Caroline Elizabeth Flowers, MD
NPI 1336702513ActiveIndividual· Family Medicine· Seguin, TX
Family Medicine (MD) in Seguin, Texas, trained at University of Arizona College of Medicine (class of 2022). Their prescriptions cost Medicare Part D more than their services did: $79,823 for 1,105 claims, against $2,053 paid for services in 2024. Biogen, Inc. was the largest of 2 companies reporting payments in 2025, $28.14 in all, mostly food and beverage.
Overview
| NPI | 1336702513 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Apr 15, 2019 |
| Last updated in NPPES | Jan 29, 2026 |
| Certified by provider | Jan 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | W2283 | 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 - Family Practice (AZ); Practitioner - Family Practice (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 28 |
|---|---|
| Services billed | 50 across 14 procedure codes |
| Paid by Medicare | $2,053 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,105 · 1,932 30-day fills |
|---|---|
| Patients | 133 |
| Total drug cost | $79,823 |
| Generic share | 87% of claims |
Education and affiliations
| Medical school | University of Arizona College of Medicine |
|---|---|
| Graduation year | 2022 |
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical groups
- Guadalupe Regional Medical GroupSeguin, TX · 39 clinicians
- Guadalupe County Hospital BoardSeguin, TX · 31 clinicians
- Gila Valley Clinic PCSafford, AZ · 13 clinicians
Hospital affiliations
- Guadalupe Regional Medical CenterSeguin, TX
- Mt. Graham Regional Medical CenterSafford, AZ
Industry payments (Open Payments)
- 2025$28.14 · 2 payments from 2 companies
- 2024$37.30 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Biogen, Inc. | $14.19 | 1 |
| Pfizer Inc. | $13.95 | 1 |
What the 2025 payments were for
- Food and Beverage$28.14 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 42 family medicine physicians in Seguin · All family medicine physicians in Texas