Alice Ballesteros Gomez, O.D.
NPI 1578662136ActiveIndividual· Ophthalmology· Elmhurst, NY
Ophthalmology (O.D.) in Elmhurst, New York, trained at State University of New York - State College Optometry (class of 2003). Their prescriptions cost Medicare Part D more than their services did: $91,042 for 913 claims, against $2,586 paid for services in 2024. Amgen Inc. was the largest of 2 companies reporting payments in 2025, $240.21 in all, mostly food and beverage.
Overview
| NPI | 1578662136 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | O.D. |
| Sole proprietor | No |
| NPI issued | Sep 21, 2006 |
| Last updated in NPPES | Mar 9, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | TUV006724 | NY |
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 - Optometry (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 48 |
|---|---|
| Services billed | 80 across 10 procedure codes |
| Paid by Medicare | $2,586 |
Part D prescriptions in 2024
| Prescriptions (claims) | 913 · 1,096 30-day fills |
|---|---|
| Patients | 116 |
| Total drug cost | $91,042 |
| Generic share | 74% of claims |
Education and affiliations
| Medical school | State University of New York - State College Optometry |
|---|---|
| Graduation year | 2003 |
| Medicare specialty | Optometry |
Medical group
- Physician Affiliate Group of New York PCNew York, NY · 1,225 clinicians
Hospital affiliation
Industry payments (Open Payments)
- 2025$240.21 · 6 payments from 2 companies
- 2024$94.25 · 4 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Amgen Inc. | $121.00 | 5 |
| Tarsus Pharmaceuticals, Inc. | $119.21 | 1 |
What the 2025 payments were for
- Food and Beverage$240.21 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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