Silvia Yamanic Alvarez De Leon, M.D.
Internal Medicine, Pulmonary Disease (M.D.) in Port St Lucie, Florida, licensed in FL and MO, with an NPI issued in October 2012. Their prescriptions cost Medicare Part D more than their services did: $660,508 for 1,211 claims, against $52,308 paid for services in 2024. Glaxosmithkline, LLC. was the largest of 13 companies reporting payments in 2025, $579.04 in all, mostly food and beverage. Lists Cleveland Clinic Martin North Hospital and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1902150063 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Oct 28, 2012 |
| Last updated in NPPES | May 19, 2026 |
| Certified by provider | May 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | ME181298 | FL |
| Internal Medicine, Pulmonary Disease | 207RP1001X | 2023006517 | MO |
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 (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 552 |
|---|---|
| Services billed | 1,425 across 30 procedure codes |
| Paid by Medicare | $52,308 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,211 · 1,337 30-day fills |
|---|---|
| Patients | 280 |
| Total drug cost | $660,508 |
| Generic share | 27% of claims |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Pulmonary Disease |
| Telehealth | Offers telehealth |
Hospital affiliations
- Cleveland Clinic Martin North HospitalStuart, FL
- Mercy Hospital AuroraAurora, MO
- Mercy Hospital LebanonLebanon, MO
- Mercy Hospital SpringfieldSpringfield, MO
- Mercy St Francis HospitalMountain View, MO
Industry payments (Open Payments)
- 2025$579.04 · 25 payments from 13 companies
- 2024$230.14 · 12 payments from 9 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Glaxosmithkline, LLC. | $85.03 | 4 |
| Astrazeneca Pharmaceuticals LP | $73.70 | 4 |
| Grifols USA, LLC | $69.47 | 3 |
| Insmed, Inc. | $60.40 | 2 |
| Genzyme Corporation | $57.44 | 2 |
What the 2025 payments were for
- Food and Beverage$579.04 · 25 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All Internal Medicine, Pulmonary Disease providers in Florida →