2026 NPPES data Physician Assistant NPI 1356486021 NP, PA
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Randall Homer, NP, PA

Physician Assistant in Sacramento, California. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 149,975 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
2K
Medicare Part D claims · 184 beneficiaries · Physician Assistant avg: 790
Generic prescribing
37%
generic claims · 63% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$221.51
13 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Randall Homer, NP, PA filed 1,730 Medicare Part D claims in 2023 as a Physician Assistant in Sacramento, California, prescribing 37% generic.

2K
Part D claims, 2023
37%
generic prescribing
$221.51
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.

Randall Homer, NP, PA's Medicare Part D volume vs every U.S. prescriber

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

1,730 Top 17% higher than 83% 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%). This entry sits in this band. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. 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 Randall Homer, NP, PA?

Quality data not reported

NPI registry status

Active

Issued 02/21/2007

NPI 1356486021

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

1,730 119% vs specialty avg

2023 prescription claims

Specialty avg: 790

Specialty distribution in California

How Physician Assistant compares to other specialties among California providers

California providers

Largest specialties in California (% of in-state providers)

Behavior Technician — 17.3%Behavior Technician17.3%Marriage & Family Therapist — 5.5%Marriage & Family Therapist5.5%Student in an Organized Health Care Education/Training Program — 5%Student in an Organized Health Care Education/Training Program5%Mental Health Counselor — 3.9%Mental Health Counselor3.9%Pharmacist — 3.5%Pharmacist3.5%Clinical Social Worker — 3.1%Clinical Social Worker3.1%Physician Assistant — 1.4%Physician Assistant1.4%
Largest specialties in California (% of in-state providers)

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).

Randall Homer, NP, PA appears in the CMS NPPES registry as a Physician Assistant provider holding NP, PA credentials at 3941 J ST, Sacramento, CA, 95819, with a listed phone of (916) 733-6870. NPI 1356486021 was issued on 02/21/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Homer 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 1,730 prescription claims written by this provider, covering 184 Medicare beneficiaries and totaling roughly $1.0 million in drug spend, split 63% brand-name and 37% generic by claim count. 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

3941 J ST
Sacramento, CA 95819

Provider Details

NPI 1356486021
Specialty Physician Assistant
Credentials NP, PA
Gender Male
NPI Issued 02/21/2007

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 Randall Homer, NP, PA. Source: openpaymentsdata.cms.gov.

Total received

$222

Largest payer

Regeneron Healthcare Solutions, 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 — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to Randall Homer, NP, PA. To verify Randall Homer, NP, PA's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

Randall Homer, NP, PA — brand share 63.0%
Physician Assistant average

63% brand-name claims vs 37% generic, on 1,730 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.

1,730
Total Claims
$1.0M
Total Drug Cost
184
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,300
Total Day Supply
61,867
Brand vs Generic
63% brand / 37% generic
Brand Drug Cost
$858K
Generic Drug Cost
$166K
Antibiotic Claims
22

Patient Demographics

Average Patient Age
67.8 years
Avg HCC Risk Score
1.75
Gender Split
54% female / 46% male
Age Distribution
<65: 32, 65-74: 119, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What Randall Homer, NP, PA 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
Montelukast Sodium
237
Prednisone
201
Albuterol Sulfate Hfa
Albuterol Sulfate
167
Symbicort
Budesonide/Formoterol Fumarate
109
Incruse Ellipta
Umeclidinium Bromide
106
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
100
Ventolin Hfa
Albuterol Sulfate
99
Spiriva Respimat
Tiotropium Bromide
87
Breo Ellipta
Fluticasone/Vilanterol
82
Arnuity Ellipta
Fluticasone Furoate
76

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

Physician Assistant Overview

How Randall Homer, NP, PA fits within the Physician Assistant landscape nationally.

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

Randall Homer, NP, PA's 1,730 claims are above the specialty average of 790.

Nearby Physician Assistant Providers in California

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

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 California 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 Randall Homer, NP, PA's specialty?
Randall Homer, NP, PA specializes in Physician Assistant and practices in Sacramento, California. Credentials: NP, PA.
How much does Randall Homer, NP, PA prescribe under Medicare Part D?
In 2023, Randall Homer, NP, PA wrote 1,730 Medicare Part D claims totaling $1.0M in drug costs for 184 beneficiaries.
Where is Randall Homer, NP, PA located?
Randall Homer, NP, PA is located at 3941 J ST, Sacramento, CA, 95819. Phone: (916) 733-6870.
What is Randall Homer, NP, PA's NPI number?
Randall Homer, NP, PA's National Provider Identifier (NPI) is 1356486021, issued on 02/21/2007.
Does Randall Homer, NP, PA prescribe more brand-name or generic drugs?
Randall Homer, NP, PA's prescribing is 63% brand-name and 37% generic drugs by claim count, with $858K in brand drug costs.
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 Randall Homer, NP, PA prescribe most often?
Based on 2023 Medicare Part D data, Randall Homer, NP, PA's most frequently prescribed drugs include Montelukast Sodium, Prednisone, Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Randall Homer, NP, PA accept Medicare?
Randall Homer, NP, PA appears in CMS Medicare data with 1,730 Part D claims and 184 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Randall Homer, NP, PA's credentials?
Randall Homer, NP, PA's NPI is 1356486021 with credentials NP, 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

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.