Nidal Boutros
NPI 1629036173ActiveIndividual· Internal Medicine· Lebanon, MO
Internal Medicine with Statland Medical Group LLC, practicing in Lebanon, Missouri. Their prescriptions cost Medicare Part D more than their services did: $877,212 for 10,263 claims, against $95,125 paid for services in 2024. Pfizer Inc. was the largest of 13 companies reporting payments in 2025, $554.03 in all, mostly food and beverage. Lists Belton Regional Medical Center and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1629036173 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | May 3, 2006 |
| Last updated in NPPES | Feb 10, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 2009027847 | MO |
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 - Internal Medicine (KS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 376 |
|---|---|
| Services billed | 4,558 across 39 procedure codes |
| Paid by Medicare | $95,125 |
Part D prescriptions in 2024
| Prescriptions (claims) | 10,263 · 23,219 30-day fills |
|---|---|
| Patients | 783 |
| Total drug cost | $877,212 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 1990 |
|---|---|
| Medicare specialty | Internal Medicine |
Medical group
- Statland Medical Group LLCOverland Park, KS · 4 clinicians
Hospital affiliations
- Belton Regional Medical CenterBelton, MO
- Menorah Medical CenterOverland Park, KS
- Overland Park Reg Med CtrOverland Park, KS
- Saint Luke's South HospitalOverland Park, KS
- University of Kansas HospitalKansas City, KS
Other facilities
- Adventhealth Home HealthHome health agency · Shawnee Mission, KS
- Faith Home Healthcare, IncHome health agency · Overland Park, KS
- HCA Midwest Healthcare at HomeHome health agency · Kansas City, MO
- Village Shalom IncNursing home · Overland Park, KS
Industry payments (Open Payments)
- 2025$554.03 · 37 payments from 13 companies
- 2024$565.14 · 33 payments from 10 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Pfizer Inc. | $146.62 | 13 |
| Abbvie Inc. | $145.43 | 9 |
| Novo Nordisk Inc | $37.31 | 2 |
| Astrazeneca Pharmaceuticals LP | $35.80 | 2 |
| Lilly USA, LLC | $35.33 | 2 |
What the 2025 payments were for
- Food and Beverage$554.03 · 37 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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