Tammy R. Larned, MSN, RN
NPI 1285234260ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Lufkin, TX
Nurse Practitioner, Psych/Mental Health (MSN, RN) with Burke Center, practicing in Lufkin, Texas. Their prescriptions cost Medicare Part D more than their services did: $133,076 for 1,066 claims, against $7,631 paid for services in 2024. Neurocrine Biosciences, Inc. was the largest of 3 companies reporting payments in 2025, $223.26 in all, mostly food and beverage.
Overview
| NPI | 1285234260 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSN, RN |
| Sole proprietor | No |
| NPI issued | Oct 28, 2020 |
| Last updated in NPPES | Nov 25, 2020 |
| Certified by provider | Nov 25, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | 1020061 | TX |
| Registered Nurse, Administrator | 163WA2000X | 633578 | TX |
| Nurse Practitioner, Pediatrics | 363LP0200X | 1020061 | 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 | 46 |
|---|---|
| Services billed | 224 across 7 procedure codes |
| Paid by Medicare | $7,631 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,066 · 1,205 30-day fills |
|---|---|
| Patients | 107 |
| Total drug cost | $133,076 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Burke CenterLufkin, TX · 29 clinicians
Industry payments (Open Payments)
- 2025$223.26 · 3 payments from 3 companies
- 2024$173.25 · 5 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Neurocrine Biosciences, Inc. | $100.93 | 1 |
| Abbvie Inc. | $94.67 | 1 |
| E.R. Squibb & Sons, L.L.C. | $27.66 | 1 |
What the 2025 payments were for
- Food and Beverage$223.26 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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