Gerard Joseph Meskill, MD
NPI 1295975324ActiveIndividual· Psychiatry & Neurology, Sleep Medicine· Sugar Land, TX
Psychiatry & Neurology, Sleep Medicine (MD) with Tricoastal Narcolepsy and Sleep, practicing in Sugar Land, Texas. Their prescriptions cost Medicare Part D more than their services did: $1,110,601 for 624 claims, against $51,214 paid for services in 2024. Lilly USA, LLC was the largest of 7 companies reporting payments in 2025, $241,754 in all, mostly speaking and faculty fees.
Overview
| NPI | 1295975324 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Mar 3, 2009 |
| Last updated in NPPES | Mar 5, 2024 |
| Certified by provider | Mar 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Sleep Medicine Primary | 2084S0012X | P6465 | TX |
| Psychiatry & Neurology, Neurology | 2084N0400X | P6465 | 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 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 - Sleep Medicine (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 179 |
|---|---|
| Services billed | 760 across 12 procedure codes |
| Paid by Medicare | $51,214 |
Part D prescriptions in 2024
| Prescriptions (claims) | 624 · 847 30-day fills |
|---|---|
| Patients | 72 |
| Total drug cost | $1,110,601 |
| Generic share | 74% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Sleep Medicine |
| Telehealth | Offers telehealth |
Medical group
- Tricoastal Narcolepsy and SleepSugar Land, TX · 3 clinicians
Industry payments (Open Payments)
- 2025$241,754 · 293 payments from 7 companies
- 2024$183,668 · 240 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $92,513 | 102 |
| Jazz Pharmaceuticals Inc. | $64,315 | 70 |
| Axsome Therapeutics, Inc. | $44,251 | 46 |
| Avadel Cns Pharmaceuticals, LLC | $30,216 | 55 |
| Harmony Biosciences LLC | $10,401 | 17 |
What the 2025 payments were for
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$135,280 · 74 payments
- Consulting Fee$47,380 · 16 payments
- Honoraria$41,720 · 5 payments
- Travel and Lodging$12,099 · 71 payments
- Food and Beverage$5,109 · 125 payments
- Education$166.00 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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