2026 NPPES data Independent Duty Medical Technicians NPI 1538265913 M.D.
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JUANA ESPEJO, M.D.

Independent Duty Medical Technicians in PHARR, 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
6K
Medicare Part D claims · 325 beneficiaries · Independent Duty Medical Technicians avg: 1K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$111.54
6 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JUANA ESPEJO, M.D. is a Independent Duty Medical Technicians ([object Object]) practicing in PHARR, Texas with a Medicare Part D prescribing footprint of 6K claims across 325 beneficiaries — 15% brand-name prescribing . Industry payments of $111.54 across 6 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JUANA ESPEJO, M.D. filed 6,391 Medicare Part D claims in 2023 across PHARR, Texas. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

JUANA ESPEJO, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 09/15/2006

NPI 1538265913

Primary specialty

Independent Duty Medical Technicians

Niche

1,313 US NPIs in this specialty

Medicare Part D claims

6,391 356% vs specialty avg

2023 prescription claims

Specialty avg: 1,401

Specialty distribution in Texas

How Independent Duty Medical Technicians compares to other specialties among Texas providers

Texas providers

Independent Duty Medical Technicians share within Texas

1. Independent Duty Medical Technicians42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Independent Duty Medical Technicians share within Texas

Specialty board-certification context

Estimated specialty board-certified rate — Independent Duty Medical Technicians (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Independent Duty Medical Technicians ABMS/AOA estimate

Est. board-certified rate (Independent Duty Medical Technicians) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Independent Duty Medical Technicians) — 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).

JUANA ESPEJO, M.D. is a Independent Duty Medical Technicians provider practicing in PHARR, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1538265913. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JUANA ESPEJO, M.D. appears in the CMS NPPES registry as a Independent Duty Medical Technicians provider holding M.D. credentials at 2404 S CAGE BLVD, PHARR, TX, 78577, with a listed phone of (956) 212-6486. NPI 1538265913 was issued on 09/15/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ESPEJO 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 6,391 prescription claims written by this provider, covering 325 Medicare beneficiaries and totaling roughly $1.0 million in drug spend, split 15% brand-name and 85% generic by claim count, with an opioid prescribing rate of 1.5%. 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.

Independent Duty Medical Technicians is a narrow specialty nationwide, with 1,313 enrolled providers across 51 states and an average of 1,401 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

2404 S CAGE BLVD
PHARR, TX 78577

Provider Details

NPI 1538265913
Specialty Independent Duty Medical Technicians
Credentials M.D.
Gender Female
NPI Issued 09/15/2006

Hospital and facility affiliations

Facilities where JUANA ESPEJO, M.D. 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.

JUANA MARIA ESPEJO MD PA
PHARR, 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 JUANA ESPEJO, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$112

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 JUANA ESPEJO, M.D.. To verify JUANA ESPEJO, M.D.'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

JUANA ESPEJO, M.D. — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 6,391 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.

6,391
Total Claims
$1.0M
Total Drug Cost
325
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
13,834
Total Day Supply
399,194
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$877K
Generic Drug Cost
$163K
Opioid Claims
98 (1.5% rate)
Antibiotic Claims
262

Patient Demographics

Average Patient Age
72.4 years
Avg HCC Risk Score
1.49
Gender Split
64% female / 36% male
Age Distribution
<65: 39, 65-74: 164, 75-84: 83, 85+: 39

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
350
Metoprolol Succinate
291
Levothyroxine Sodium
233
Amlodipine Besylate
216
Losartan Potassium
195
Metformin Hcl
177
Gabapentin
155
Omeprazole
118
Rosuvastatin Calcium
114
Famotidine
112

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

Independent Duty Medical Technicians Overview

How JUANA ESPEJO, M.D. fits within the Independent Duty Medical Technicians landscape nationally.

1,313
Independent Duty Medical Technicians Providers in US
51
States with Independent Duty Medical Technicians
1,401
Avg Claims per Provider

JUANA ESPEJO, M.D.'s 6,391 claims are above the specialty average of 1,401.

Nearby Independent Duty Medical Technicians Providers in Texas

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

Compare Independent Duty Medical Technicians nationally: see state-by-state distribution →

Frequently Asked Questions

What is JUANA ESPEJO, M.D.'s specialty?
JUANA ESPEJO, M.D. specializes in Independent Duty Medical Technicians and practices in PHARR, Texas. Credentials: M.D..
How much does JUANA ESPEJO, M.D. prescribe under Medicare Part D?
In 2023, JUANA ESPEJO, M.D. wrote 6,391 Medicare Part D claims totaling $1.0M in drug costs for 325 beneficiaries.
Where is JUANA ESPEJO, M.D. located?
JUANA ESPEJO, M.D. is located at 2404 S CAGE BLVD, PHARR, TX, 78577. Phone: (956) 212-6486.
What is JUANA ESPEJO, M.D.'s NPI number?
JUANA ESPEJO, M.D.'s National Provider Identifier (NPI) is 1538265913, issued on 09/15/2006.
Does JUANA ESPEJO, M.D. prescribe more brand-name or generic drugs?
JUANA ESPEJO, M.D.'s prescribing is 15% brand-name and 85% generic drugs by claim count, with $877K in brand drug costs.
Does JUANA ESPEJO, M.D. prescribe opioids?
Yes, JUANA ESPEJO, M.D. had 98 opioid claims in 2023 with an opioid prescribing rate of 1.5%.
How many Independent Duty Medical Technicians providers are there in the US?
There are 1,313 Independent Duty Medical Technicians providers across 51 states in the US. The average Independent Duty Medical Technicians provider writes 1,401 Medicare Part D claims per year.
What drugs does JUANA ESPEJO, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JUANA ESPEJO, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Metoprolol Succinate, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JUANA ESPEJO, M.D. accept Medicare?
JUANA ESPEJO, M.D. appears in CMS Medicare data with 6,391 Part D claims and 325 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JUANA ESPEJO, M.D.'s credentials?
JUANA ESPEJO, M.D.'s NPI is 1538265913 with credentials M.D.. 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