Doctor profile · Federal record

Dr. Alexa Royston, DO

Physical Medicine & Rehabilitation Physician (CMS: Physical Medicine and Rehabilitation) · Student in an Organized Health Care Education/Training Program · Richardson, TX

  • NPI 1649625450
  • Accepts Medicare
  • 10 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
3509 Spectrum Blvd Ste B
Richardson, TX 750829703
(972) 772-9600
fax (972) 772-9601

Credentials & registration

NPPES · NUCC
NPI registered
April 2016 — 10 yrs on file
Profile last updated
July 23, 2020
Year of graduation
2016 — 10 yrs since
Specialty taxonomy
208100000X — NUCC code
State license (1)
Texas #S4379

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1649625450. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
669
Distinct HCPCS
10
Medicare allowed
$73,810
HCPCS Description Services Patients Avg allowed
95886 Needle measurement of electrical activity in arm or leg muscles, complete study 243 147 $93
99214 Established patient office or other outpatient visit, 30-39 minutes 115 75 $122
99213 Established patient office or other outpatient visit, 20-29 minutes 60 47 $87
96127 Assessment of emotional or behavioral problems 56 50 $4
95910 Nerve conduction, 7-8 studies 41 41 $166
95909 Nerve conduction, 5-6 studies 38 35 $129
95912 Nerve conduction, 11-12 studies 27 27 $238
95911 Nerve conduction, 9-10 studies 24 24 $203
99204 New patient office or other outpatient visit, 45-59 minutes 20 20 $160
99203 New patient office or other outpatient visit, 30-44 minutes 12 12 $107

In context: peer comparison

Among 4 peers in Richardson Physical Medicine & Rehabilitation Physician, average services per provider: 304. This provider delivers 2.2× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$147
Transactions
6
Manufacturers
4
Payer (manufacturer) Industry Txns Amount
Medtronic, INC. 2 $50.67
Abbott Laboratories 2 $44.30
Averitas Pharma INC. 1 $32.15
Boston Scientific Corporation 1 $20.21

By nature of payment

Food and Beverage
$147

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
218
Patients
78
Total drug cost
$4,385
Drug Type Claims Patients Total cost
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 82 36 $2,408
Gabapentin Generic 72 29 $878
Duloxetine Hcl Generic 39 13 $724
Meloxicam Generic 13 0 $23
Morphine Sulfate ER (Morphine Sulfate) Brand 12 0 $353

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Alexa Royston's medical specialty?
Dr. Alexa Royston practices Physical Medicine & Rehabilitation Physician in Richardson, TX.
Where does Dr. Alexa Royston practice?
Dr. Alexa Royston practices at 3509 Spectrum Blvd Ste B, Richardson, TX 750829703. Office phone: 9727729600.
What is Dr. Alexa Royston's NPI?
Dr. Alexa Royston's National Provider Identifier (NPI) is 1649625450, issued by NPPES.
Does Dr. Alexa Royston accept Medicare assignment?
Yes. Dr. Alexa Royston accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Alexa Royston commonly perform?
Top Medicare-reported procedures in 2023: Needle measurement of electrical activity in arm or leg muscles, complete study (HCPCS 95886); Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.