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Carlos Cosme-Thillet, FNP

NPI 1225467327ActiveIndividual· Registered Nurse, General Practice· San Antonio, TX

Registered Nurse, General Practice (FNP) in San Antonio, Texas, licensed in TX, with an NPI issued in November 2013. Part D covered 1,337 prescriptions written in 2024, 91% of them generic. Axsome Therapeutics, Inc. was the largest of 3 companies reporting payments in 2025, $359.19 in all, mostly food and beverage.

Overview

NPI1225467327
StatusActive
Entity typeIndividual
CredentialFNP
Sole proprietorNo
NPI issuedNov 8, 2013
Last updated in NPPESNov 8, 2013

Specialties and licenses

TaxonomyCodeLicenseState
Registered Nurse, General Practice Primary163WG0000X659161TX

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)1,337 · 3,238 30-day fills
Patients53
Total drug cost$63,091
Generic share91% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$359.19 · 3 payments from 3 companies

Top paying companies in 2025

CompanyAmountPayments
Axsome Therapeutics, Inc.$124.361
Acadia Pharmaceuticals Inc$122.171
Amarin Pharma, Inc.$112.661

What the 2025 payments were for

  • Food and Beverage$359.19 · 3 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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