Elma Lourdes Barbado Gacoscos, APRN-BC
NPI 1255649919ActiveIndividual· Nurse Practitioner, Family· Flint, MI
Nurse Practitioner, Family (APRN-BC) with Hurley Medical Center, practicing in Flint, Michigan. Their prescriptions cost Medicare Part D more than their services did: $127,870 for 1,460 claims, against $6,478 paid for services in 2024. Smith+nephew, Inc. reported $21.58 in payments in 2025, mostly food and beverage. Lists Hurley Medical Center as a hospital affiliation.
Overview
| NPI | 1255649919 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN-BC |
| Sole proprietor | No |
| NPI issued | Sep 15, 2010 |
| Last updated in NPPES | Aug 21, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 4704199678 | MI |
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 (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 55 |
|---|---|
| Services billed | 204 across 16 procedure codes |
| Paid by Medicare | $6,478 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,460 · 2,643 30-day fills |
|---|---|
| Patients | 109 |
| Total drug cost | $127,870 |
| Generic share | 76% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Hurley Medical CenterFlint, MI · 342 clinicians
Hospital affiliation
- Hurley Medical CenterFlint, MI
Industry payments (Open Payments)
- 2025$21.58 · 1 payment from 1 company
- 2024$481.74 · 9 payments from 9 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Smith+nephew, Inc. | $21.58 | 1 |
What the 2025 payments were for
- Food and Beverage$21.58 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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