Gustavo Boeta-Lopez, MD
NPI 1275282873ActiveIndividual· Family Medicine· San Marcos, TX
Family Medicine (MD) with Privia Medical Group Gulf Coast PLLC and 2 other groups, practicing in San Marcos, Texas. Part D covered 166 prescriptions written in 2024, 80% of them generic. Lists Ascension Seton Edgar B Davis as a hospital affiliation.
Overview
| NPI | 1275282873 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Mar 21, 2022 |
| Last updated in NPPES | Jul 31, 2026 |
| Certified by provider | Jul 31, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | V9856 | TX |
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 - Family Practice (TX) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 166 · 332 30-day fills |
|---|---|
| Patients | 42 |
| Total drug cost | $22,693 |
| Generic share | 80% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Family Practice |
Medical groups
- Privia Medical Group Gulf Coast PLLCPearland, TX · 534 clinicians
- St Davids Carenow Urgent Care PLLCAustin, TX · 100 clinicians
- Barrio Comprehensive Family Health Care Center,incSan Antonio, TX · 63 clinicians
Hospital affiliation
- Ascension Seton Edgar B DavisLuling, TX
Other facilities
- Bridgeway Hospice, LLC.Hospice · Buda, TX
- Post Acute Medical at Luling LLCLong-term care hospital · Luling, TX
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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