Unknown Individual – Medical Physician Assistant, NPI 1417956574
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2502, Morgan Avenue, Corpus Christi, Nueces County, Texas, 78405, United States
CORPUS CHRISTI, TX 784051807
Phone: (361) 888-6782
Fax: (361) 888-6788
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $535.
Total Amount is formed as General ($535) + Research ($0) + Ownership ($0) = $535.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: SANOFI-AVENTIS U.S. LLC ($268).
Total Amount
$535
General + Research + Ownership
Payments
23
Total payment records
General Amount
$535
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SANOFI-AVENTIS U.S. LLC | $268 |
| Regeneron Healthcare Solutions, Inc. | $139 |
| ALK-Abello, Inc | $63 |
| Sun Pharmaceutical Industries Inc. | $20 |
| Amgen Inc. | $19 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 95004 | Test for allergy using allergenic extract | 2,155 | 27 | $0 |
| 96900 | Application of ultraviolet light to skin | 330 | 12 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 302 | 146 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 60 | 47 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 33 | 33 | $0 |
Insurance plans in this area (ZIP 78405)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | TX | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 58 | 48 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine, Allergy/Immunology | TX | |
| - | TX | |
| Nurse Practitioner | TX |
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