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Napoleon Antonio Puente Cuellar, M.D.

NPI 1962675488ActiveIndividual· Internal Medicine, Pulmonary Disease· San Antonio, TX

Internal Medicine, Pulmonary Disease (M.D.) with Texas Ips LLC, practicing in San Antonio, Texas. Their prescriptions cost Medicare Part D more than their services did: $339,456 for 947 claims, against $222,175 paid for services in 2024. Intuitive Surgical, Inc. was the largest of 16 companies reporting payments in 2025, $25,358 in all, mostly education. Lists Methodist Hospital and 1 other hospital as hospital affiliations.

Overview

NPI1962675488
StatusActive
Entity typeIndividual
CredentialM.D.
Sole proprietorNo
NPI issuedApr 4, 2008
Last updated in NPPESSep 9, 2016

Specialties and licenses

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Pulmonary Disease (TX)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients680
Services billed2,441 across 54 procedure codes
Paid by Medicare$222,175

Part D prescriptions in 2024

Prescriptions (claims)947 · 1,150 30-day fills
Patients198
Total drug cost$339,456
Generic share54% of claims

Medicare sources and data years

Education and affiliations

Graduation year2001
Medicare specialtyPulmonary Disease

Medical group

Hospital affiliations

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$25,358 · 81 payments from 16 companies
  • 2024$25,090 · 60 payments from 13 companies

Top paying companies in 2025

What the 2025 payments were for

  • Education$24,000 · 12 payments
  • Food and Beverage$1,358 · 69 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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