2026 NPPES data Physician Assistant NPI 1487016366 PA-C
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ARLENE ALEGRIA, PA-C

Physician Assistant in MCALLEN, 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
227
Medicare Part D claims · 116 beneficiaries · Physician Assistant avg: 790
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
89.4449/100
▲ 6 pts above national avg 83.1 · [object Object]
Industry payments
$558.48
16 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ARLENE ALEGRIA, PA-C is a Physician Assistant ([object Object]) practicing in MCALLEN, Texas with a Medicare Part D prescribing footprint of 227 claims across 116 beneficiaries — 20% brand-name prescribing . Their CMS MIPS Final Score of 89.4449/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $558.48 across 16 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ARLENE ALEGRIA, PA-C reported a CMS MIPS final score of 89.4449 out of 100, above the 83.1 national average, and filed 227 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

ARLENE ALEGRIA, PA-C at a glance

High performer (top quartile)

NPI registry status

Active

Issued 03/22/2016

NPI 1487016366

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

227 71% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

89.4449/100 6.34490000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Texas

How Physician Assistant compares to other specialties among Texas providers

Texas providers

Physician Assistant share within Texas

1. Physician Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physician Assistant share within Texas

Medicare quality performance — MIPS

ARLENE ALEGRIA, PA-C's 2023 MIPS final score plotted against the Physician Assistant national average

High performer (top quartile)
MIPS Final Score
89.4449/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 89.4449/100 vs national avg 83.1

0%100%National avg83%89.4%
MIPS final score (Physician Assistant) — 89.4449/100 vs national avg 83.1

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).

ARLENE ALEGRIA, PA-C is a Physician Assistant provider practicing in MCALLEN, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: PA-C. NPI: 1487016366. 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.

ARLENE ALEGRIA, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 1901 S. SECOND STREET, MCALLEN, TX, 78503, with a listed phone of (956) 687-5150. NPI 1487016366 was issued on 03/22/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ALEGRIA 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 227 prescription claims written by this provider, covering 116 Medicare beneficiaries and totaling roughly $484K in drug spend, split 20% brand-name and 80% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 89.4449/100 for the 2023 performance year (Quality 75.8575), compared with the national average of 83.1.

Physician Assistant is a high-volume specialty nationwide, with 149,975 enrolled providers across 56 states and an average of 790 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

1901 S. SECOND STREET
MCALLEN, TX 78503

Provider Details

NPI 1487016366
Specialty Physician Assistant
Credentials PA-C
Gender Female
NPI Issued 03/22/2016

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

89.4449
Final Score
Avg: 83.1
75.8575
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where ARLENE ALEGRIA, PA-C 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.

TEXAS ONCOLOGY PA
MCALLEN, 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 ARLENE ALEGRIA, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$558

Largest payer

SOBI, 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 ARLENE ALEGRIA, PA-C. To verify ARLENE ALEGRIA, PA-C'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 · Typical

ARLENE ALEGRIA, PA-C — brand share 20.0%
Specialty average (est.)

20% brand-name claims vs 80% generic, on 227 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.

227
Total Claims
$484K
Total Drug Cost
116
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
271
Total Day Supply
6,452
Brand vs Generic
20% brand / 80% generic
Brand Drug Cost
$453K
Generic Drug Cost
$31K
Antibiotic Claims
16

Patient Demographics

Average Patient Age
73.4 years
Avg HCC Risk Score
3.23
Gender Split
58% female / 42% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Anastrozole
21
Potassium Chloride
19
Hydroxyurea
17
Eliquis
Apixaban
14
Dexamethasone
12

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

Physician Assistant Overview

How ARLENE ALEGRIA, PA-C fits within the Physician Assistant landscape nationally.

149,975
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider

ARLENE ALEGRIA, PA-C's 227 claims are below the specialty average of 790.

Nearby Physician Assistant Providers in Texas

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

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

Frequently Asked Questions

What is ARLENE ALEGRIA, PA-C's specialty?
ARLENE ALEGRIA, PA-C specializes in Physician Assistant and practices in MCALLEN, Texas. Credentials: PA-C.
How much does ARLENE ALEGRIA, PA-C prescribe under Medicare Part D?
In 2023, ARLENE ALEGRIA, PA-C wrote 227 Medicare Part D claims totaling $484K in drug costs for 116 beneficiaries.
What is ARLENE ALEGRIA, PA-C's Medicare quality score?
ARLENE ALEGRIA, PA-C has a CMS MIPS Final Score of 89.4449/100 (Quality: 75.8575). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ARLENE ALEGRIA, PA-C located?
ARLENE ALEGRIA, PA-C is located at 1901 S. SECOND STREET, MCALLEN, TX, 78503. Phone: (956) 687-5150.
What is ARLENE ALEGRIA, PA-C's NPI number?
ARLENE ALEGRIA, PA-C's National Provider Identifier (NPI) is 1487016366, issued on 03/22/2016.
Does ARLENE ALEGRIA, PA-C prescribe more brand-name or generic drugs?
ARLENE ALEGRIA, PA-C's prescribing is 20% brand-name and 80% generic drugs by claim count, with $453K in brand drug costs.
How many Physician Assistant providers are there in the US?
There are 149,975 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 790 Medicare Part D claims per year.
What drugs does ARLENE ALEGRIA, PA-C prescribe most often?
Based on 2023 Medicare Part D data, ARLENE ALEGRIA, PA-C's most frequently prescribed drugs include Anastrozole, Potassium Chloride, Hydroxyurea. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ARLENE ALEGRIA, PA-C accept Medicare?
ARLENE ALEGRIA, PA-C appears in CMS Medicare data with 227 Part D claims and 116 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ARLENE ALEGRIA, PA-C's credentials?
ARLENE ALEGRIA, PA-C's NPI is 1487016366 with credentials PA-C. 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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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