Aleksandra Vidacic, MD
NPI 1629272224ActiveIndividual· Internal Medicine· San Angelo, TX
Internal Medicine (MD) with Shannon Clinic and 1 other group, practicing in San Angelo, Texas. In 2024 Medicare paid $115,532 for 476 patients, and Part D covered 64 of their prescriptions, 84% of them generic. Lists Ascension Seton Hays and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1629272224 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 14, 2007 |
| Last updated in NPPES | Dec 2, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | N4181 | TX |
| Internal Medicine | 207R00000X | BP10026411 | 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 - Internal Medicine (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 476 |
|---|---|
| Services billed | 1,181 across 6 procedure codes |
| Paid by Medicare | $115,532 |
Part D prescriptions in 2024
| Prescriptions (claims) | 64 · 72 30-day fills |
|---|---|
| Patients | 25 |
| Total drug cost | $2,486 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Internal Medicine |
Medical groups
- Shannon ClinicSan Angelo, TX · 559 clinicians
- Dr.Av, PLLCAustin, TX · 2 clinicians
Hospital affiliations
- Ascension Seton HaysKyle, TX
- Ballinger Memorial HospitalBallinger, TX
- Heart of Texas Memorial HospitalBrady, TX
- Lillian M Hudspeth Memorial HospitalSonora, TX
- Shannon Medical CenterSan Angelo, TX
Other facilities
- Post Acute Medical at Luling LLCInpatient rehabilitation facility · Luling, TX
- Post Acute Medical at Luling LLCLong-term care hospital · Luling, TX
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 63 internal medicine physicians in San Angelo · All internal medicine physicians in Texas