Veronica Alana Vestal, MD

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

• Hospital Centro Comprensivo Del Cancer Hospital · San Juan, PR · listed as Centro De Cancer De La Universidad
• Christus Southern New Mexico Hospital · Alamogordo, NM

Colleagues at Otero County Hospital Association

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 241 clinicians in the practice; 12 are shown here.

• Haley Burt, ARNP Family Nurse Practitioner · Saint Cloud, FL
• Sarah Michelle Coker, FNP-BC Family Nurse Practitioner · Alamogordo, NM
• Cynthia Louise Gigler, FNP-BC Family Nurse Practitioner · Alamogordo, NM
• Dr. Karen A Lecomte, MD Neurology Physician · Alamogordo, NM
• Jana Joel McBurney, NP-C Family Nurse Practitioner · Holloman AFB, NM
• Mrs. Jenibah McGregor, CRNA Certified Registered Nurse Anesthetist · Las Cruces, NM
• Fatma Midani, MD Cytopathology Physician · Albuquerque, NM
• Laramie Ashlee Norwood, DPM Foot & Ankle Surgery Podiatrist · Billings, MT
• MS. Holly A Powers, CNP Acute Care Nurse Practitioner · Alamogordo, NM
• Ruth Rawlings, MD Gastroenterology Physician · Alamogordo, NM
• Makeswaran Seenivasagam, MD Internal Medicine Physician · El Paso, TX
• Dr. Alexander Topete, DO Family Medicine Physician · Alamogordo, NM

Other providers in Toa Baja

• Boriken Medical Services

  Organization Internal Medicine Physician · NPI 1396598421

  Urb Pradera Norte AX2 Calle 1, Toa Baja, PR 00949-3693 · (787) 925-7008

• Dr. Servanda C Fleitas Macias

  Individual Internal Medicine Physician · NPI 1295748390

  HF16 Calle Lizzie Graham 7MA Seccion Levittown, Toa Baja, PR 00949-3634 · (787) 795-2935

• Jeaneishka Marie Rivera Rios, MD

  Individual Internal Medicine Physician · NPI 1760922728

  Urb Pradera Norte AX2 Calle 1, Toa Baja, PR 00949-3693 · (787) 795-5843

• Agustin Gabriel Velazquez Perez

  Individual Internal Medicine Physician · NPI 1942614599

  A La Orden Shopping Center 2nd Fl 600, Toa Baja, PR 00949 · (787) 710-2532