Doctor profile · Federal record

Dr. Palla de Silva, M.D.

Pulmonary Disease Physician (CMS: Pulmonary Disease) · Internal Medicine Physician · San Antonio, TX

  • NPI 1922329408
  • Accepts Medicare
  • 19 yrs in practice
  • Licensed in 2 states
  • Male
  • Group practice
  • No sanctions

Practice & contact

Operates at 4 locations .

NPPES Updated May 11, 2026
Primary practice
127 Lewis St
San Antonio, TX 782125539
(210) 600-5864
Additional location
417 S King St
Seguin, TX 781555838
Additional location
4502 Medical Dr
San Antonio, TX 782294402
(210) 358-4000
fax (210) 358-8002
Show 1 more location
Additional location
545 Creekside Xing Ste 206
New Braunfels, TX 781304565
fax (210) 817-4433
Mailing address
4502 Medical Dr
San Antonio, TX 782294402

Credentials & registration

NPPES · NUCC
NPI registered
June 2010 — 16 yrs on file
Profile last updated
February 24, 2026
Year of graduation
2007 — 19 yrs since
Specialty taxonomy
207RP1001X — NUCC code
State licenses (2)
Texas #R2841 · Connecticut #54694

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1922329408. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
1,024
Distinct HCPCS
10
Medicare allowed
$127,851
HCPCS Description Services Patients Avg allowed
99291 Critical care, first 30-74 minutes 314 126 $205
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 130 82 $75
99231 Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 126 76 $48
99214 Established patient office or other outpatient visit, 30-39 minutes 110 62 $122
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 110 82 $114
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 54 50 $162
99204 New patient office or other outpatient visit, 45-59 minutes 41 41 $159
99213 Established patient office or other outpatient visit, 20-29 minutes 32 26 $86
94010 Test to measure expiratory airflow and volume 19 19 $8
94618 Test for exercise-induced lung stress 19 19 $21

In context: peer comparison

Among 31 peers in this city , average services per provider: 133. This provider delivers 7.7× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$3,509
Transactions
48
Manufacturers
12
Payer (manufacturer) Industry Txns Amount
INTUITIVE SURGICAL, INC. 3 $2,647.25
Boehringer Ingelheim Pharmaceuticals, Inc. 10 $173.29
ABBVIE INC. 10 $170.71
GENZYME CORPORATION 1 $149.99
GlaxoSmithKline, LLC. 10 $146.63
Grifols USA, LLC 3 $57.24
Inspire Medical Systems, Inc. 2 $49.01
Electromed, Inc. 4 $39.06
AstraZeneca Pharmaceuticals LP 2 $29.84
Mallinckrodt Hospital Products Inc. 1 $16.69
Philips North America LLC 1 $15.70
Baxter Healthcare 1 $13.46

By nature of payment

Education
$2,500
Food and Beverage
$862
Travel and Lodging
$147

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
319
Patients
52
Total drug cost
$85,379
Drug Type Claims Patients Total cost
Prednisone Generic 41 12 $307
Montelukast Sodium Generic 33 12 $396
Fluticasone Propionate Generic 29 14 $434
Breztri Aerosphere (Budesonide/Glycopyr/Formoterol) Brand 28 0 $18,168
Albuterol Sulfate Hfa (Albuterol Sulfate) Brand 27 14 $829
Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) Brand 25 0 $18,468
Symbicort (Budesonide/Formoterol Fumarate) Brand 23 0 $9,455
Incruse Ellipta (Umeclidinium Bromide) Brand 18 0 $7,043
Advair Diskus (Fluticasone Propion/Salmeterol) Brand 16 0 $10,006
Breo Ellipta (Fluticasone/Vilanterol) Brand 16 0 $6,492

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Palla de Silva's medical specialty?
Dr. Palla de Silva practices Pulmonary Disease Physician in San Antonio, TX.
Where does Dr. Palla de Silva practice?
Dr. Palla de Silva practices at 127 Lewis St, San Antonio, TX 782125539. Office phone: 2106005864.
What is Dr. Palla de Silva's NPI?
Dr. Palla de Silva's National Provider Identifier (NPI) is 1922329408, issued by NPPES.
Does Dr. Palla de Silva accept Medicare assignment?
Yes. Dr. Palla de Silva accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Palla de Silva commonly perform?
Top Medicare-reported procedures in 2023: Critical care (HCPCS 99291); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Subsequent hospital care with straightforward or low level of medical decision making (HCPCS 99231). Source: CMS Medicare Physician & Other Practitioners file.