2026 NPPES data Anesthesiology Physician NPI 1790892776 MD
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SALLY COMBEST, MD

Anesthesiology Physician in SAN ANTONIO, Texas. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
64
Medicare Part D claims · 45 beneficiaries · Anesthesiology Physician avg: 860
Generic prescribing
53%
generic claims · 47% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.6K
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SALLY COMBEST, MD filed 64 Medicare Part D claims in 2023 as a Anesthesiology Physician in SAN ANTONIO, Texas, prescribing 53% generic.

64
Part D claims, 2023
53%
generic prescribing
$1.6K
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

SALLY COMBEST, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

64 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

SALLY COMBEST, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about SALLY COMBEST, MD?

Quality data not reported

NPI registry status

Active

Issued 08/24/2006

NPI 1790892776

Primary specialty

Anesthesiology Physician

High-volume

56,398 US NPIs in this specialty

Medicare Part D claims

64 93% vs specialty avg

2023 prescription claims

Specialty avg: 860

Specialty distribution in Texas

How Anesthesiology Physician compares to other specialties among Texas providers

Texas providers

Anesthesiology Physician share within Texas

1. Anesthesiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Anesthesiology Physician share within Texas

Specialty board-certification context

Estimated specialty board-certified rate — Anesthesiology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Anesthesiology Physician ABMS/AOA estimate

Est. board-certified rate (Anesthesiology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Anesthesiology Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

SALLY COMBEST, MD appears in the CMS NPPES registry as a Anesthesiology Physician provider holding MD credentials at 4502 MEDICAL DR, SAN ANTONIO, TX, 78229, with a listed phone of (210) 257-1400. NPI 1790892776 was issued on 08/24/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what COMBEST most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 64 prescription claims written by this provider, covering 45 Medicare beneficiaries and totaling roughly $14K in drug spend, split 47% brand-name and 53% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Anesthesiology Physician is a high-volume specialty nationwide, with 56,398 enrolled providers across 56 states and an average of 860 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

4502 MEDICAL DR
SAN ANTONIO, TX 78229

Provider Details

NPI 1790892776
Specialty Anesthesiology Physician
Credentials MD
Gender Female
NPI Issued 08/24/2006

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for SALLY COMBEST, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.6K

Largest payer

Abbott Laboratories

Most common payment type

Consulting Fee

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Texas TMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 — they are NOT specific to SALLY COMBEST, MD. To verify SALLY COMBEST, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

SALLY COMBEST, MD — brand share 47.0%
Specialty average (est.)

47% brand-name claims vs 53% generic, on 64 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

64
Total Claims
$14K
Total Drug Cost
45
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
64
Total Day Supply
873
Brand vs Generic
47% brand / 53% generic
Brand Drug Cost
$10K
Generic Drug Cost
$4K

Patient Demographics

Average Patient Age
59.7 years
Avg HCC Risk Score
1.62
Gender Split
51% female / 49% male
Age Distribution
<65: 24, 65-74: 20, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Buprenorphine-Naloxone
Buprenorphine Hcl/Naloxone Hcl
34
Suboxone
Buprenorphine Hcl/Naloxone Hcl
30

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Anesthesiology Physician Overview

How SALLY COMBEST, MD fits within the Anesthesiology Physician landscape nationally.

56,398
Anesthesiology Physician Providers in US
56
States with Anesthesiology Physician
860
Avg Claims per Provider

SALLY COMBEST, MD's 64 claims are below the specialty average of 860.

Nearby Anesthesiology Physician Providers in Texas

Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as COMBEST.

Compare Anesthesiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SALLY COMBEST, MD's specialty?
SALLY COMBEST, MD specializes in Anesthesiology Physician and practices in SAN ANTONIO, Texas. Credentials: MD.
How much does SALLY COMBEST, MD prescribe under Medicare Part D?
In 2023, SALLY COMBEST, MD wrote 64 Medicare Part D claims totaling $14K in drug costs for 45 beneficiaries.
Where is SALLY COMBEST, MD located?
SALLY COMBEST, MD is located at 4502 MEDICAL DR, SAN ANTONIO, TX, 78229. Phone: (210) 257-1400.
What is SALLY COMBEST, MD's NPI number?
SALLY COMBEST, MD's National Provider Identifier (NPI) is 1790892776, issued on 08/24/2006.
Does SALLY COMBEST, MD prescribe more brand-name or generic drugs?
SALLY COMBEST, MD's prescribing is 47% brand-name and 53% generic drugs by claim count, with $10K in brand drug costs.
How many Anesthesiology Physician providers are there in the US?
There are 56,398 Anesthesiology Physician providers across 56 states in the US. The average Anesthesiology Physician provider writes 860 Medicare Part D claims per year.
What drugs does SALLY COMBEST, MD prescribe most often?
Based on 2023 Medicare Part D data, SALLY COMBEST, MD's most frequently prescribed drugs include Buprenorphine-Naloxone, Suboxone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SALLY COMBEST, MD accept Medicare?
SALLY COMBEST, MD appears in CMS Medicare data with 64 Part D claims and 45 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SALLY COMBEST, MD's credentials?
SALLY COMBEST, MD's NPI is 1790892776 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology