Lawrence Lester Ciesemier, D.O
NPI 1952464190ActiveIndividual· Internal Medicine, Allergy & Immunology· Kirksville, MO
Internal Medicine, Allergy & Immunology (D.O) in Kirksville, Missouri, trained at At Still University of Health Sciences, College of Osteo Med, Kirksville (class of 1997). Their prescriptions cost Medicare Part D more than their services did: $467,772 for 1,341 claims, against $156,467 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 15 companies reporting payments in 2025, $1,662 in all, mostly food and beverage.
Overview
| NPI | 1952464190 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O |
| Sole proprietor | Yes |
| NPI issued | Dec 19, 2006 |
| Last updated in NPPES | Aug 12, 2024 |
| Certified by provider | Aug 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Allergy & Immunology Primary | 207RA0201X | 114081 | 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 - Allergy/Immunology (IA); Practitioner - Allergy/Immunology (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 471 |
|---|---|
| Services billed | 24,696 across 19 procedure codes |
| Paid by Medicare | $156,467 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,341 · 1,666 30-day fills |
|---|---|
| Patients | 232 |
| Total drug cost | $467,772 |
| Generic share | 58% of claims |
Education and affiliations
| Medical school | At Still University of Health Sciences, College of Osteo Med, Kirksville |
|---|---|
| Graduation year | 1997 |
| Medicare specialty | Allergy/Immunology |
Medical groups
- Davis County HospitalBloomfield, IA · 14 clinicians
- Kirksville Allergy and Asthma, LLCKirksville, MO · 2 clinicians
Hospital affiliations
- Davis County HospitalBloomfield, IA
- Mercyone Centerville Medical CenterCenterville, IA
- Northeast Regional Medical CenterKirksville, MO
- Putnam County Memorial HospitalUnionville, MO
Industry payments (Open Payments)
- 2025$1,662 · 80 payments from 15 companies
- 2024$1,637 · 83 payments from 14 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $371.90 | 17 |
| Csl Behring | $221.62 | 9 |
| Novartis Pharmaceuticals Corporation | $172.03 | 8 |
| Takeda Pharmaceuticals U.S.A., Inc. | $160.69 | 16 |
| Regeneron Healthcare Solutions, Inc. | $135.74 | 5 |
What the 2025 payments were for
- Food and Beverage$1,543 · 78 payments
- Education$94.99 · 1 payment
- Consulting Fee$24.17 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records