James Michael Houston Sr., PA-C
NPI 1437209210ActiveIndividual· Physician Assistant, Surgical· San Antonio, TX
Physician Assistant, Surgical (PA-C) with Spine Care and Pain Management of San Antonio LLC, practicing in San Antonio, Texas. Their prescriptions cost Medicare Part D more than their services did: $42,241 for 1,362 claims, against $15,520 paid for services in 2024. Globus Medical, Inc. was the largest of 9 companies reporting payments in 2025, $684.97 in all, mostly food and beverage. Lists Baptist Medical Center as a hospital affiliation.
Overview
| NPI | 1437209210 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Jan 12, 2007 |
| Last updated in NPPES | Dec 13, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | PA06783 | TX |
| Physician Assistant, Surgical | 363AS0400X | 25MP00092000 | NJ |
| Physician Assistant, Surgical | 363AS0400X | 8736 | NY |
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 - Physician Assistant (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 102 |
|---|---|
| Services billed | 235 across 14 procedure codes |
| Paid by Medicare | $15,520 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,362 · 1,445 30-day fills |
|---|---|
| Patients | 310 |
| Total drug cost | $42,241 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Spine Care and Pain Management of San Antonio LLCSan Antonio, TX · 8 clinicians
Hospital affiliation
- Baptist Medical CenterSan Antonio, TX
Industry payments (Open Payments)
- 2025$684.97 · 27 payments from 9 companies
- 2024$535.52 · 29 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Globus Medical, Inc. | $275.97 | 8 |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | $134.55 | 8 |
| Vertex Pharmaceuticals Incorporated | $90.46 | 3 |
| Boston Scientific Corporation | $76.11 | 3 |
| Mml US, Inc. | $41.02 | 1 |
What the 2025 payments were for
- Food and Beverage$684.97 · 27 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 97 surgical physician assistants in San Antonio · All surgical physician assistants in Texas