2026 NPPES data Physician Assistant NPI 1649268913 PAC
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Guadalupe Dominguez, PAC

Physician Assistant in North Las Vegas, Nevada.

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
3K
Medicare Part D claims · 354 beneficiaries · Physician Assistant avg: 790
Generic prescribing
85%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.2K
68 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Guadalupe Dominguez, PAC filed 2,823 Medicare Part D claims in 2023 as a Physician Assistant in North Las Vegas, Nevada, prescribing 85% generic.

3K
Part D claims, 2023
85%
generic prescribing
$1.2K
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.

Guadalupe Dominguez, PAC's Medicare Part D volume vs every U.S. prescriber

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

2,823 Top 12% higher than 88% 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. 2K+: 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 Guadalupe Dominguez, PAC?

Quality data not reported

NPI registry status

Active

Issued 10/11/2005

NPI 1649268913

Primary specialty

Physician Assistant

High-volume

150,974 US NPIs in this specialty

Medicare Part D claims

2,823 257% vs specialty avg

2023 prescription claims

Specialty avg: 790

Specialty distribution in Nevada

How Physician Assistant compares to other specialties among Nevada providers

Nevada providers
Personal Care Attendant - 25.1%Personal Care Attendant25.1%Behavior Technician - 6.3%Behavior Technician6.3%Rehabilitation Practitioner - 5.6%Rehabilitation Practitioner5.6%Behavior Analyst - 4.7%Behavior Analyst4.7%Chore Provider - 4.5%Chore Provider4.5%Mental Health Counselor - 2.6%Mental Health Counselor2.6%Physician Assistant - 1.1%Physician Assistant1.1%
Largest specialties in Nevada (% of in-state 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 Physician Assistant. 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).

Guadalupe Dominguez, PAC appears in the CMS NPPES registry as a Physician Assistant provider holding PAC credentials at 1905 CIVIC CENTER DR, North Las Vegas, NV, 89030, with a listed phone of (702) 877-9514. NPI 1649268913 was issued on 10/11/2005.

Medicare Part D records for calendar year 2023 show 2,823 prescription claims written by this provider, covering 354 Medicare beneficiaries and totaling roughly $444K in drug spend, split 14% brand-name and 85% generic by claim count.

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

1905 CIVIC CENTER DR
North Las Vegas, NV 89030

Provider Details

NPI 1649268913
Specialty Physician Assistant
Credentials PAC
Gender Female
NPI Issued 10/11/2005

Hospital and facility affiliations

Facilities where Guadalupe Dominguez, PAC 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.

Vishal Gandotra MD Inc
North Las Vegas, NV

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 Guadalupe Dominguez, PAC. Source: openpaymentsdata.cms.gov.

Total received

$1.2K

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.

Brand vs generic prescribing mix · Typical

Guadalupe Dominguez, PAC - brand share 14.0%
Physician Assistant average

14% brand-name claims vs 85% generic, on 2,823 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.

2,823
Total Claims
$444K
Total Drug Cost
354
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,866
Total Day Supply
203,000
Brand vs Generic
14% brand / 85% generic
Brand Drug Cost
$407K
Generic Drug Cost
$34K
Antibiotic Claims
53

Patient Demographics

Average Patient Age
70.0 years
Avg HCC Risk Score
1.18
Gender Split
68% female / 32% male
Age Distribution
<65: 42, 65-74: 227, 75-84: 74, 85+: 11

Top Prescribed Drugs (Medicare Part D)

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

What Guadalupe Dominguez, PAC 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
305
Metformin Hcl
233
Lisinopril
152
Amlodipine Besylate
132
Losartan Potassium
117
Hydrochlorothiazide
107
Levothyroxine Sodium
83
Omeprazole
78
Jardiance
Empagliflozin
64
Diclofenac Sodium
53

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

Physician Assistant Overview

How Guadalupe Dominguez, PAC fits within the Physician Assistant landscape nationally.

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

Guadalupe Dominguez, PAC's 2,823 claims are above the specialty average of 790.

Nearby Physician Assistant Providers in Nevada

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

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 Nevada 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 Guadalupe Dominguez, PAC's specialty?
Guadalupe Dominguez, PAC specializes in Physician Assistant and practices in North Las Vegas, Nevada. Credentials: PAC.
How much does Guadalupe Dominguez, PAC prescribe under Medicare Part D?
In 2023, Guadalupe Dominguez, PAC wrote 2,823 Medicare Part D claims totaling $444K in drug costs for 354 beneficiaries.
Where is Guadalupe Dominguez, PAC located?
Guadalupe Dominguez, PAC is located at 1905 CIVIC CENTER DR, North Las Vegas, NV, 89030. Phone: (702) 877-9514.
What is Guadalupe Dominguez, PAC's NPI number?
Guadalupe Dominguez, PAC's National Provider Identifier (NPI) is 1649268913, issued on 10/11/2005.
Does Guadalupe Dominguez, PAC prescribe more brand-name or generic drugs?
Guadalupe Dominguez, PAC's prescribing is 14% brand-name and 85% generic drugs by claim count, with $407K in brand drug costs.
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 Guadalupe Dominguez, PAC prescribe most often?
Based on 2023 Medicare Part D data, Guadalupe Dominguez, PAC's most frequently prescribed drugs include Atorvastatin Calcium, Metformin Hcl, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Guadalupe Dominguez, PAC accept Medicare?
Guadalupe Dominguez, PAC appears in CMS Medicare data with 2,823 Part D claims and 354 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Guadalupe Dominguez, PAC's credentials?
Guadalupe Dominguez, PAC's NPI is 1649268913 with credentials PAC. 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.

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.