Paul Barringer Gravel, MD
NPI 1689834319ActiveIndividual· Internal Medicine· Kerrville, TX
Internal Medicine (MD) in Kerrville, Texas, trained at University of Texas Medical School at San Antonio (class of 2008). In 2024 Medicare paid $96,030 for 500 patients, and Part D covered 443 of their prescriptions, 86% of them generic. Janssen Pharmaceuticals, Inc was the largest of 3 companies reporting payments in 2024, $123.18 in all, mostly food and beverage.
Overview
| NPI | 1689834319 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 16, 2008 |
| Last updated in NPPES | Jun 28, 2026 |
| Certified by provider | Jun 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | P8134 | 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 | 500 |
|---|---|
| Services billed | 1,129 across 11 procedure codes |
| Paid by Medicare | $96,030 |
Part D prescriptions in 2024
| Prescriptions (claims) | 443 · 464 30-day fills |
|---|---|
| Patients | 216 |
| Total drug cost | $22,710 |
| Generic share | 86% of claims |
Education and affiliations
| Medical school | University of Texas Medical School at San Antonio |
|---|---|
| Graduation year | 2008 |
| Medicare specialty | Internal Medicine |
Medical groups
- Usacs Integrated Acute Care Services of Texas, PLLCKerrville, TX · 387 clinicians
- Trumen Physician and Associates Post Acute PLLCHouston, TX · 133 clinicians
- Trumen Physicians and Associates PLLCHouston, TX · 131 clinicians
Hospital affiliations
- Kimble HospitalJunction, TX
- Methodist HospitalSan Antonio, TX
- Peterson Regional Medical CenterKerrville, TX
Other facilities
- Kendall House Wellness & RehabilitationNursing home · Boerne, TX
- River Hills Health and Rehabilitation CenterNursing home · Kerrville, TX
Industry payments (Open Payments)
- 2024$123.18 · 5 payments from 3 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Janssen Pharmaceuticals, Inc | $60.73 | 2 |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | $41.21 | 2 |
| Novartis Pharmaceuticals Corporation | $21.24 | 1 |
What the 2024 payments were for
- Food and Beverage$123.18 · 5 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 48 internal medicine physicians in Kerrville · All internal medicine physicians in Texas