Mary Dacosta, MD
NPI 1255919965ActiveIndividual· Family Medicine· Alice, TX
Family Medicine (MD) with Sanford Health Network, practicing in Alice, Texas. Their prescriptions cost Medicare Part D more than their services did: $109,281 for 1,030 claims, against $6,148 paid for services in 2024. Pfizer Inc. reported $28.01 in payments in 2025, mostly food and beverage. Lists Sanford Worthington Medical Center as a hospital affiliation.
Overview
| NPI | 1255919965 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 1, 2021 |
| Last updated in NPPES | Jul 14, 2025 |
| Certified by provider | Jul 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | V2049 | TX |
| Family Medicine | 207Q00000X | 79645 | MN |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (MN); Practitioner - Family Practice (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 49 |
|---|---|
| Services billed | 96 across 15 procedure codes |
| Paid by Medicare | $6,148 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,030 · 1,773 30-day fills |
|---|---|
| Patients | 285 |
| Total drug cost | $109,281 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Family Practice |
Medical group
- Sanford Health NetworkTracy, MN · 351 clinicians
Hospital affiliation
- Sanford Worthington Medical CenterWorthington, MN
Industry payments (Open Payments)
- 2025$28.01 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Pfizer Inc. | $28.01 | 1 |
What the 2025 payments were for
- Food and Beverage$28.01 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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