RYAN TOGNOTTI, PAC appears in the CMS NPPES registry as a Physician Assistant provider holding PAC credentials at 973 MICA DR. SUITE 201, CARSON CITY, NV, 89705, with a listed phone of (775) 783-6109. NPI 1053939611 was issued on 07/10/2020. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what TOGNOTTI 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 127 prescription claims written by this provider, covering 78 Medicare beneficiaries and totaling roughly $912 in drug spend, with an opioid prescribing rate of 38.6%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.5901/100 for the 2023 performance year (Quality 85.0511), compared with the national average of 83.1.

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.