Sara Garcia Ostrem, NP
NPI 1245608298ActiveIndividual· Nurse Practitioner· McAllen, TX
Nurse Practitioner (NP) with Heart Clinic PLLC, practicing in McAllen, Texas. Their prescriptions cost Medicare Part D more than their services did: $32,598 for 128 claims, against $18,637 paid for services in 2024. Cvrx, Inc. was the largest of 11 companies reporting payments in 2025, $1,621 in all, mostly food and beverage. Lists South Texas Health System as a hospital affiliation.
Overview
| NPI | 1245608298 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Sep 8, 2015 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | AP128680 | 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 - Nurse Practitioner (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 138 |
|---|---|
| Services billed | 234 across 5 procedure codes |
| Paid by Medicare | $18,637 |
Part D prescriptions in 2024
| Prescriptions (claims) | 128 · 353 30-day fills |
|---|---|
| Patients | 65 |
| Total drug cost | $32,598 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Heart Clinic PLLCMcAllen, TX · 24 clinicians
Hospital affiliation
- South Texas Health SystemEdinburg, TX
Industry payments (Open Payments)
- 2025$1,621 · 37 payments from 11 companies
- 2024$1,044 · 30 payments from 10 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Cvrx, Inc. | $421.47 | 3 |
| Astrazeneca Pharmaceuticals LP | $239.12 | 3 |
| E.R. Squibb & Sons, L.L.C. | $166.25 | 10 |
| Novo Nordisk Inc | $165.65 | 4 |
| Bayer Healthcare Pharmaceuticals Inc. | $135.25 | 2 |
What the 2025 payments were for
- Food and Beverage$1,621 · 37 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 61 nurse practitioners in McAllen · All nurse practitioners in Texas