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2026 NPPES data Physical Medicine & Rehabilitation Physician NPI 1063455111 MD
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Benjamin Agana, MD

Physical Medicine & Rehabilitation Physician in Shenandoah, Texas.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 15,618 in Physical Medicine & Rehabilitation Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
5K
Medicare Part D claims · 804 beneficiaries · Physical Medicine & Rehabilitation Physician avg: 793
MIPS score
49.5/100
▼ 34 pts below national avg 83.5 · Below average
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Benjamin Agana, MD reported a CMS MIPS final score of 49.5/100 - below the 83.5 national average - and filed 4,539 Medicare Part D claims in 2024.

49.5/100
MIPS score · -34 vs avg
5K
Part D claims, 2024
Likely
board-certified (heuristic)
≥4th
pct among measured MIPS (lower-bound band)

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.

Federal trust snapshot

What official records show about Benjamin Agana, MD

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1063455111), first enumerated 06/14/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 4,539 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 49.5/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • State context

    State board disciplinary context

    Texas statewide board action statistics are published annually — these figures describe aggregate state activity, not Benjamin Agana, MD's individual license status. Verify directly with the state medical board.

    Source: TMB annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

Compare Agana with other Physical Medicine & Rehabilitation Physician providers

Same primary specialty, same federal CMS NPPES roster.

Also enrolled in Texas

Other specialties in Shenandoah: Internal Medicine Physician (112) · Behavior Technician (58) · Family Nurse Practitioner (57) · Physician Assistant (42)

CMS NPPES provider registry desk

NPI 1063455111 · Physical Medicine & Rehabilitation Physician

NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-LOW · RX-MID · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1063455111
  • ENUM-LEGACY 2006
  • TAX-MID 16K Physical Medicine
  • MIPS-LOW 49.5/100
  • RX-MID 4,539
  • BOOK-LIGHT 1,081 in Texas
  • PHOTO-FINISH William Livesay, D.O. · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Benjamin Agana, MD's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

50 ≥ 4th percentile 4% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). This entry sits in this band. 50–60: 5,882 measured providers (1%). Above this entry. 60–70: 13,906 measured providers (3%). Above this entry. 70–80: 94,570 measured providers (21%). Above this entry. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured providers. 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Benjamin Agana, MD sits

This provider among physical medicine & rehabilitation physician peers

Across the 2,483 physical medicine & rehabilitation physician providers who report both Medicare Part D prescribing and a MIPS quality score, Benjamin Agana, MD writes more Part D claims than 97% of them and scores higher on MIPS quality than 9% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100023.647.370.994.5Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 28Benjamin Agana, MD, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 9
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one physical medicine & rehabilitation physician peer from a representative sample of 60; the gold marker is Benjamin Agana, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Benjamin Agana, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - 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 Benjamin Agana, MD?

Below national average

NPI registry status

Active

Issued 06/14/2006

NPI 1063455111

Primary specialty

Physical Medicine & Rehabilitation Physician

Mid-sized

15,618 US NPIs in this specialty

Medicare Part D claims

4,539 6× vs specialty avg

2024 prescription claims

Specialty avg: 793

MIPS final score

49.5/100 34 pts vs avg

Below average band

vs 83.5 national avg

Specialty distribution in Texas

How Physical Medicine & Rehabilitation Physician compares to other specialties among Texas providers

Texas providers
Behavior Technician6%Student in an Organized Heal…5.3%Family Nurse Practitioner4.5%Professional Counselor4.4%Pharmacist4.3%Speech-Language Pathologist3.9%Physical Medicine & Rehabili…0.2%
Largest specialties in Texas (% of in-state providers)

Medicare quality performance, MIPS

Benjamin Agana, MD's 2023 MIPS final score plotted against the Physical Medicine & Rehabilitation Physician national average

Below national average
MIPS Final Score
49.5/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%49.5%
MIPS final score (Physical Medicine & Rehabilitation Physician) - 49.5/100 vs national avg 83.5
How MIPS and board certification work

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).

Practice Address

9200 PINECROFT DR
Shenandoah, TX 77380
(281) 419-3366

Provider Details

NPI 1063455111
Specialty Physical Medicine & Rehabilitation Physician
Credentials MD
Gender Male
NPI Issued 06/14/2006

CMS Quality Score (MIPS)

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

49.5145
Final Score
Measured-score avg: 83.5
71.0723
Quality
53.6187
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where Benjamin Agana, MD 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.

Legacy Healthcare Services Inc
Spring, TX
Post Therapy LLC
Spring, 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).

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 Benjamin Agana, MD. To verify Benjamin Agana, 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

4,539
Total Claims
$203K
Total Drug Cost
804
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,701.567
Total Day Supply
125,403
Generic Drug Cost
$50K
Opioid Claims
297 (6.5% rate)
Antibiotic Claims
133

Patient Demographics

Average Patient Age
77.8 years
Avg HCC Risk Score
2.83
Gender Split
61% female / 39% male
Age Distribution
<65: 49, 65-74: 234, 75-84: 322, 85+: 199

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Benjamin Agana, MD prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Atorvastatin Calcium
 219
Pantoprazole Sodium
 169
Gabapentin
 151
Levothyroxine Sodium
 143
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
137
Furosemide
 135
Eliquis
Apixaban
122
Losartan Potassium
 118
Tamsulosin Hcl
 111
Metoprolol Succinate
 105

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

More Physical Medicine & Rehabilitation Physician in TX → All providers in Texas → Compare specialties →

Physical Medicine & Rehabilitation Physician Overview

How Benjamin Agana, MD fits within the Physical Medicine & Rehabilitation Physician landscape nationally.

15,618
Physical Medicine & Rehabilitation Physician Providers in US
54
States with Physical Medicine & Rehabilitation Physician
793
Avg Claims per Provider

Benjamin Agana, MD's 4,539 claims are above the specialty average of 793.

Nationwide Physical Medicine & Rehabilitation Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Agana, both outside Texas so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (49.5 here).

William Livesay 49.5 SC Kathleen Rutecki 49.6 ME Carolyn Testa-Casino 49.4 CT Mark Cunningham 49.9 MS

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Kimberly Bedell Long Beach, CA Radana Dooley Schenectady, NY Leonid Gordin Cambridge, MA Stephen Levinson Flushing, NY

Nearby Physical Medicine & Rehabilitation Physician Providers in Texas

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

One of 1,081 Physical Medicine & Rehabilitation Physician providers enrolled in Texas, 11 are shown on this page.

Dr. Heather Adair
M.D.
Dallas, TX
Dr. Kenneth Adams
MD
Richardson, TX
Dr. Meredith Adams
D.O.
Frisco, TX
Dr. Tracey Adams
M.D.
Dallas, TX
Dr. Omair Ahmad
M.D.
Sugar Land, TX

Compare Physical Medicine & Rehabilitation Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Benjamin Agana, MD's specialty? ▼
Benjamin Agana, MD specializes in Physical Medicine & Rehabilitation Physician and practices in Shenandoah, Texas. Credentials: MD.
How much does Benjamin Agana, MD prescribe under Medicare Part D? ▼
In 2024, Benjamin Agana, MD wrote 4,539 Medicare Part D claims totaling $203K in drug costs for 804 beneficiaries.
What is Benjamin Agana, MD's Medicare quality score? ▼
Benjamin Agana, MD has a CMS MIPS Final Score of 49.5/100 (Quality: 71.1, Cost: 53.6). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Benjamin Agana, MD located? ▼
Benjamin Agana, MD is located at 9200 PINECROFT DR, Shenandoah, TX, 77380. Phone: (281) 419-3366.
What is Benjamin Agana, MD's NPI number? ▼
Benjamin Agana, MD's National Provider Identifier (NPI) is 1063455111, issued on 06/14/2006.
Does Benjamin Agana, MD prescribe opioids? ▼
Yes, Benjamin Agana, MD had 297 opioid claims in 2024 with an opioid prescribing rate of 6.5%.
How many Physical Medicine & Rehabilitation Physician providers are there in the US? ▼
There are 15,618 Physical Medicine & Rehabilitation Physician providers across 54 states in the US. The average Physical Medicine & Rehabilitation Physician provider writes 793 Medicare Part D claims per year.
What drugs does Benjamin Agana, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Benjamin Agana, MD's most frequently prescribed drugs include Atorvastatin Calcium, Pantoprazole Sodium, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Benjamin Agana, MD accept Medicare? ▼
Benjamin Agana, MD appears in CMS Medicare data with 4,539 Part D claims and 804 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Benjamin Agana, MD's credentials? ▼
Benjamin Agana, MD's NPI is 1063455111 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

View source datasets and methodology notes
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 (2024). 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 August 2026 (NPPES) / 2024 (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

Compiled from official public sources by the editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.