Michele Dawn Graczyk, APRN, FNP-BC
NPI 1992089031ActiveIndividual· Nurse Practitioner, Family· Lampasas, TX
Nurse Practitioner, Family (APRN, FNP-BC) with Vmd Primary Providers of South Central Texas PLLC, practicing in Lampasas, Texas. Their prescriptions cost Medicare Part D more than their services did: $98,708 for 1,084 claims, against $20,023 paid for services in 2024. Abbvie Inc. was the largest of 13 companies reporting payments in 2025, $362.25 in all, mostly food and beverage.
Overview
| NPI | 1992089031 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN, FNP-BC |
| Sole proprietor | No |
| NPI issued | Oct 7, 2011 |
| Last updated in NPPES | Mar 14, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 663802 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 | 106 |
|---|---|
| Services billed | 437 across 32 procedure codes |
| Paid by Medicare | $20,023 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,084 · 2,491 30-day fills |
|---|---|
| Patients | 179 |
| Total drug cost | $98,708 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Vmd Primary Providers of South Central Texas PLLCAustin, TX · 26 clinicians
Industry payments (Open Payments)
- 2025$362.25 · 17 payments from 13 companies
- 2024$191.92 · 10 payments from 8 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $68.43 | 3 |
| Exact Sciences Corporation | $47.12 | 2 |
| Glaxosmithkline, LLC. | $34.62 | 2 |
| Pfizer Inc. | $32.27 | 1 |
| Lilly USA, LLC | $31.78 | 1 |
What the 2025 payments were for
- Food and Beverage$362.25 · 17 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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