NPI registry status
Active
2026 NPPES data Physician Assistant NPI 1538892922
Verify on CMS → Randy Ramiscal
Physician Assistant in Rapid City, South Dakota.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 156,084 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
106
Medicare Part D claims · 55 beneficiaries · Physician Assistant avg: 832
What the federal data shows
Randy Ramiscal filed 106 Medicare Part D claims in 2024 as a Physician Assistant in Rapid City, South Dakota.
- 106
- Part D claims, 2024
- ≥34th
- pct by Part D claim volume (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.
Federal trust snapshot
What official records show about Randy Ramiscal
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1538892922), first enumerated 07/05/2022.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 106 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1538892922 · Physician Assistant
NPI-10 · ENUM-RECENT · TAX-MEGA · RX-LIGHT · BOOK-LIGHT · PHOTO-ENUM
- NPI-10 1538892922
- ENUM-RECENT 2022
- TAX-MEGA 156K Physician Assistant
- RX-LIGHT 106
- BOOK-LIGHT 631 in South Dakota
- PHOTO-ENUM Alexandra Seaman, PA · 2022
Randy Ramiscal's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
106 ≥ 34th percentile 34% of 1,416,883 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
What does the federal data show about Randy Ramiscal?
Quality data not reportedPrimary specialty
Physician Assistant
Medicare Part D claims
106 87% vs specialty avg
Specialty distribution in South Dakota
How Physician Assistant compares to other specialties among South Dakota providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Physician Assistant. Verify directly:
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
Provider Details
| NPI | 1538892922 |
|---|---|
| Specialty | Physician Assistant |
| Gender | Male |
| NPI Issued | 07/05/2022 |
Hospital and facility affiliations
Facilities where Randy Ramiscal 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.
Black Hills Orthopedic And Spine Center Inc
Rapid City, SD
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
106
Total Claims
$440
Total Drug Cost
55
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 106
- Total Day Supply
- 1,646
- Generic Drug Cost
- $436
- Opioid Claims
- 55 (51.9% rate)
- Antibiotic Claims
- 11
Patient Demographics
- Average Patient Age
- 70.0 years
- Avg HCC Risk Score
- 1.13
- Gender Split
- 65% female / 35% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Randy Ramiscal prescribes most
Top Medicare Part D drugs by claim count, 2024
- Meloxicam
Meloxicam
37 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
35 claims
- Tramadol Hcl 12
Tramadol Hcl
12 claims
| Drug | Claims |
|---|---|
| Meloxicam | 37 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 35 |
| Tramadol Hcl | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Physician Assistant Overview
How Randy Ramiscal fits within the Physician Assistant landscape nationally.
156,084
Physician Assistant Providers in US
56
States with Physician Assistant
832
Avg Claims per Provider
Randy Ramiscal's 106 claims are below the specialty average of 832.
Nationwide Physician Assistant peers with similar MIPS or enrollment year
Two federal-record peer sets for Ramiscal, both outside South Dakota so the neighborhoods are not geographic containment.
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 South Dakota
Other clinicians with the same primary specialty enrolled in South Dakota, drawn from the same CMS NPPES roster as Ramiscal.
One of 631 Physician Assistant providers enrolled in South Dakota, 5 are shown here.
Michael Aanderud
PA-C
Rapid City, SD
Benjamin Abbey
PA-C
Mitchell, SD
Julia Abraham
PA-C
Dell Rapids, SD
Riley Ackerman
Rapid City, SD
Amanda Adams
PA-C
Huron, SD
Compare Physician Assistant nationally: see state-by-state distribution →
Frequently Asked Questions
What is Randy Ramiscal's specialty? ▼
Randy Ramiscal specializes in Physician Assistant and practices in Rapid City, South Dakota.
How much does Randy Ramiscal prescribe under Medicare Part D? ▼
In 2024, Randy Ramiscal wrote 106 Medicare Part D claims totaling $440 in drug costs for 55 beneficiaries.
Where is Randy Ramiscal located? ▼
Randy Ramiscal is located at 7220 MOUNT RUSHMORE RD, Rapid City, SD, 57702. Phone: (605) 341-1414.
What is Randy Ramiscal's NPI number? ▼
Randy Ramiscal's National Provider Identifier (NPI) is 1538892922, issued on 07/05/2022.
Does Randy Ramiscal prescribe opioids? ▼
Yes, Randy Ramiscal had 55 opioid claims in 2024 with an opioid prescribing rate of 51.9%.
How many Physician Assistant providers are there in the US? ▼
There are 156,084 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 832 Medicare Part D claims per year.
What drugs does Randy Ramiscal prescribe most often? ▼
Based on 2024 Medicare Part D data, Randy Ramiscal's most frequently prescribed drugs include Meloxicam, Hydrocodone-Acetaminophen, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Randy Ramiscal accept Medicare? ▼
Randy Ramiscal appears in CMS Medicare data with 106 Part D claims and 55 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Randy Ramiscal's credentials? ▼
Randy Ramiscal's NPI is 1538892922. 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 (2024). 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 August 2026 (NPPES) / 2024 (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 August 2026.