Tyler Jon Lesko, PMHNP-BC
NPI 1538847181ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Sioux City, IA
Nurse Practitioner, Psych/Mental Health (PMHNP-BC) with Siouxland Mental Health Services Inc, practicing in Sioux City, Iowa. Their prescriptions cost Medicare Part D more than their services did: $128,654 for 985 claims, against $5,715 paid for services in 2024. Teva Pharmaceuticals USA, Inc. was the largest of 12 companies reporting payments in 2025, $1,846 in all, mostly food and beverage.
Overview
| NPI | 1538847181 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PMHNP-BC |
| Sole proprietor | No |
| NPI issued | Jul 5, 2023 |
| Last updated in NPPES | Jul 5, 2023 |
| Certified by provider | Jul 5, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | G175179 | IA |
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 - Certified Clinical Nurse Specialist (Cns) (IA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 23 |
|---|---|
| Services billed | 151 across 6 procedure codes |
| Paid by Medicare | $5,715 |
Part D prescriptions in 2024
| Prescriptions (claims) | 985 · 1,047 30-day fills |
|---|---|
| Patients | 67 |
| Total drug cost | $128,654 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Certified Clinical Nurse Specialist (Cns) |
Medical group
- Siouxland Mental Health Services IncSioux City, IA · 30 clinicians
Industry payments (Open Payments)
- 2025$1,846 · 122 payments from 12 companies
- 2024$1,914 · 129 payments from 12 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Teva Pharmaceuticals USA, Inc. | $391.92 | 16 |
| Neurocrine Biosciences, Inc. | $312.58 | 20 |
| Abbvie Inc. | $265.73 | 25 |
| Alkermes, Inc. | $249.35 | 15 |
| E.R. Squibb & Sons, L.L.C. | $161.10 | 13 |
What the 2025 payments were for
- Food and Beverage$1,736 · 121 payments
- Education$109.49 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 23 psychiatric nurse practitioners in Sioux City · All psychiatric nurse practitioners in Iowa