2026 NPPES data Physician Assistant NPI 1861887853 PA-C
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Denise Amezcua, PA-C

Physician Assistant in Fresno, California.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 150,974 in Physician Assistant, 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
2K
Medicare Part D claims · 521 beneficiaries · Physician Assistant avg: 790
Generic prescribing
88%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
85.8/100
▲ 3 pts above national avg 83.1 · Above neutral
Industry payments
$719.23
38 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Denise Amezcua, PA-C reported a CMS MIPS final score of 85.8/100 - above the 83.1 national average - and filed 2,458 Medicare Part D claims in 2023.

85.8/100
MIPS score · +3 vs avg
2K
Part D claims, 2023
88%
generic prescribing
$719.23
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.

Denise Amezcua, PA-C's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

86 49th percentile higher than 49% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90+: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored 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.

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

Where Denise Amezcua, PA-C sits

This provider among physician assistant peers

Across the 27,054 physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Denise Amezcua, PA-C writes more Part D claims than 93% of them and scores higher on MIPS quality than 49% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 40Denise Amezcua, PA-C-Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 49
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one physician assistant peer from a representative sample of 60; the gold marker is Denise Amezcua, PA-C. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Denise Amezcua, PA-C?

High performer (top quartile)

NPI registry status

Active

Issued 04/06/2015

NPI 1861887853

Primary specialty

Physician Assistant

High-volume

150,974 US NPIs in this specialty

Medicare Part D claims

2,458 211% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

85.8/100 2.7 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Physician Assistant compares to other specialties among California providers

California providers
Behavior Technician - 17.3%Behavior Technician17.3%Marriage & Family Therapist - 5.5%Marriage & Family Therapist5.5%Student in an Organized Health Care Education/Training Program - 5%Student in an Organized Health Care Education/Training Program5%Mental Health Counselor - 3.9%Mental Health Counselor3.9%Pharmacist - 3.5%Pharmacist3.5%Clinical Social Worker - 3.1%Clinical Social Worker3.1%Physician Assistant - 1.4%Physician Assistant1.4%
Largest specialties in California (% of in-state providers)

Medicare quality performance, MIPS

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

High performer (top quartile)
MIPS Final Score
85.8/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) - 85.8/100 vs national avg 83.1

0%100%National avg83%85.8%
MIPS final score (Physician Assistant) - 85.8/100 vs national avg 83.1
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).

Denise Amezcua, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 2740 S ELM AVE, Fresno, CA, 93706, with a listed phone of (559) 457-5200. NPI 1861887853 was issued on 04/06/2015.

Medicare Part D records for calendar year 2023 show 2,458 prescription claims written by this provider, covering 521 Medicare beneficiaries and totaling roughly $186K in drug spend, split 10% brand-name and 88% generic by claim count, with an opioid prescribing rate of 1.2%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 85.8/100 for the 2023 performance year (Quality 91.3, Cost 61.3), compared with the national average of 83.1.

Physician Assistant is a high-volume specialty nationwide, with 150,974 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

2740 S ELM AVE
Fresno, CA 93706

Provider Details

NPI 1861887853
Specialty Physician Assistant
Credentials PA-C
Gender Female
NPI Issued 04/06/2015

CMS Quality Score (MIPS)

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

85.7827
Final Score
Avg: 83.1
91.3046
Quality
61.3045
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Denise Amezcua, 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.

Community Foundation Medical Group
Reedley, CA

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 Denise Amezcua, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$719

Largest payer

Novo Nordisk 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 - California MBC 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 ~150K California medical licensees in 2023 - they are NOT specific to Denise Amezcua, PA-C. To verify Denise Amezcua, PA-C's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Denise Amezcua, PA-C - brand share 10.0%
Physician Assistant average

10% brand-name claims vs 88% generic, on 2,458 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.

2,458
Total Claims
$186K
Total Drug Cost
521
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,287
Total Day Supply
146,535
Brand vs Generic
10% brand / 88% generic
Brand Drug Cost
$135K
Generic Drug Cost
$49K
Opioid Claims
29 (1.2% rate)
Antibiotic Claims
250

Patient Demographics

Average Patient Age
75.8 years
Avg HCC Risk Score
0.90
Gender Split
63% female / 37% male

Top Prescribed Drugs (Medicare Part D)

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

What Denise Amezcua, PA-C 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
Lisinopril
102
Atorvastatin Calcium
92
Levothyroxine Sodium
89
Losartan Potassium
76
Albuterol Sulfate Hfa
Albuterol Sulfate
72
Omeprazole
72
Amlodipine Besylate
61
Rosuvastatin Calcium
57
Azithromycin
51
Metoprolol Succinate
51

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

Physician Assistant Overview

How Denise Amezcua, PA-C fits within the Physician Assistant landscape nationally.

150,974
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider

Denise Amezcua, PA-C's 2,458 claims are above the specialty average of 790.

Nearby Physician Assistant Providers in California

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

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 California 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 Denise Amezcua, PA-C's specialty?
Denise Amezcua, PA-C specializes in Physician Assistant and practices in Fresno, California. Credentials: PA-C.
How much does Denise Amezcua, PA-C prescribe under Medicare Part D?
In 2023, Denise Amezcua, PA-C wrote 2,458 Medicare Part D claims totaling $186K in drug costs for 521 beneficiaries.
What is Denise Amezcua, PA-C's Medicare quality score?
Denise Amezcua, PA-C has a CMS MIPS Final Score of 85.8/100 (Quality: 91.3, Cost: 61.3). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Denise Amezcua, PA-C located?
Denise Amezcua, PA-C is located at 2740 S ELM AVE, Fresno, CA, 93706. Phone: (559) 457-5200.
What is Denise Amezcua, PA-C's NPI number?
Denise Amezcua, PA-C's National Provider Identifier (NPI) is 1861887853, issued on 04/06/2015.
Does Denise Amezcua, PA-C prescribe more brand-name or generic drugs?
Denise Amezcua, PA-C's prescribing is 10% brand-name and 88% generic drugs by claim count, with $135K in brand drug costs.
Does Denise Amezcua, PA-C prescribe opioids?
Yes, Denise Amezcua, PA-C had 29 opioid claims in 2023 with an opioid prescribing rate of 1.2%.
How many Physician Assistant providers are there in the US?
There are 150,974 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 Denise Amezcua, PA-C prescribe most often?
Based on 2023 Medicare Part D data, Denise Amezcua, PA-C's most frequently prescribed drugs include Lisinopril, Atorvastatin Calcium, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Denise Amezcua, PA-C accept Medicare?
Denise Amezcua, PA-C appears in CMS Medicare data with 2,458 Part D claims and 521 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Denise Amezcua, PA-C's credentials?
Denise Amezcua, PA-C's NPI is 1861887853 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

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 (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

Compiled from official public sources by the PlainDoctor editorial team.

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 May 2026.