John R. Scagnelli, M.D.
Psychiatry & Neurology, Neurology (M.D.) with Legacy Healthcare Services Inc and 3 other groups, practicing in Raleigh, North Carolina. Their prescriptions cost Medicare Part D more than their services did: $8,081,414 for 5,417 claims, against $1,411,319 paid for services in 2024. Tg Therapeutics, Inc. was the largest of 31 companies reporting payments in 2025, $56,365 in all, mostly speaking and faculty fees. Lists Rex Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1437268265 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Aug 29, 2006 |
| Last updated in NPPES | Apr 1, 2021 |
| Certified by provider | Apr 1, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Neurology Primary | 2084N0400X | 2012-00941 | NC |
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 - Neurology (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 499 |
|---|---|
| Services billed | 72,462 across 58 procedure codes |
| Paid by Medicare | $1,411,319 |
Part D prescriptions in 2024
| Prescriptions (claims) | 5,417 · 8,269 30-day fills |
|---|---|
| Patients | 711 |
| Total drug cost | $8,081,414 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Neurology |
| Telehealth | Offers telehealth |
Medical groups
- Legacy Healthcare Services IncGreenville, SC · 3,223 clinicians
- Select Physical Therapy Holdings IncClarksville, TN · 2,024 clinicians
- Carolina Physical Therapy Associates LLCLouisburg, NC · 471 clinicians
- Raleigh Neurology Associates, P. A.Raleigh, NC · 52 clinicians
Hospital affiliations
- Rex HospitalRaleigh, NC
- Wakemed, Cary HospitalCary, NC
- Wakemed, Raleigh CampusRaleigh, NC
Industry payments (Open Payments)
- 2025$56,365 · 389 payments from 31 companies
- 2024$57,406 · 311 payments from 35 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Tg Therapeutics, Inc. | $32,329 | 86 |
| Amgen Inc. | $9,279 | 26 |
| Biogen, Inc. | $7,325 | 10 |
| Genentech USA, Inc. | $2,715 | 11 |
| Abbvie Inc. | $608.00 | 32 |
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$35,301 · 16 payments
- Consulting Fee$8,137 · 4 payments
- Food and Beverage$7,499 · 359 payments
- Travel and Lodging$5,355 · 8 payments
- Education$72.21 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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