Pamela D. Dugano - Daphnis, MD
NPI 1982695037ActiveIndividual· Internal Medicine· Webster, TX
Internal Medicine (MD) in Webster, Texas, trained at Meharry Medical College School of Medicine (class of 1996). Their prescriptions cost Medicare Part D more than their services did: $673,178 for 5,366 claims, against $74,741 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 15 companies reporting payments in 2025, $2,096 in all, mostly food and beverage.
Overview
| NPI | 1982695037 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Oct 28, 2005 |
| Last updated in NPPES | Mar 11, 2024 |
| Certified by provider | Mar 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | K5285 | 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 - Internal Medicine (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 105 |
|---|---|
| Services billed | 1,218 across 39 procedure codes |
| Paid by Medicare | $74,741 |
Part D prescriptions in 2024
| Prescriptions (claims) | 5,366 · 13,662 30-day fills |
|---|---|
| Patients | 426 |
| Total drug cost | $673,178 |
| Generic share | 86% of claims |
Education and affiliations
| Medical school | Meharry Medical College School of Medicine |
|---|---|
| Graduation year | 1996 |
| Medicare specialty | Internal Medicine |
| Secondary specialties | Pediatric Medicine |
| Telehealth | Offers telehealth |
Hospital affiliations
- HCA Houston Healthcare Clear LakeWebster, TX
- Houston Methodist Clear Lake HospitalNassau Bay, TX
- Memorial Hermann Hospital SystemHouston, TX
Industry payments (Open Payments)
- 2025$2,096 · 105 payments from 15 companies
- 2024$2,057 · 119 payments from 21 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $803.87 | 44 |
| Bayer Healthcare Pharmaceuticals Inc. | $390.96 | 14 |
| Glaxosmithkline, LLC. | $256.14 | 12 |
| Amgen Inc. | $227.18 | 15 |
| Indivior Inc. | $79.57 | 3 |
What the 2025 payments were for
- Food and Beverage$2,096 · 105 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 94 internal medicine physicians in Webster · All internal medicine physicians in Texas