2026 NPPES data Physician Assistant NPI 1376064162 PA-C
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Peter Maldonado, PA-C

Physician Assistant in Los Fresnos, 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
5K
Medicare Part D claims · 341 beneficiaries · Physician Assistant avg: 790
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$518.76
27 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Peter Maldonado, PA-C filed 4,837 Medicare Part D claims in 2023 as a Physician Assistant in Los Fresnos, Texas, prescribing 85% generic.

5K
Part D claims, 2023
85%
generic prescribing
$518.76
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.

Peter Maldonado, PA-C's Medicare Part D volume vs every U.S. prescriber

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

4,837 Top 7% higher than 93% 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 Peter Maldonado, PA-C?

Quality data not reported

NPI registry status

Active

Issued 06/30/2017

NPI 1376064162

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

4,837 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).

Peter Maldonado, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 725 W OCEAN BLVD, Los Fresnos, TX, 78566, with a listed phone of (956) 233-3443. NPI 1376064162 was issued on 06/30/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Maldonado 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 4,837 prescription claims written by this provider, covering 341 Medicare beneficiaries and totaling roughly $798K in drug spend, split 15% brand-name and 85% generic by claim count, with an opioid prescribing rate of 1.4%. 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

725 W OCEAN BLVD
Los Fresnos, TX 78566

Provider Details

NPI 1376064162
Specialty Physician Assistant
Credentials PA-C
Gender Male
NPI Issued 06/30/2017

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 Peter Maldonado, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$519

Largest payer

Lilly USA, LLC

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 Peter Maldonado, PA-C. To verify Peter Maldonado, PA-C'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

Peter Maldonado, PA-C — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 4,837 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.

4,837
Total Claims
$798K
Total Drug Cost
341
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
10,402
Total Day Supply
294,453
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$696K
Generic Drug Cost
$98K
Opioid Claims
68 (1.4% rate)
Antibiotic Claims
306

Patient Demographics

Average Patient Age
68.5 years
Avg HCC Risk Score
1.41
Gender Split
51% female / 49% male
Age Distribution
<65: 69, 65-74: 179, 75-84: 72, 85+: 21

Top Prescribed Drugs (Medicare Part D)

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

What Peter Maldonado, PA-C 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
238
Lisinopril
224
Losartan Potassium
192
Metformin Hcl
176
Levothyroxine Sodium
155
Amlodipine Besylate
124
Rosuvastatin Calcium
109
Ozempic
Semaglutide
106
Tamsulosin Hcl
86
Fluticasone Propionate
84

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

Physician Assistant Overview

How Peter Maldonado, PA-C fits within the Physician Assistant landscape nationally.

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

Peter Maldonado, PA-C's 4,837 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 Maldonado.

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 Texas 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 Peter Maldonado, PA-C's specialty?
Peter Maldonado, PA-C specializes in Physician Assistant and practices in Los Fresnos, Texas. Credentials: PA-C.
How much does Peter Maldonado, PA-C prescribe under Medicare Part D?
In 2023, Peter Maldonado, PA-C wrote 4,837 Medicare Part D claims totaling $798K in drug costs for 341 beneficiaries.
Where is Peter Maldonado, PA-C located?
Peter Maldonado, PA-C is located at 725 W OCEAN BLVD, Los Fresnos, TX, 78566. Phone: (956) 233-3443.
What is Peter Maldonado, PA-C's NPI number?
Peter Maldonado, PA-C's National Provider Identifier (NPI) is 1376064162, issued on 06/30/2017.
Does Peter Maldonado, PA-C prescribe more brand-name or generic drugs?
Peter Maldonado, PA-C's prescribing is 15% brand-name and 85% generic drugs by claim count, with $696K in brand drug costs.
Does Peter Maldonado, PA-C prescribe opioids?
Yes, Peter Maldonado, PA-C had 68 opioid claims in 2023 with an opioid prescribing rate of 1.4%.
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 Peter Maldonado, PA-C prescribe most often?
Based on 2023 Medicare Part D data, Peter Maldonado, PA-C's most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Losartan Potassium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Peter Maldonado, PA-C accept Medicare?
Peter Maldonado, PA-C appears in CMS Medicare data with 4,837 Part D claims and 341 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Peter Maldonado, PA-C's credentials?
Peter Maldonado, PA-C's NPI is 1376064162 with credentials PA-C. 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