2026 NPPES data Adult Medicine Physician NPI 1699330654 PHYSICIAN ASSISTANT
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ALBERTO GUAJARDO, PHYSICIAN ASSISTANT

Adult Medicine Physician in HARLINGEN, 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
842
Medicare Part D claims · 300 beneficiaries · Adult Medicine Physician avg: 3K
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$45.97
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ALBERTO GUAJARDO, PHYSICIAN ASSISTANT filed 842 Medicare Part D claims in 2023 as a Adult Medicine Physician in HARLINGEN, Texas, prescribing 95% generic.

842
Part D claims, 2023
95%
generic prescribing
Likely
board-certified (heuristic)

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.

ALBERTO GUAJARDO, PHYSICIAN ASSISTANT's Medicare Part D volume vs every U.S. prescriber

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

842 Top 27% higher than 73% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). This entry sits in this band. 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 certification likely (heuristic — not verified)

ALBERTO GUAJARDO, PHYSICIAN ASSISTANT practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about ALBERTO GUAJARDO, PHYSICIAN ASSISTANT?

Quality data not reported

NPI registry status

Active

Issued 05/06/2019

NPI 1699330654

Primary specialty

Adult Medicine Physician

Niche

2,481 US NPIs in this specialty

Medicare Part D claims

842 70% vs specialty avg

2023 prescription claims

Specialty avg: 2,807

Specialty distribution in Texas

How Adult Medicine Physician compares to other specialties among Texas providers

Texas providers

Adult Medicine Physician share within Texas

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

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Adult Medicine 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).

ALBERTO GUAJARDO, PHYSICIAN ASSISTANT is a Adult Medicine Physician provider practicing in HARLINGEN, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: PHYSICIAN ASSISTANT. NPI: 1699330654. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ALBERTO GUAJARDO, PHYSICIAN ASSISTANT appears in the CMS NPPES registry as a Adult Medicine Physician provider holding PHYSICIAN ASSISTANT credentials at 1214 DIXIELAND RD STE 8, HARLINGEN, TX, 78552, with a listed phone of (956) 423-7000. NPI 1699330654 was issued on 05/06/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GUAJARDO 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 842 prescription claims written by this provider, covering 300 Medicare beneficiaries and totaling roughly $29K in drug spend, split 5% brand-name and 95% 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.

Adult Medicine Physician is a narrow specialty nationwide, with 2,481 enrolled providers across 52 states and an average of 2,807 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

1214 DIXIELAND RD STE 8
HARLINGEN, TX 78552

Provider Details

NPI 1699330654
Specialty Adult Medicine Physician
Credentials PHYSICIAN ASSISTANT
Gender Male
NPI Issued 05/06/2019

Hospital and facility affiliations

Facilities where ALBERTO GUAJARDO, PHYSICIAN ASSISTANT bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

C.L. ANDERSON, JR., M.D., PLLC
HARLINGEN, TX

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

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 ALBERTO GUAJARDO, PHYSICIAN ASSISTANT. Source: openpaymentsdata.cms.gov.

Total received

$46

Largest payer

ABBVIE INC.

Most common payment type

Food and Beverage

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 ALBERTO GUAJARDO, PHYSICIAN ASSISTANT. To verify ALBERTO GUAJARDO, PHYSICIAN ASSISTANT'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 · Generic-heavy

ALBERTO GUAJARDO, PHYSICIAN ASSISTANT — brand share 5.0%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 842 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.

842
Total Claims
$29K
Total Drug Cost
300
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,184
Total Day Supply
26,550
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$19K
Generic Drug Cost
$10K
Antibiotic Claims
196

Patient Demographics

Average Patient Age
70.2 years
Avg HCC Risk Score
1.05
Gender Split
58% female / 42% male
Age Distribution
<65: 42, 65-74: 148, 75-84: 94, 85+: 16

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
84
Fluticasone Propionate
68
Montelukast Sodium
50
Ibuprofen
36
Paxlovid (Eua)
Nirmatrelvir/Ritonavir
34
Doxycycline Hyclate
33
Diclofenac Sodium
26
Cephalexin
25
Metformin Hcl
23
Lisinopril
20

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

Adult Medicine Physician Overview

How ALBERTO GUAJARDO, PHYSICIAN ASSISTANT fits within the Adult Medicine Physician landscape nationally.

2,481
Adult Medicine Physician Providers in US
52
States with Adult Medicine Physician
2,807
Avg Claims per Provider

ALBERTO GUAJARDO, PHYSICIAN ASSISTANT's 842 claims are below the specialty average of 2,807.

Nearby Adult Medicine Physician Providers in Texas

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

Compare Adult Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ALBERTO GUAJARDO, PHYSICIAN ASSISTANT's specialty?
ALBERTO GUAJARDO, PHYSICIAN ASSISTANT specializes in Adult Medicine Physician and practices in HARLINGEN, Texas. Credentials: PHYSICIAN ASSISTANT.
How much does ALBERTO GUAJARDO, PHYSICIAN ASSISTANT prescribe under Medicare Part D?
In 2023, ALBERTO GUAJARDO, PHYSICIAN ASSISTANT wrote 842 Medicare Part D claims totaling $29K in drug costs for 300 beneficiaries.
Where is ALBERTO GUAJARDO, PHYSICIAN ASSISTANT located?
ALBERTO GUAJARDO, PHYSICIAN ASSISTANT is located at 1214 DIXIELAND RD STE 8, HARLINGEN, TX, 78552. Phone: (956) 423-7000.
What is ALBERTO GUAJARDO, PHYSICIAN ASSISTANT's NPI number?
ALBERTO GUAJARDO, PHYSICIAN ASSISTANT's National Provider Identifier (NPI) is 1699330654, issued on 05/06/2019.
Does ALBERTO GUAJARDO, PHYSICIAN ASSISTANT prescribe more brand-name or generic drugs?
ALBERTO GUAJARDO, PHYSICIAN ASSISTANT's prescribing is 5% brand-name and 95% generic drugs by claim count, with $19K in brand drug costs.
How many Adult Medicine Physician providers are there in the US?
There are 2,481 Adult Medicine Physician providers across 52 states in the US. The average Adult Medicine Physician provider writes 2,807 Medicare Part D claims per year.
What drugs does ALBERTO GUAJARDO, PHYSICIAN ASSISTANT prescribe most often?
Based on 2023 Medicare Part D data, ALBERTO GUAJARDO, PHYSICIAN ASSISTANT's most frequently prescribed drugs include Amoxicillin-Clavulanate Potass, Fluticasone Propionate, Montelukast Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ALBERTO GUAJARDO, PHYSICIAN ASSISTANT accept Medicare?
ALBERTO GUAJARDO, PHYSICIAN ASSISTANT appears in CMS Medicare data with 842 Part D claims and 300 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ALBERTO GUAJARDO, PHYSICIAN ASSISTANT's credentials?
ALBERTO GUAJARDO, PHYSICIAN ASSISTANT's NPI is 1699330654 with credentials PHYSICIAN ASSISTANT. 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