2026 NPPES data Physician Assistant NPI 1780205526
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FRANCISCO RUGAMA

Physician Assistant in MISSION, 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
4K
Medicare Part D claims · 342 beneficiaries · Physician Assistant avg: 790
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.3K
87 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

FRANCISCO RUGAMA filed 3,546 Medicare Part D claims in 2023 as a Physician Assistant in MISSION, Texas, prescribing 87% generic.

4K
Part D claims, 2023
87%
generic prescribing
$1.3K
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.

FRANCISCO RUGAMA's Medicare Part D volume vs every U.S. prescriber

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

3,546 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 FRANCISCO RUGAMA?

Quality data not reported

NPI registry status

Active

Issued 05/04/2020

NPI 1780205526

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

3,546 349% 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).

FRANCISCO RUGAMA appears in the CMS NPPES registry as a Physician Assistant provider at 2121 E GRIFFIN PKWY STE 4, MISSION, TX, 78572, with a listed phone of (956) 581-2771. NPI 1780205526 was issued on 05/04/2020. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what RUGAMA 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 3,546 prescription claims written by this provider, covering 342 Medicare beneficiaries and totaling roughly $464K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 2.7%. 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

2121 E GRIFFIN PKWY STE 4
MISSION, TX 78572

Provider Details

NPI 1780205526
Specialty Physician Assistant
Gender Male
NPI Issued 05/04/2020

Hospital and facility affiliations

Facilities where FRANCISCO RUGAMA 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.

DONNA MEDICAL CLINIC, PLLC
DONNA, 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 FRANCISCO RUGAMA. Source: openpaymentsdata.cms.gov.

Total received

$1.3K

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 — 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 FRANCISCO RUGAMA. To verify FRANCISCO RUGAMA'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

FRANCISCO RUGAMA — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 3,546 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.

3,546
Total Claims
$464K
Total Drug Cost
342
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,809
Total Day Supply
188,453
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$377K
Generic Drug Cost
$87K
Opioid Claims
97 (2.7% rate)
Antibiotic Claims
242

Patient Demographics

Average Patient Age
74.3 years
Avg HCC Risk Score
1.60
Gender Split
56% female / 44% male
Age Distribution
<65: 37, 65-74: 137, 75-84: 128, 85+: 40

Top Prescribed Drugs (Medicare Part D)

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

What FRANCISCO RUGAMA 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
Atorvastatin Calcium
131
Levothyroxine Sodium
125
Alprazolam
96
Azithromycin
90
Metoprolol Succinate
78
Losartan Potassium
77
Montelukast Sodium
76
Fluticasone Propionate
72
Metformin Hcl
70
Rosuvastatin Calcium
66

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

Physician Assistant Overview

How FRANCISCO RUGAMA fits within the Physician Assistant landscape nationally.

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

FRANCISCO RUGAMA's 3,546 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 RUGAMA.

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

Frequently Asked Questions

What is FRANCISCO RUGAMA's specialty?
FRANCISCO RUGAMA specializes in Physician Assistant and practices in MISSION, Texas.
How much does FRANCISCO RUGAMA prescribe under Medicare Part D?
In 2023, FRANCISCO RUGAMA wrote 3,546 Medicare Part D claims totaling $464K in drug costs for 342 beneficiaries.
Where is FRANCISCO RUGAMA located?
FRANCISCO RUGAMA is located at 2121 E GRIFFIN PKWY STE 4, MISSION, TX, 78572. Phone: (956) 581-2771.
What is FRANCISCO RUGAMA's NPI number?
FRANCISCO RUGAMA's National Provider Identifier (NPI) is 1780205526, issued on 05/04/2020.
Does FRANCISCO RUGAMA prescribe more brand-name or generic drugs?
FRANCISCO RUGAMA's prescribing is 13% brand-name and 87% generic drugs by claim count, with $377K in brand drug costs.
Does FRANCISCO RUGAMA prescribe opioids?
Yes, FRANCISCO RUGAMA had 97 opioid claims in 2023 with an opioid prescribing rate of 2.7%.
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 FRANCISCO RUGAMA prescribe most often?
Based on 2023 Medicare Part D data, FRANCISCO RUGAMA's most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Alprazolam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does FRANCISCO RUGAMA accept Medicare?
FRANCISCO RUGAMA appears in CMS Medicare data with 3,546 Part D claims and 342 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify FRANCISCO RUGAMA's credentials?
FRANCISCO RUGAMA's NPI is 1780205526. 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