Paulina Purnama, PA-C
Surgical Physician Assistant · Fort Worth, TX
Paulina Purnama, PA-C is a surgical physician assistant with a practice address in Fort Worth, Texas, and NPI 1275724981, issued on Aug 7, 2007. Check the license (Texas PA11021, as entered in NPPES) with the Texas board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Paulina Purnama
- Credential
- PA-C
- Primary taxonomy
- Surgical Physician Assistant 363AS0400X
- License number
- PA11021 TX
Self-reported in NPPES; status is on the state search - Practice location
- 800 12TH Ave Ste 200, Fort Worth, TX 76104
- Phone
- (214) 631-9881
- Enumerated
- Aug 7, 2007
- Record last updated
- May 3, 2025
- Fax
- (469) 482-2526
- Medicare enrollment
- Enrolled (PECOS I20170509000883); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest surgical physician assistant records → All 1,350 in Texas → Look up another NPI →
Also registered at 800 12TH Ave Ste 200
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Bantoo Sehgal, M.D.Sports Medicine (Orthopaedic Surgery) Physician1558677690
Verify Paulina Purnama in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Texas board licenses this profession
Search for license PA11021Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
91% fewer Medicare Part D claims than the average surgical physician assistant in 2024
27 Medicare Part D claims for 12 beneficiaries, against an average of 304 among the 10,174 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $847.75
9 payments; by number, the most common kind was food and beverage; the largest payer was Pylant Medical. The 7,578 providers of this specialty with any payment received $703.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Southlake Orthopedics And Sports Medicine PLLCFort Worth, TX
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Paulina Purnama among 1,350 surgical physician assistant records in Texas
Paulina Purnama, PA-C is one of 1,350 surgical physician assistant records with a practice address in Texas. 55% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 20% of them.
- NPI issued2007 · 20% of these records are older, 70% newer
- In a Medicare fileYes · 55% of these records are
- In the CMS Doctors and Clinicians fileYes · 46% of these records are
- Graduated2007 · median 2016 among the 617 with a school on file
- Record last updated2025 · 52% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AS0400X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Surgical Physician Assistant providers in Texas
There are 1,350 surgical physician assistant records in Texas.
All 1,350 in Texas → Every provider in Fort Worth → Surgical Physician Assistant nationwide →
The 8 surgical physician assistant records with the nearest ZIP codes
- Manjot Gill, P.A.Fort Worth, TX 761041386924801
- Jacqueline Harris, P.A.-C.Fort Worth, TX 761041821016403
- William Henderson, PA-CFort Worth, TX 761041225375736
- Danisha HuddlestonFort Worth, TX 761041184064792
- Grant Kirby, PACFort Worth, TX 761041578574653
- Cassie Ringhoffer, PA-CFort Worth, TX 761041528303658
- Shakeel Sharif, P.A.Fort Worth, TX 761041417099441
- Natalia Tan, PA-CFort Worth, TX 761041851674998
Common questions
What is Paulina Purnama, PA-C's NPI number?
Paulina Purnama, PA-C's National Provider Identifier (NPI) is 1275724981, issued on Aug 7, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Paulina Purnama, PA-C located?
The NPPES record lists a practice address at 800 12TH Ave Ste 200, Fort Worth, TX, 76104. Phone: (214) 631-9881. Providers update this record themselves, so call before visiting.
How can I verify Paulina Purnama, PA-C's license?
NPPES lists Texas license number PA11021, as entered by the provider. Search the Texas board that licenses this profession; the NPPES record confirms identity only.
How much does Paulina Purnama, PA-C prescribe under Medicare Part D?
In 2024, Paulina Purnama, PA-C had 27 Medicare Part D claims for 12 beneficiaries; the average among surgical physician assistant prescribers was 304. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.