Adam Twickler, AGNP-C, APRN
NPI 1447847348ActiveIndividual· Nurse Practitioner, Adult Health· Orange, CT
Nurse Practitioner, Adult Health (AGNP-C, APRN) with Snf Physiatry Services CT PLLC and 1 other group, practicing in Orange, Connecticut. Their prescriptions cost Medicare Part D more than their services did: $795,008 for 3,530 claims, against $35,695 paid for services in 2024. Salix Pharmaceuticals, A Division of Bausch Health US, LLC was the largest of 6 companies reporting payments in 2025, $886.89 in all, mostly food and beverage.
Overview
| NPI | 1447847348 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AGNP-C, APRN |
| Sole proprietor | No |
| NPI issued | Dec 25, 2020 |
| Last updated in NPPES | Nov 16, 2023 |
| Certified by provider | Nov 16, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | 9352 | CT |
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 (CT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 81 |
|---|---|
| Services billed | 419 across 4 procedure codes |
| Paid by Medicare | $35,695 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,530 · 3,617 30-day fills |
|---|---|
| Patients | 383 |
| Total drug cost | $795,008 |
| Generic share | 76% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Snf Physiatry Services CT PLLCWaterbury, CT · 10 clinicians
- New Solutions Pain Management Clinic LLCOrange, CT · 4 clinicians
Industry payments (Open Payments)
- 2025$886.89 · 51 payments from 6 companies
- 2024$944.93 · 70 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | $357.04 | 25 |
| Indivior Inc. | $257.84 | 11 |
| Ardelyx, Inc. | $151.00 | 9 |
| Collegium Pharmaceutical, Inc. | $76.14 | 4 |
| Vertex Pharmaceuticals Incorporated | $24.19 | 1 |
What the 2025 payments were for
- Food and Beverage$886.89 · 51 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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