NPI registry status
Active
2026 NPPES data Registered Nurse NPI 1134368327 PMHNP-BC
Verify on CMS → Ephraim Fombo, PMHNP-BC
Registered Nurse in San Antonio, 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 175,652 in Registered Nurse, 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
437
Medicare Part D claims · 23 beneficiaries · Registered Nurse avg: 1K
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$383.53
4 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Ephraim Fombo, PMHNP-BC filed 437 Medicare Part D claims in 2023 as a Registered Nurse in San Antonio, Texas, prescribing 92% generic.
- 437
- Part D claims, 2023
- 92%
- generic prescribing
- $383.53
- 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.
Ephraim Fombo, PMHNP-BC's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
437 Top 38% higher than 62% of 1,370,886 prescribers
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 Ephraim Fombo, PMHNP-BC?
Quality data not reportedPrimary specialty
Registered Nurse
Medicare Part D claims
437 56% vs specialty avg
Specialty distribution in Texas
How Registered Nurse compares to other specialties among Texas providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Registered Nurse. Verify directly:
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).
Ephraim Fombo, PMHNP-BC appears in the CMS NPPES registry as a Registered Nurse provider holding PMHNP-BC credentials at 3031 W IH 10, San Antonio, TX, 78201, with a listed phone of (210) 261-1000. NPI 1134368327 was issued on 02/11/2009.
Medicare Part D records for calendar year 2023 show 437 prescription claims written by this provider, covering 23 Medicare beneficiaries and totaling roughly $94K in drug spend, split 8% brand-name and 92% generic by claim count.
Registered Nurse is a high-volume specialty nationwide, with 175,652 enrolled providers across 56 states and an average of 1,000 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
Provider Details
| NPI | 1134368327 |
|---|---|
| Specialty | Registered Nurse |
| Credentials | PMHNP-BC |
| Gender | Male |
| NPI Issued | 02/11/2009 |
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 Ephraim Fombo, PMHNP-BC. Source: openpaymentsdata.cms.gov.
Total received
$384
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 Ephraim Fombo, PMHNP-BC. To verify Ephraim Fombo, PMHNP-BC'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
Ephraim Fombo, PMHNP-BC - brand share 8.0%
Registered Nurse average
8% brand-name claims vs 92% generic, on 437 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.
437
Total Claims
$94K
Total Drug Cost
23
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 437
- Total Day Supply
- 12,821
- Brand vs Generic
- 8% brand / 92% generic
- Brand Drug Cost
- $80K
- Generic Drug Cost
- $13K
Patient Demographics
- Average Patient Age
- 45.3 years
- Avg HCC Risk Score
- 1.95
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Ephraim Fombo, PMHNP-BC prescribes most
Top Medicare Part D drugs by claim count, 2023
- Gabapentin
Gabapentin
41 claims
- Trazodone Hcl
Trazodone Hcl
37 claims
- Quetiapine Fumarate
Quetiapine Fumarate
33 claims
- Bupropion Xl
Bupropion Xl
31 claims
- Invega Sustenna
Invega Sustenna
28 claims
- Lorazepam
Lorazepam
28 claims
- Escitalopram Oxalate
Escitalopram Oxalate
26 claims
- Hydroxyzine Hcl
Hydroxyzine Hcl
26 claims
| Drug | Claims |
|---|---|
| Gabapentin | 41 |
| Trazodone Hcl | 37 |
| Quetiapine Fumarate | 33 |
| Bupropion Xl Bupropion Hcl | 31 |
| Invega Sustenna Paliperidone Palmitate | 28 |
| Lorazepam | 28 |
| Escitalopram Oxalate | 26 |
| Hydroxyzine Hcl | 26 |
| Divalproex Sodium | 20 |
| Atomoxetine Hcl | 16 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Registered Nurse Overview
How Ephraim Fombo, PMHNP-BC fits within the Registered Nurse landscape nationally.
175,652
Registered Nurse Providers in US
56
States with Registered Nurse
1,000
Avg Claims per Provider
Ephraim Fombo, PMHNP-BC's 437 claims are below the specialty average of 1,000.
Nearby Registered Nurse Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Fombo.
Dr. John Aalsma
R.N.
Hondo, TX
Mahum Aamir
Porter, TX
Jennifer Aanensen
San Antonio, TX
Dr. Tamieka Aaron
RN
Houston, TX
Robert Abad
San Antonio, TX
Compare Registered Nurse 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 Registered Nurse 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.
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
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How insurance networks affect your costs
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Frequently Asked Questions
What is Ephraim Fombo, PMHNP-BC's specialty? ▼
Ephraim Fombo, PMHNP-BC specializes in Registered Nurse and practices in San Antonio, Texas. Credentials: PMHNP-BC.
How much does Ephraim Fombo, PMHNP-BC prescribe under Medicare Part D? ▼
In 2023, Ephraim Fombo, PMHNP-BC wrote 437 Medicare Part D claims totaling $94K in drug costs for 23 beneficiaries.
Where is Ephraim Fombo, PMHNP-BC located? ▼
Ephraim Fombo, PMHNP-BC is located at 3031 W IH 10, San Antonio, TX, 78201. Phone: (210) 261-1000.
What is Ephraim Fombo, PMHNP-BC's NPI number? ▼
Ephraim Fombo, PMHNP-BC's National Provider Identifier (NPI) is 1134368327, issued on 02/11/2009.
Does Ephraim Fombo, PMHNP-BC prescribe more brand-name or generic drugs? ▼
Ephraim Fombo, PMHNP-BC's prescribing is 8% brand-name and 92% generic drugs by claim count, with $80K in brand drug costs.
How many Registered Nurse providers are there in the US? ▼
There are 175,652 Registered Nurse providers across 56 states in the US. The average Registered Nurse provider writes 1,000 Medicare Part D claims per year.
What drugs does Ephraim Fombo, PMHNP-BC prescribe most often? ▼
Based on 2023 Medicare Part D data, Ephraim Fombo, PMHNP-BC's most frequently prescribed drugs include Gabapentin, Trazodone Hcl, Quetiapine Fumarate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ephraim Fombo, PMHNP-BC accept Medicare? ▼
Ephraim Fombo, PMHNP-BC appears in CMS Medicare data with 437 Part D claims and 23 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ephraim Fombo, PMHNP-BC's credentials? ▼
Ephraim Fombo, PMHNP-BC's NPI is 1134368327 with credentials PMHNP-BC. 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.
- 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.