2026 NPPES data Physician Assistant NPI 1194471433 PA
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Melanie Perez, PA

Physician Assistant in Harlingen, 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 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
30
Medicare Part D claims · 21 beneficiaries · Physician Assistant avg: 790
MIPS score
81.4/100
▼ 2 pts below national avg 83.5 · Above neutral
Industry payments
$40.08
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Melanie Perez, PA reported a CMS MIPS final score of 81.4/100 - below the 83.5 national average - and filed 30 Medicare Part D claims in 2023.

81.4/100
MIPS score · -2 vs avg
30
Part D claims, 2023
$40.08
industry payments (Sunshine Act)
≥32nd
pct among measured MIPS (lower-bound band)

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.

CMS NPPES provider registry desk

NPI 1194471433 · Physician Assistant

NPI-10 · ENUM-RECENT · TAX-MEGA · MIPS-INLINE · RX-TRACE · BOOK-MID · PHOTO-FINISH

  • NPI-10 1194471433
  • ENUM-RECENT 2022
  • TAX-MEGA 151K Physician Assistant
  • MIPS-INLINE 81.4/100
  • RX-TRACE 30
  • BOOK-MID 9,933 in Texas
  • PHOTO-FINISH Maryann Beach · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Melanie Perez, PA's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

81 ≥ 32nd percentile 32% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

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

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

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

Where Melanie Perez, PA sits

This provider among physician assistant peers

Across the 26,497 physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Melanie Perez, PA writes more Part D claims than 7% of them and scores higher on MIPS quality than 33% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 67Melanie Perez, PA, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 33
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 Melanie Perez, PA. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Melanie Perez, PA?

Near national average

NPI registry status

Active

Issued 02/24/2022

NPI 1194471433

Primary specialty

Physician Assistant

High-volume

150,974 US NPIs in this specialty

Medicare Part D claims

30 96% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

81.4/100 2.1 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Texas

How Physician Assistant compares to other specialties among Texas providers

Texas providers
Behavior Technician5.6%Student in an Organized Heal…5.1%Family Nurse Practitioner4.5%Professional Counselor4.4%Pharmacist4.4%Speech-Language Pathologist3.9%Physician Assistant2.4%
Largest specialties in Texas (% of in-state providers)

Medicare quality performance, MIPS

Melanie Perez, PA's 2023 MIPS final score plotted against the Physician Assistant national average

Near national average
MIPS Final Score
81.4/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%81.4%
MIPS final score (Physician Assistant) - 81.4/100 vs national avg 83.5
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).

Practice Address

614 MACO DR
Harlingen, TX 78550

Provider Details

NPI 1194471433
Specialty Physician Assistant
Credentials PA
Gender Female
NPI Issued 02/24/2022

CMS Quality Score (MIPS)

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

81.4423
Final Score
Measured-score avg: 83.5
65.8349
Quality
49.2365
Cost
98
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Melanie Perez, PA 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.

University OF Texas Rio Grande Valley
Harlingen, 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 Melanie Perez, PA. Source: openpaymentsdata.cms.gov.

Total received

$40

Largest payer

Nevro Corp.

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 Melanie Perez, PA. To verify Melanie Perez, PA'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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

30
Total Claims
$177
Total Drug Cost
21
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
30
Total Day Supply
234
Brand Drug Cost
$0
Generic Drug Cost
$177
Opioid Claims
14 (46.7% rate)

Patient Demographics

Average Patient Age
70.4 years
Avg HCC Risk Score
1.76

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Acetaminophen-Codeine
Acetaminophen With Codeine
13

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

Physician Assistant Overview

How Melanie Perez, PA fits within the Physician Assistant landscape nationally.

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

Melanie Perez, PA's 30 claims are below the specialty average of 790.

Nationwide Physician Assistant peers with similar MIPS or enrollment year

Two federal-record peer sets for Perez, both outside Texas so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (81.4 here).

Same NPPES enumeration year (2022)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Physician Assistant Providers in Texas

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

One of 9,933 Physician Assistant providers enrolled in Texas, 5 are shown here.

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

Frequently Asked Questions

What is Melanie Perez, PA's specialty?
Melanie Perez, PA specializes in Physician Assistant and practices in Harlingen, Texas. Credentials: PA.
How much does Melanie Perez, PA prescribe under Medicare Part D?
In 2023, Melanie Perez, PA wrote 30 Medicare Part D claims totaling $177 in drug costs for 21 beneficiaries.
What is Melanie Perez, PA's Medicare quality score?
Melanie Perez, PA has a CMS MIPS Final Score of 81.4/100 (Quality: 65.8, Cost: 49.2). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Melanie Perez, PA located?
Melanie Perez, PA is located at 614 MACO DR, Harlingen, TX, 78550. Phone: (956) 296-7000.
What is Melanie Perez, PA's NPI number?
Melanie Perez, PA's National Provider Identifier (NPI) is 1194471433, issued on 02/24/2022.
Does Melanie Perez, PA prescribe opioids?
Yes, Melanie Perez, PA had 14 opioid claims in 2023 with an opioid prescribing rate of 46.7%.
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 Melanie Perez, PA prescribe most often?
Based on 2023 Medicare Part D data, Melanie Perez, PA's most frequently prescribed drugs include Acetaminophen-Codeine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Melanie Perez, PA accept Medicare?
Melanie Perez, PA appears in CMS Medicare data with 30 Part D claims and 21 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Melanie Perez, PA's credentials?
Melanie Perez, PA's NPI is 1194471433 with credentials PA. 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

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.