Barbara Ann Tuitele , FNP
Nurse Practitioner โข San Antonio, TX
7616 Culebra Rd Ste 130
San Antonio, TX 782511476
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Barbara Tuitele is listed in NPPES under Nurse Practitioner.
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NPI assigned on August 30, 2006; this date does not establish years in practice.
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Published CMS data list 456 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- J1100 โ Injection, dexamethasone sodium phosphate, 1 mg: 198 service units.
- 99214 โ Established patient outpatient office visit: 120 service units.
- 96372 โ Injection of drug or substance under skin or into muscle: 62 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 6 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 1,151 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Azithromycin โ 161 prescription fills, including refills.
- Nitrofurantoin Mono-Macro (Nitrofurantoin Monohyd/M-Cryst) โ 83 prescription fills, including refills.
- Tizanidine Hcl โ 82 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 34 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 65% of clinicians listed under Nurse Practitioner in San Antonio, TX (2024, 154 clinicians with data). Median for this group: 207. Middle half: 78 to 518.
More Medicare Part B services than 65% of clinicians listed under Nurse Practitioner in Texas (2024, 1,852 clinicians with data). Median for this group: 219. Middle half: 83 to 548.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 348 in 2020 to 456 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
7616 Culebra Rd Ste 130
San Antonio, TX 782511476
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 2 distinct group names: Gmg Health Systems Associates Pa; South Texas Ancillary Services Ltd. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
1987
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
142 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $15,209 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $10,002 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
1,253 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$18,884 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $66.87 across 4 records.
By nature of payment
- Food and Beverage: $66.87 across 4 records.
Reporting-company totals (3 largest of 4)
- Cipher Pharmaceuticals US LLC: $25.61 across 1 record.
- Pfizer Inc.: $20.26 across 1 record.
- Novo Nordisk Inc: $15.96 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
39 years (graduated 1987)
CMS Doctors and Clinicians data list 1987 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Barbara Tuitele has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Barbara Tuitele as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in San Antonio and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 65% of clinicians listed under Nurse Practitioner in San Antonio, TX (2024, 154 clinicians with data). Median for this group: 207. Middle half: 78 to 518.
More Medicare Part B services than 65% of clinicians listed under Nurse Practitioner in Texas (2024, 1,852 clinicians with data). Median for this group: 219. Middle half: 83 to 548.
Medicare-allowed amount
Close to the middle for clinicians listed under Nurse Practitioner in San Antonio, TX (2024, 154 clinicians with data). Median for this group: $15,355. Middle half: $6,719 to $37,633.
Close to the middle for clinicians listed under Nurse Practitioner in Texas (2024, 1,852 clinicians with data). Median for this group: $17,068. Middle half: $6,758 to $39,305.
Paid by Medicare
Close to the middle for clinicians listed under Nurse Practitioner in San Antonio, TX (2024, 154 clinicians with data). Median for this group: $11,029. Middle half: $4,930 to $28,284.
Close to the middle for clinicians listed under Nurse Practitioner in Texas (2024, 1,852 clinicians with data). Median for this group: $12,638. Middle half: $4,849 to $28,908.
Medicare Part D prescriptions
More Part D prescriptions than 75% of clinicians listed under Nurse Practitioner in San Antonio, TX (2024, 181 clinicians with data). Median for this group: 269. Middle half: 54 to 1,018.
More Part D prescriptions than 75% of clinicians listed under Nurse Practitioner in Texas (2024, 2,095 clinicians with data). Median for this group: 274. Middle half: 77 to 1,097.
Part D drug cost
Close to the middle for clinicians listed under Nurse Practitioner in San Antonio, TX (2024, 181 clinicians with data). Median for this group: $19,802. Middle half: $760 to $136,336.
Close to the middle for clinicians listed under Nurse Practitioner in Texas (2024, 2,095 clinicians with data). Median for this group: $12,936. Middle half: $998 to $118,416.
393 active clinicians are listed under Nurse Practitioner with a practice address in San Antonio, TX (4,835 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in San Antonio
9.9% of these 393 clinicians have the CMS telehealth indicator.
51.7% of these 393 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 31% from 348 in 2020 to 456 in 2024.
- 2020: 348
- 2021: 407
- 2022: 458
- 2023: 434
- 2024: 456
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Medicare-allowed amount
Medicare-allowed amount decreased 13% from $17,452 in 2020 to $15,209 in 2024.
- 2020: $17,452
- 2021: $21,561
- 2022: $14,131
- 2023: $12,811
- 2024: $15,209
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Paid by Medicare
Paid by Medicare decreased 13% from $11,434 in 2020 to $10,002 in 2024.
- 2020: $11,434
- 2021: $14,081
- 2022: $9,213
- 2023: $8,636
- 2024: $10,002
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 14% from 1,010 in 2020 to 1,151 in 2024.
- 2020: 1,010
- 2021: 1,151
- 2022: 1,120
- 2023: 980
- 2024: 1,151
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30-day fills
30-day fills decreased 48% from 2,409 in 2020 to 1,253 in 2024.
- 2020: 2,409
- 2021: 2,745
- 2022: 1,517
- 2023: 1,100
- 2024: 1,253
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Part D drug cost
Part D drug cost varied from year to year: $19,348 in 2020 and $18,884 in 2024.
- 2020: $19,348
- 2021: $28,970
- 2022: $14,710
- 2023: $13,069
- 2024: $18,884
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $321.20 in 2021 to $66.87 in 2025.
- 2021: $321.20
- 2022: $70.44
- 2023: $44.18
- 2025: $66.87
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $66.87.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Cipher Pharmaceuticals US LLC |
Food and Beverage
Cash or cash equivalent
|
Natroba | General | $25.61 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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PAXLOVID | General | $20.26 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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โ | General | $15.96 |
| Dynavax Technologies Corporation |
Food and Beverage
In-kind items and services
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Heplisav-B | General | $5.04 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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J1100
Injection, dexamethasone sodium phosphate, 1 mg
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198 | 38 | $0.31 | $0.11 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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120 | 106 | $266.00 | $100.49 |
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96372
Injection of drug or substance under skin or into muscle
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62 | 49 | $41.00 | $10.95 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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32 | 32 | $181.00 | $73.92 |
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J1885
Injection, ketorolac tromethamine, per 15 mg
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23 | 11 | $1.65 | $0.69 |
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81002
Urinalysis, manual test
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21 | 20 | $8.70 | $3.25 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Azithromycin | Azithromycin | 161 | 803 | $642.96 | 158 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 83 | 581 | $1,521.59 | 81 |
| Tizanidine Hcl | Tizanidine Hcl | 82 | 1,299 | $498.22 | 68 |
| Prednisone | Prednisone | 77 | 713 | $112.46 | 76 |
| Amoxicillin | Amoxicillin | 67 | 607 | $154.66 | 66 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 57 | 1,354 | $1,491.56 | 38 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 54 | 488 | $872.07 | 52 |
| Gabapentin | Gabapentin | 46 | 1,935 | $334.85 | 37 |
| Fluticasone Propionate | Fluticasone Propionate | 41 | 1,950 | $669.88 | 34 |
| Paxlovid | Nirmatrelvir/Ritonavir | 35 | 200 | $0.00 | 35 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 33 | 607 | $322.64 | 25 |
| Ibuprofen | Ibuprofen | 30 | 640 | $296.28 | 27 |
| Nystatin | Nystatin | 29 | 757 | $448.59 | 17 |
| Cephalexin | Cephalexin | 28 | 220 | $285.00 | 28 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 28 | 238 | $301.51 | 26 |
| Methylprednisolone | Methylprednisolone | 27 | 166 | $300.26 | 27 |
| Montelukast Sodium | Montelukast Sodium | 20 | 1,560 | $313.81 | 12 |
| Levofloxacin | Levofloxacin | 19 | 158 | $78.20 | 19 |
| Fluconazole | Fluconazole | 19 | 49 | $152.75 | 18 |
| Meloxicam | Meloxicam | 18 | 564 | $42.83 | 16 |
| Hydrochlorothiazide | Hydrochlorothiazide | 18 | 885 | $35.92 | 13 |
| Ondansetron Hcl | Ondansetron Hcl | 17 | 96 | $116.49 | 17 |
| Erythromycin | Erythromycin Base | 17 | 138 | $196.14 | 16 |
| Tramadol Hcl | Tramadol Hcl | 16 | 89 | $46.83 | 16 |
| Valacyclovir | Valacyclovir Hcl | 15 | 105 | $506.28 | 14 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20101013000664
TX
3870785553
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
South Texas Ancillary Services Ltd
7219 Culebra Rd, San Antonio, TX 782511305
Phone: 2105092603
Gmg Health Systems Associates Pa
711 Pleasanton Rd, San Antonio, TX 782141305
Phone: 2109216600
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant - Medical
Physician Assistant
Internal Medicine - Endocrinology, Diabetes & Metabolism
Doctor of Medicine (M.D.)
Physician Assistant - Medical
Physician Assistant
Physician Assistant
Physician Assistant
Physician Assistant
Physician Assistant (Certified)
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated August 30, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Nurse Practitioners in San Antonio
- Chelsi Andrews, MSN APRN AGACNP-BC
- Jennifer Skinner, FNP
- Hirut Mesele, ADULT, GERONTOLOGY NP
- Suzanne Perakathu, APRN
- Sarah Hinojosa, PNP-AC
- Sarah Perales, MSN, FNP-C
Mailing Address
720 Pleasanton Rd
San Antonio, TX 782141306
Phone: 2109213800