Chet L. Nastala, MD
NPI 1740281187ActiveIndividual· Surgery, Plastic and Reconstructive Surgery· San Antonio, TX
Surgery, Plastic and Reconstructive Surgery (MD) in San Antonio, Texas, trained at Duke University School of Medicine (class of 1989). 28 Medicare patients in 2024, $25,789 paid; nearly all of their 52 Part D prescriptions were generic (98%). Motiva USA, LLC was the largest of 4 companies reporting payments in 2025, $286.27 in all, mostly food and beverage.
Overview
| NPI | 1740281187 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Aug 9, 2005 |
| Last updated in NPPES | Oct 9, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Plastic and Reconstructive Surgery Primary | 2086S0122X | K6181 | 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 - Plastic and Reconstructive Surgery (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 28 |
|---|---|
| Services billed | 131 across 23 procedure codes |
| Paid by Medicare | $25,789 |
Part D prescriptions in 2024
| Prescriptions (claims) | 52 · 52 30-day fills |
|---|---|
| Patients | 20 |
| Total drug cost | $379.82 |
| Generic share | 98% of claims |
Education and affiliations
| Medical school | Duke University School of Medicine |
|---|---|
| Graduation year | 1989 |
| Medicare specialty | Plastic And Reconstructive Surgery |
| Telehealth | Offers telehealth |
Medical group
- Plastic Reconstructive and Microsurgical Associates of South Texas PllSan Antonio, TX · 25 clinicians
Hospital affiliations
- Methodist HospitalSan Antonio, TX
- Methodist Hospital Stone OakSan Antonio, TX
Industry payments (Open Payments)
- 2025$286.27 · 4 payments from 4 companies
- 2024$733.60 · 7 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Motiva USA, LLC | $148.97 | 1 |
| Tela Bio, Inc. | $83.34 | 1 |
| Vertex Pharmaceuticals Incorporated | $33.16 | 1 |
| Abbvie Inc. | $20.80 | 1 |
What the 2025 payments were for
- Food and Beverage$286.27 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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