Romana Sibyl Kleinguenther, M.D.
NPI 1235224379ActiveIndividual· Psychiatry & Neurology, Neurology· San Antonio, TX
Psychiatry & Neurology, Neurology (M.D.) in San Antonio, Texas, trained at University of Texas Medical School at San Antonio (class of 1990). Their prescriptions cost Medicare Part D more than their services did: $89,279 for 936 claims, against $8,062 paid for services in 2024. Ucb, Inc. was the largest of 7 companies reporting payments in 2025, $675.18 in all, mostly food and beverage.
Overview
| NPI | 1235224379 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Oct 4, 2006 |
| Last updated in NPPES | Aug 27, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Neurology Primary | 2084N0400X | J1101 | 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 - Neurology (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 67 |
|---|---|
| Services billed | 110 across 7 procedure codes |
| Paid by Medicare | $8,062 |
Part D prescriptions in 2024
| Prescriptions (claims) | 936 · 1,385 30-day fills |
|---|---|
| Patients | 145 |
| Total drug cost | $89,279 |
| Generic share | 94% of claims |
Education and affiliations
| Medical school | University of Texas Medical School at San Antonio |
|---|---|
| Graduation year | 1990 |
| Medicare specialty | Neurology |
| Telehealth | Offers telehealth |
Medical group
- University of Texas Health Science Center at San AntonioSan Antonio, TX · 1,297 clinicians
Hospital affiliation
- University Health SystemSan Antonio, TX
Industry payments (Open Payments)
- 2025$675.18 · 27 payments from 7 companies
- 2024$378.40 · 15 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Ucb, Inc. | $420.02 | 15 |
| Neurelis, Inc. | $97.32 | 3 |
| Aucta Pharmaceuticals, Inc. | $50.85 | 5 |
| Jazz Pharmaceuticals Inc. | $32.73 | 1 |
| Livanova USA, Inc. | $32.63 | 1 |
What the 2025 payments were for
- Food and Beverage$675.18 · 27 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other neurologists in San Antonio
- 1063472678
- 1073749776
- 1093033698
- 1104925171
- 1194726448
- 1205327699
- 1225019003
- 1255533592
- 1275526188
- 1275744526
- 1275797680
- 1316386410
All 153 neurologists in San Antonio · All neurologists in Texas