylor Scott & White Medical Center- AustinAustin, TX
Industry payments (Open Payments)
- 2025$75.47 · 4 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $26.59 | 1 |
| Pfizer Inc. | $19.64 | 1 |
| Abbvie Inc. | $14.70 | 1 |
| Exact Sciences Corporation | $14.54 | 1 |
What the 2025 payments were for
- Food and Beverage$75.47 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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