Alisa Thavikulwat
NPI 1265827745ActiveIndividual· Ophthalmology· Glenn Dale, MD
Ophthalmology in Glenn Dale, Maryland, trained at University of Rochester School of Medicine and Dentistry (class of 2015). In 2024 Medicare paid $56,423 for 187 patients, and Part D covered 512 of their prescriptions, 72% of them generic. Genentech USA, Inc. was the largest of 4 companies reporting payments in 2025, $208.34 in all, mostly food and beverage.
Overview
| NPI | 1265827745 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Apr 1, 2015 |
| Last updated in NPPES | Sep 24, 2020 |
| Certified by provider | Sep 24, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | D0087217 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Ophthalmology (DC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 187 |
|---|---|
| Services billed | 964 across 28 procedure codes |
| Paid by Medicare | $56,423 |
Part D prescriptions in 2024
| Prescriptions (claims) | 512 · 1,084 30-day fills |
|---|---|
| Patients | 121 |
| Total drug cost | $79,397 |
| Generic share | 72% of claims |
Education and affiliations
| Medical school | University of Rochester School of Medicine and Dentistry |
|---|---|
| Graduation year | 2015 |
| Medicare specialty | Ophthalmology |
Medical group
- Visionmd, LLCGlenn Dale, MD · 4 clinicians
Industry payments (Open Payments)
- 2025$208.34 · 4 payments from 4 companies
- 2024$188.36 · 5 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Genentech USA, Inc. | $126.88 | 1 |
| Mallinckrodt Hospital Products Inc. | $37.71 | 1 |
| Abbvie Inc. | $23.93 | 1 |
| Biotissue Holdings Inc. | $19.82 | 1 |
What the 2025 payments were for
- Food and Beverage$208.34 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Ophthalmology providers in Glenn Dale
- 1124460621
- 1790990505
- 1801381884
- 1588732424