2026 NPPES data Physician Assistant NPI 1225659006 PA-C
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Thomas Hernandez, PA-C

Physician Assistant in Larkspur, California. 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
4K
Medicare Part D claims · 417 beneficiaries · Physician Assistant avg: 790
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Thomas Hernandez, PA-C reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 4,013 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
4K
Part D claims, 2023
82%
generic prescribing

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.

Thomas Hernandez, PA-C's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

100 Top 7% higher than 93% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023

Where Thomas Hernandez, PA-C sits

This provider among physician assistant peers

Across the 27,054 physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Thomas Hernandez, PA-C writes more Part D claims than 97% of them and scores higher on MIPS quality than 93% — placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume — percentile in specialtyMIPS quality — percentile
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one physician assistant peer from a representative sample of 60; the gold marker is Thomas Hernandez, PA-C. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Thomas Hernandez, PA-C?

High performer (top quartile)

NPI registry status

Active

Issued 05/03/2020

NPI 1225659006

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

4,013 vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

100/100 16.9 pts vs avg

Exceptional band

vs 83.1 national avg

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 Technician17.3%Marriage & Family Therapist5.5%Student in an Organized Health Care Education/Training Program5%Mental Health Counselor3.9%Pharmacist3.5%Clinical Social Worker3.1%Physician Assistant1.4%
Largest specialties in California (% of in-state providers)

Medicare quality performance — MIPS

Thomas Hernandez, PA-C's 2023 MIPS final score plotted against the Physician Assistant national average

High performer (top quartile)
MIPS Final Score
100/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Physician Assistant) — 100/100 vs national avg 83.1

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).

Thomas Hernandez, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 2 BON AIR RD STE 100, Larkspur, CA, 94939, with a listed phone of (415) 927-0666. NPI 1225659006 was issued on 05/03/2020. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Hernandez 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 4,013 prescription claims written by this provider, covering 417 Medicare beneficiaries and totaling roughly $710K in drug spend, split 18% brand-name and 82% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year, 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.

Practice Address

2 BON AIR RD STE 100
Larkspur, CA 94939

Provider Details

NPI 1225659006
Specialty Physician Assistant
Credentials PA-C
Gender Male
NPI Issued 05/03/2020

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

100
Final Score
Avg: 83.1
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Thomas Hernandez, PA-C 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.

Regents Univ OF California Ucsf
San Francisco, CA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

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 Thomas Hernandez, PA-C. To verify Thomas Hernandez, PA-C'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 · Typical

Thomas Hernandez, PA-C — brand share 18.0%
Physician Assistant average

18% brand-name claims vs 82% generic, on 4,013 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.

4,013
Total Claims
$710K
Total Drug Cost
417
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
8,984
Total Day Supply
267,974
Brand vs Generic
18% brand / 82% generic
Brand Drug Cost
$635K
Generic Drug Cost
$75K

Patient Demographics

Average Patient Age
74.4 years
Avg HCC Risk Score
1.61
Gender Split
49% female / 51% male
Age Distribution
<65: 39, 65-74: 182, 75-84: 137, 85+: 59

Top Prescribed Drugs (Medicare Part D)

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

What Thomas Hernandez, 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
Metoprolol Succinate
510
Atorvastatin Calcium
334
Warfarin Sodium
278
Amlodipine Besylate
269
Eliquis
Apixaban
225
Rosuvastatin Calcium
217
Jardiance
Empagliflozin
202
Lisinopril
202
Carvedilol
191
Spironolactone
180

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

Physician Assistant Overview

How Thomas Hernandez, 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

Thomas Hernandez, PA-C's 4,013 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 Hernandez.

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 Thomas Hernandez, PA-C's specialty?
Thomas Hernandez, PA-C specializes in Physician Assistant and practices in Larkspur, California. Credentials: PA-C.
How much does Thomas Hernandez, PA-C prescribe under Medicare Part D?
In 2023, Thomas Hernandez, PA-C wrote 4,013 Medicare Part D claims totaling $710K in drug costs for 417 beneficiaries.
What is Thomas Hernandez, PA-C's Medicare quality score?
Thomas Hernandez, PA-C has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Thomas Hernandez, PA-C located?
Thomas Hernandez, PA-C is located at 2 BON AIR RD STE 100, Larkspur, CA, 94939. Phone: (415) 927-0666.
What is Thomas Hernandez, PA-C's NPI number?
Thomas Hernandez, PA-C's National Provider Identifier (NPI) is 1225659006, issued on 05/03/2020.
Does Thomas Hernandez, PA-C prescribe more brand-name or generic drugs?
Thomas Hernandez, PA-C's prescribing is 18% brand-name and 82% generic drugs by claim count, with $635K 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 Thomas Hernandez, PA-C prescribe most often?
Based on 2023 Medicare Part D data, Thomas Hernandez, PA-C's most frequently prescribed drugs include Metoprolol Succinate, Atorvastatin Calcium, Warfarin Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Thomas Hernandez, PA-C accept Medicare?
Thomas Hernandez, PA-C appears in CMS Medicare data with 4,013 Part D claims and 417 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Thomas Hernandez, PA-C's credentials?
Thomas Hernandez, PA-C's NPI is 1225659006 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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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.