Ignacio Mark Ramirez, MSN FNP-C
NPI 1962536086ActiveIndividual· Nurse Practitioner, Family· Port Neches, TX
Nurse Practitioner, Family (MSN FNP-C) with K Paul Gerstenberg, D O, P A, practicing in Port Neches, Texas. Their prescriptions cost Medicare Part D more than their services did: $39,626 for 1,360 claims, against $2,104 paid for services in 2024. Novo Nordisk Inc was the largest of 14 companies reporting payments in 2025, $745.71 in all, mostly food and beverage. Lists Christus Southeast Texas- St Elizabeth as a hospital affiliation.
Overview
| NPI | 1962536086 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSN FNP-C |
| Sole proprietor | No |
| NPI issued | Mar 14, 2007 |
| Last updated in NPPES | Mar 4, 2025 |
| Certified by provider | Mar 4, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | AP132417 | TX |
| Registered Nurse | 163W00000X | 674149 | 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 - Nurse Practitioner (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 18 |
|---|---|
| Services billed | 46 across 13 procedure codes |
| Paid by Medicare | $2,104 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,360 · 1,476 30-day fills |
|---|---|
| Patients | 186 |
| Total drug cost | $39,626 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- K Paul Gerstenberg, D O, P APort Neches, TX · 5 clinicians
Hospital affiliation
- Christus Southeast Texas- St ElizabethBeaumont, TX
Industry payments (Open Payments)
- 2025$745.71 · 39 payments from 14 companies
- 2024$156.89 · 6 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $150.12 | 8 |
| Bayer Healthcare Pharmaceuticals Inc. | $136.14 | 6 |
| Abbvie Inc. | $101.48 | 5 |
| Pfizer Inc. | $85.65 | 5 |
| Antares Pharma, Inc. | $53.69 | 3 |
What the 2025 payments were for
- Food and Beverage$745.71 · 39 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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