Tracey Tebbe Grappe, PA
NPI 1225077282ActiveIndividual· Physician Assistant, Medical· Conroe, TX
Physician Assistant, Medical (PA) with Tmh Physician Associates PLLC, practicing in Conroe, Texas. Their prescriptions cost Medicare Part D more than their services did: $124,642 for 1,722 claims, against $24,369 paid for services in 2024. Bayer Healthcare Pharmaceuticals Inc. was the largest of 19 companies reporting payments in 2025, $992.54 in all, mostly food and beverage. Lists Houston Methodist the Woodlands Hospital as a hospital affiliation.
Overview
| NPI | 1225077282 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jun 5, 2006 |
| Last updated in NPPES | Sep 18, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | PA00228 | 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 - Physician Assistant (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 213 |
|---|---|
| Services billed | 2,054 across 22 procedure codes |
| Paid by Medicare | $24,369 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,722 · 3,864 30-day fills |
|---|---|
| Patients | 341 |
| Total drug cost | $124,642 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 1984 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Tmh Physician Associates PLLCKaty, TX · 1,690 clinicians
Hospital affiliation
- Houston Methodist the Woodlands HospitalThe Woodlands, TX
Industry payments (Open Payments)
- 2025$992.54 · 56 payments from 19 companies
- 2024$887.37 · 53 payments from 20 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Bayer Healthcare Pharmaceuticals Inc. | $145.63 | 7 |
| Glaxosmithkline, LLC. | $136.56 | 7 |
| Lilly USA, LLC | $103.47 | 7 |
| Astrazeneca Pharmaceuticals LP | $88.75 | 5 |
| Novo Nordisk Inc | $83.61 | 4 |
What the 2025 payments were for
- Food and Beverage$992.54 · 56 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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