Silvia Lee Iglesias, PA-C
NPI 1487901674ActiveIndividual· Physician Assistant· McAllen, TX
Physician Assistant (PA-C) with Marco Gutierrez MD and Associates, practicing in McAllen, Texas. Their prescriptions cost Medicare Part D more than their services did: $451,926 for 3,252 claims, against $16,370 paid for services in 2024. Revance Therapeutics, Inc. was the largest of 6 companies reporting payments in 2025, $356.95 in all, mostly food and beverage. Lists Doctors Hosptal at Renaissance as a hospital affiliation.
Overview
| NPI | 1487901674 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Aug 7, 2012 |
| Last updated in NPPES | Aug 7, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA07822 | 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 - Physician Assistant (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 57 |
|---|---|
| Services billed | 623 across 37 procedure codes |
| Paid by Medicare | $16,370 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,252 · 7,902 30-day fills |
|---|---|
| Patients | 326 |
| Total drug cost | $451,926 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Marco Gutierrez MD and AssociatesMcAllen, TX · 5 clinicians
Hospital affiliation
- Doctors Hosptal at RenaissanceEdinburg, TX
Industry payments (Open Payments)
- 2025$356.95 · 14 payments from 6 companies
- 2024$591.23 · 32 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Revance Therapeutics, Inc. | $107.67 | 1 |
| Novo Nordisk Inc | $98.41 | 5 |
| Amgen Inc. | $62.83 | 4 |
| Lilly USA, LLC | $53.12 | 2 |
| Exact Sciences Corporation | $19.01 | 1 |
What the 2025 payments were for
- Food and Beverage$356.95 · 14 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 148 physician assistants in McAllen · All physician assistants in Texas