Randal N. Vinther, M.D.
NPI 1780688648ActiveIndividual· Internal Medicine· Nacogdoches, TX
Internal Medicine (M.D.) in Nacogdoches, Texas, trained at University of New Mexico School of Medicine (class of 1986). Their prescriptions cost Medicare Part D more than their services did: $957,970 for 8,604 claims, against $98,656 paid for services in 2024. Novo Nordisk Inc was the largest of 3 companies reporting payments in 2025, $162.76 in all, mostly food and beverage.
Overview
| NPI | 1780688648 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Jun 9, 2005 |
| Last updated in NPPES | May 28, 2026 |
| Certified by provider | May 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | H7246 | TX |
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 (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 220 |
|---|---|
| Services billed | 1,522 across 29 procedure codes |
| Paid by Medicare | $98,656 |
Part D prescriptions in 2024
| Prescriptions (claims) | 8,604 · 14,424 30-day fills |
|---|---|
| Patients | 304 |
| Total drug cost | $957,970 |
| Generic share | 82% of claims |
Education and affiliations
| Medical school | University of New Mexico School of Medicine |
|---|---|
| Graduation year | 1986 |
| Medicare specialty | Internal Medicine |
Hospital affiliations
- Nacogdoches Medical CenterNacogdoches, TX
- Nacogdoches Memorial HospitalNacogdoches, TX
Other facilities
- Angels Care Home HealthHome health agency · Palestine, TX
- Elara CaringHome health agency · Jasper, TX
- Hospice of East TexasHospice · Tyler, TX
- Avir at CenterNursing home · Center, TX
Industry payments (Open Payments)
- 2025$162.76 · 3 payments from 3 companies
- 2024$31.94 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $124.47 | 1 |
| Lilly USA, LLC | $23.83 | 1 |
| Tactile Systems Technology Inc | $14.46 | 1 |
What the 2025 payments were for
- Food and Beverage$162.76 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Internal Medicine providers in Nacogdoches
- 1407091580
- 1265060263
- 1669306890
- 1609319458
- 1841248630
- 1952673287
- 1861637944
- 1770162695
- 1376857268
- 1629139712
- 1538185517
- 1255492211