2026 NPPES data Physician Assistant NPI 1194716647 PA
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Carmelo Otero, PA

Physician Assistant in West Lake Hills, 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
3K
Medicare Part D claims · 861 beneficiaries · Physician Assistant avg: 790
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$498.51
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Carmelo Otero, PA filed 3,350 Medicare Part D claims in 2023 as a Physician Assistant in West Lake Hills, Texas, prescribing 87% generic.

3K
Part D claims, 2023
87%
generic prescribing
$498.51
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.

Carmelo Otero, PA's Medicare Part D volume vs every U.S. prescriber

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

3,350 Top 10% higher than 90% 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%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. 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

What does the federal data show about Carmelo Otero, PA?

Quality data not reported

NPI registry status

Active

Issued 11/03/2005

NPI 1194716647

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

3,350 324% vs specialty avg

2023 prescription claims

Specialty avg: 790

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

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Physician Assistant) — 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).

Carmelo Otero, PA appears in the CMS NPPES registry as a Physician Assistant provider holding PA credentials at 5656 BEE CAVE RD STE M300, West Lake Hills, TX, 78746, with a listed phone of (512) 807-3270. NPI 1194716647 was issued on 11/03/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Otero 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 3,350 prescription claims written by this provider, covering 861 Medicare beneficiaries and totaling roughly $582K in drug spend, split 13% brand-name and 87% 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.

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

5656 BEE CAVE RD STE M300
West Lake Hills, TX 78746

Provider Details

NPI 1194716647
Specialty Physician Assistant
Credentials PA
Gender Male
NPI Issued 11/03/2005

Hospital and facility affiliations

Facilities where Carmelo Otero, PA 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.

Scott And White Clinic
Temple, 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 Carmelo Otero, PA. Source: openpaymentsdata.cms.gov.

Total received

$499

Largest payer

Silk Road Medical, 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 Carmelo Otero, PA. To verify Carmelo Otero, PA'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

Carmelo Otero, PA — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 3,350 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.

3,350
Total Claims
$582K
Total Drug Cost
861
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
8,849
Total Day Supply
263,938
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$501K
Generic Drug Cost
$81K

Patient Demographics

Average Patient Age
76.4 years
Avg HCC Risk Score
1.34
Gender Split
46% female / 54% male
Age Distribution
<65: 19, 65-74: 349, 75-84: 369, 85+: 124

Top Prescribed Drugs (Medicare Part D)

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

What Carmelo Otero, PA prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Rosuvastatin Calcium
320
Metoprolol Succinate
298
Atorvastatin Calcium
297
Eliquis
Apixaban
212
Amlodipine Besylate
181
Losartan Potassium
168
Lisinopril
140
Clopidogrel
Clopidogrel Bisulfate
135
Furosemide
109
Ezetimibe
93

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

Physician Assistant Overview

How Carmelo Otero, PA fits within the Physician Assistant landscape nationally.

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

Carmelo Otero, PA's 3,350 claims are above 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 Otero.

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

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry — providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Texas medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Physician Assistant peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only — they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Carmelo Otero, PA's specialty?
Carmelo Otero, PA specializes in Physician Assistant and practices in West Lake Hills, Texas. Credentials: PA.
How much does Carmelo Otero, PA prescribe under Medicare Part D?
In 2023, Carmelo Otero, PA wrote 3,350 Medicare Part D claims totaling $582K in drug costs for 861 beneficiaries.
Where is Carmelo Otero, PA located?
Carmelo Otero, PA is located at 5656 BEE CAVE RD STE M300, West Lake Hills, TX, 78746. Phone: (512) 807-3270.
What is Carmelo Otero, PA's NPI number?
Carmelo Otero, PA's National Provider Identifier (NPI) is 1194716647, issued on 11/03/2005.
Does Carmelo Otero, PA prescribe more brand-name or generic drugs?
Carmelo Otero, PA's prescribing is 13% brand-name and 87% generic drugs by claim count, with $501K 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 Carmelo Otero, PA prescribe most often?
Based on 2023 Medicare Part D data, Carmelo Otero, PA's most frequently prescribed drugs include Rosuvastatin Calcium, Metoprolol Succinate, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Carmelo Otero, PA accept Medicare?
Carmelo Otero, PA appears in CMS Medicare data with 3,350 Part D claims and 861 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Carmelo Otero, PA's credentials?
Carmelo Otero, PA's NPI is 1194716647 with credentials PA. 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