Bernice Zacnite Esteghamatdarshad, P.A.
NPI 1598192387ActiveIndividual· Physician Assistant· Laredo, TX
Physician Assistant (P.A.) with Laredo Arthritis and Rheumatology Center PLLC, practicing in Laredo, Texas. Their prescriptions cost Medicare Part D more than their services did: $996,127 for 720 claims, against $19,466 paid for services in 2024. Janssen Biotech, Inc. was the largest of 7 companies reporting payments in 2025, $843.53 in all, mostly food and beverage.
Overview
| NPI | 1598192387 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A. |
| Sole proprietor | No |
| NPI issued | Oct 11, 2013 |
| Last updated in NPPES | Apr 30, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA08752 | 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 | 55 |
|---|---|
| Services billed | 659 across 22 procedure codes |
| Paid by Medicare | $19,466 |
Part D prescriptions in 2024
| Prescriptions (claims) | 720 · 874 30-day fills |
|---|---|
| Patients | 191 |
| Total drug cost | $996,127 |
| Generic share | 74% of claims |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Laredo Arthritis and Rheumatology Center PLLCLaredo, TX · 4 clinicians
Industry payments (Open Payments)
- 2025$843.53 · 33 payments from 7 companies
- 2024$703.58 · 23 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Janssen Biotech, Inc. | $331.31 | 9 |
| Novartis Pharmaceuticals Corporation | $308.42 | 13 |
| Amgen Inc. | $68.70 | 4 |
| Glaxosmithkline, LLC. | $47.14 | 3 |
| Abbvie Inc. | $42.62 | 2 |
What the 2025 payments were for
- Food and Beverage$843.53 · 33 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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