Screening result

NPI 1720263775

Screened 6/6/2026, 5:16:08 AM against OIG LEIE (snapshot 2026-05-08) + state board sanctions + SAM.gov + OFAC SDN + FDA Debarment.

WATCH
Historical or low-severity record.
This NPI has a historical record — typically a reinstated exclusion or a less-severe state board action. Surface to compliance review.
Reasons (1)
  • TX medical board agreed order (2024-12-11)

State board sanctions

State / BoardActionDateReinstated
TX medicalAgreed Order2024-12-11

Financial transparency (Open Payments)

CMS Open Payments (Sunshine Act) data for 2023. Shows payments from pharmaceutical and device companies to this provider.

Total received
$1,893
Total records
13
Payment categories
2
Nature of paymentAmountRecords
Travel and Lodging$1,0933
Food and Beverage$80110

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Source + audit trail

NPI screened
1720263775
Screen timestamp
6/6/2026, 5:16:08 AM
OIG LEIE snapshot
2026-05-08
State boards consulted
(none with active adapters)
Risk band
WATCH
Risk score
10
Matches found
1
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ProviderScore — Sanctions Screening Record
Record generated 6/6/2026, 5:16:08 AM
NPI 1720263775
WATCH Historical or low-severity record.
Screened 6/6/2026, 5:16:08 AM
Lists checked
Source listResultDetail
OIG LEIE (federal exclusions)Clearsnapshot 2026-05-08
State board sanctionsFLAGGED (1)40 states live: AK, AL, AR, AZ, CA, CO, CT, DE, FL, GA, HI, IA, IL, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NV, NY, OH, OR, PA, SC, TN, TX, WA, WV, WY
State Medicaid exclusionsClear
SAM.gov / GSA exclusionsClear
OFAC SDN (Treasury)Clear
FDA debarmentClear
Findings (1)
  • TX medical board agreed order (2024-12-11)
Source + audit trail
NPI screened1720263775
Screen timestamp6/6/2026, 5:16:08 AM
OIG LEIE snapshot2026-05-08
State boards coveredAK, AL, AR, AZ, CA, CO, CT, DE, FL, GA, HI, IA, IL, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NV, NY, OH, OR, PA, SC, TN, TX, WA, WV, WY
Risk bandWATCH
Risk score10
Total matches1
This record reflects the sources and snapshot dates listed above at the time of generation. Not legal advice. ProviderScore screens exclusion/sanction lists, not primary-source license verification.
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