Gourab Das
Physician Assistant • Encinitas, CA
477 N El Camino Real, Suite # A200
Encinitas, CA 920241328
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on June 2, 2014; this date does not establish years in practice.
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Published CMS data list 1,349 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 — Established patient outpatient office visit: 470 service units.
- G2211 — Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's: 258 service units.
- 36415 — Insertion of needle into vein for collection of blood sample: 78 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 17 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 6,199 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Losartan Potassium — 375 prescription fills, including refills.
- Atorvastatin Calcium — 370 prescription fills, including refills.
- Alprazolam — 274 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 125 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 75% of clinicians listed under Physician Assistant in Encinitas, CA (2024, 20 clinicians with data). Median for this group: 365. Middle half: 177 to 1,024.
More Medicare Part B services than 85% of clinicians listed under Physician Assistant in California (2024, 4,833 clinicians with data). Median for this group: 198. Middle half: 71 to 535.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 257 in 2020 to 1,349 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
477 N El Camino Real
Suite # A200
Encinitas, CA 920241328
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Monica Perlman Md Inc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Stanford University School Of Medicine
2014
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
236 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $95,419 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $73,047 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
12,999 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$320,803 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $662.94 across 27 records.
By nature of payment
- Food and Beverage: $662.94 across 27 records.
Reporting-company totals (3 largest of 13)
- AstraZeneca Pharmaceuticals LP: $232.20 across 7 records.
- Exact Sciences Corporation: $99.49 across 5 records.
- Novo Nordisk Inc: $78.09 across 4 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
12 years (graduated 2014)
CMS Doctors and Clinicians data list 2014 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2014
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Gourab Das has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Gourab Das as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Encinitas and California
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 75% of clinicians listed under Physician Assistant in Encinitas, CA (2024, 20 clinicians with data). Median for this group: 365. Middle half: 177 to 1,024.
More Medicare Part B services than 85% of clinicians listed under Physician Assistant in California (2024, 4,833 clinicians with data). Median for this group: 198. Middle half: 71 to 535.
Medicare-allowed amount
A higher Medicare-allowed amount than 75% of clinicians listed under Physician Assistant in Encinitas, CA (2024, 20 clinicians with data). Median for this group: $30,428. Middle half: $14,644 to $81,953.
A higher Medicare-allowed amount than 90% of clinicians listed under Physician Assistant in California (2024, 4,833 clinicians with data). Median for this group: $18,173. Middle half: $6,666 to $41,587.
Paid by Medicare
A higher Medicare payment amount than 75% of clinicians listed under Physician Assistant in Encinitas, CA (2024, 20 clinicians with data). Median for this group: $22,229. Middle half: $9,177 to $60,616.
A higher Medicare payment amount than 90% of clinicians listed under Physician Assistant in California (2024, 4,833 clinicians with data). Median for this group: $13,209. Middle half: $4,792 to $30,879.
Medicare Part D prescriptions
More Part D prescriptions than 95% of clinicians listed under Physician Assistant in Encinitas, CA (2024, 27 clinicians with data). Median for this group: 230. Middle half: 128 to 579.
More Part D prescriptions than 95% of clinicians listed under Physician Assistant in California (2024, 7,516 clinicians with data). Median for this group: 229. Middle half: 72 to 718.
Part D drug cost
A higher Part D drug cost than 95% of clinicians listed under Physician Assistant in Encinitas, CA (2024, 27 clinicians with data). Median for this group: $6,113. Middle half: $1,328 to $49,878.
A higher Part D drug cost than 90% of clinicians listed under Physician Assistant in California (2024, 7,516 clinicians with data). Median for this group: $3,945. Middle half: $709 to $60,209.
53 active clinicians are listed under Physician Assistant with a practice address in Encinitas, CA (14,458 in California).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Encinitas
32.1% of these 53 clinicians have the CMS telehealth indicator.
60.4% of these 53 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 425% from 257 in 2020 to 1,349 in 2024.
- 2020: 257
- 2021: 694
- 2022: 1,034
- 2023: 1,378
- 2024: 1,349
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Medicare-allowed amount
Medicare-allowed amount increased 459% from $17,072 in 2020 to $95,419 in 2024.
- 2020: $17,072
- 2021: $53,360
- 2022: $81,308
- 2023: $104,231
- 2024: $95,419
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Paid by Medicare
Paid by Medicare increased 451% from $13,250 in 2020 to $73,047 in 2024.
- 2020: $13,250
- 2021: $39,322
- 2022: $61,331
- 2023: $82,610
- 2024: $73,047
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 323% from 1,464 in 2020 to 6,199 in 2024.
- 2020: 1,464
- 2021: 3,760
- 2022: 4,777
- 2023: 5,097
- 2024: 6,199
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30-day fills
30-day fills increased 378% from 2,720 in 2020 to 12,999 in 2024.
- 2020: 2,720
- 2021: 7,436
- 2022: 9,726
- 2023: 10,246
- 2024: 12,999
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Part D drug cost
Part D drug cost increased 401% from $63,981 in 2020 to $320,803 in 2024.
- 2020: $63,981
- 2021: $164,279
- 2022: $240,359
- 2023: $258,921
- 2024: $320,803
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Industry payments (Open Payments)
Industry payments (Open Payments) decreased 44% from $1,178.14 in 2021 to $662.94 in 2025.
- 2021: $1,178.14
- 2022: $552.75
- 2023: $566.17
- 2024: $587.16
- 2025: $662.94
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): 27 records totaling $662.94.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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AIRSUPRA | General | $91.84 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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WaveWriter Alpha Prime 16 | General | $46.66 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
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TRELEGY ELLIPTA | General | $27.77 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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AIRSUPRA | General | $27.59 |
| ABIOMED |
Food and Beverage
In-kind items and services
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— | General | $27.23 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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AIRSUPRA | General | $25.91 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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PAXLOVID | General | $24.40 |
| Exact Sciences Corporation |
Food and Beverage
In-kind items and services
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Cologuard Collection Kit | General | $24.15 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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AIRSUPRA | General | $24.11 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Wegovy | General | $23.22 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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AIRSUPRA | General | $22.36 |
| Kowa Pharmaceuticals America, Inc. |
Food and Beverage
In-kind items and services
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ZORYVE | General | $22.34 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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BREZTRI | General | $21.14 |
| Exact Sciences Corporation |
Food and Beverage
In-kind items and services
|
Cologuard Collection Kit | General | $20.30 |
| Exact Sciences Corporation |
Food and Beverage
In-kind items and services
|
Cologuard Collection Kit | General | $20.26 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Rybelsus | General | $20.06 |
| Exact Sciences Corporation |
Food and Beverage
In-kind items and services
|
Cologuard Collection Kit | General | $19.56 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
FARXIGA | General | $19.25 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Rybelsus | General | $19.25 |
| Cipher Pharmaceuticals US LLC |
Food and Beverage
Cash or cash equivalent
|
Natroba | General | $18.80 |
| TMS NeuroHealth Centers Inc. |
Food and Beverage
Cash or cash equivalent
|
TMS NeuroHealth Centers Inc. | General | $18.33 |
| Inspire Medical Systems, Inc. |
Food and Beverage
In-kind items and services
|
INSPIRE | General | $18.14 |
| HOLOGIC INC |
Food and Beverage
In-kind items and services
|
APTIMA | General | $17.86 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
|
PAXLOVID | General | $17.09 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Ozempic | General | $15.56 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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470 | 192 | $367.55 | $116.42 |
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G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
|
258 | 140 | $50.00 | $14.39 |
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36415
Insertion of needle into vein for collection of blood sample
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78 | 65 | $30.00 | $8.65 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
76 | 58 | $494.74 | $162.98 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
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75 | 75 | $350.00 | $117.86 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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66 | 48 | $235.61 | $81.52 |
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G0442
Annual alcohol misuse screening, 5 to 15 minutes
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57 | 57 | $35.00 | $17.80 |
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G0446
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes
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57 | 57 | $35.00 | $22.49 |
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J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
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57 | 14 | $25.00 | $0.97 |
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G0444
Annual depression screening, 5 to 15 minutes
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51 | 51 | $35.00 | $17.80 |
|
96372
Injection of drug or substance under skin or into muscle
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24 | 20 | $87.92 | $13.28 |
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93000
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
|
20 | 19 | $125.00 | $13.12 |
|
99441
Telephone medical discussion with physician, 5-10 minutes
|
14 | 13 | $100.00 | $50.27 |
|
90677
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
|
12 | 12 | $1037.92 | $289.08 |
|
G0008
Administration of influenza virus vaccine
|
12 | 12 | $50.00 | $34.56 |
|
90653
Influenza vaccine, inactivated
|
11 | 11 | $200.00 | $81.82 |
|
G0009
Administration of pneumococcal vaccine
|
11 | 11 | $50.00 | $34.56 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Losartan Potassium | Losartan Potassium | 375 | 30,470 | $3,246.63 | 112 |
| Atorvastatin Calcium | Atorvastatin Calcium | 370 | 31,424 | $3,072.68 | 117 |
| Alprazolam | Alprazolam | 274 | 8,301 | $1,373.30 | 67 |
| Levothyroxine Sodium | Levothyroxine Sodium | 251 | 21,351 | $2,999.19 | 77 |
| Amlodipine Besylate | Amlodipine Besylate | 237 | 20,040 | $1,223.74 | 80 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 195 | 15,667 | $2,986.49 | 61 |
| Tramadol Hcl | Tramadol Hcl | 190 | 4,294 | $1,231.66 | 37 |
| Tamsulosin Hcl | Tamsulosin Hcl | 160 | 12,547 | $1,681.22 | 51 |
| Zolpidem Tartrate | Zolpidem Tartrate | 158 | 5,752 | $725.16 | 32 |
| Omeprazole | Omeprazole | 142 | 11,756 | $1,743.63 | 53 |
| Metformin Hcl | Metformin Hcl | 125 | 10,969 | $890.47 | 42 |
| Metoprolol Succinate | Metoprolol Succinate | 125 | 10,157 | $1,152.12 | 36 |
| Lisinopril | Lisinopril | 124 | 10,240 | $590.35 | 39 |
| Trazodone Hcl | Trazodone Hcl | 93 | 5,219 | $876.30 | 20 |
| Ezetimibe | Ezetimibe | 80 | 7,037 | $3,243.72 | 29 |
| Lorazepam | Lorazepam | 78 | 2,237 | $434.12 | 14 |
| Simvastatin | Simvastatin | 76 | 6,780 | $663.81 | 23 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 75 | 1,453 | $1,063.80 | 21 |
| Fluticasone Propionate | Fluticasone Propionate | 73 | 3,750 | $594.03 | 27 |
| Finasteride | Finasteride | 70 | 6,000 | $847.45 | 25 |
| Azithromycin | Azithromycin | 69 | 345 | $161.48 | 58 |
| Gabapentin | Gabapentin | 68 | 3,665 | $1,580.83 | 24 |
| Methylprednisolone | Methylprednisolone | 66 | 436 | $341.14 | 44 |
| Ondansetron Odt | Ondansetron | 66 | 643 | $690.67 | 20 |
| Eliquis | Apixaban | 61 | 3,750 | $68,633.32 | 16 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20140829000016
CA
5395963524
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Monica Perlman Md Inc
3737 Moraga Ave, San Diego, CA 921175352
Phone: 8587990855
Monica Perlman Md Inc
477 N El Camino Real, Encinitas, CA 920241350
Phone: 8587666007
Monica Perlman Md Inc
3900 5th Ave, San Diego, CA 921033122
Phone: 8585541212
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine
MDPHD
Career & Practice History
NPI enumerated June 02, 2014.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Physician Assistants in Encinitas
- Adam Omahen, PA-C
- Kristina Frederick, PHYSICIAN ASST
- Bradley Winkel, PA
- Tianna Farren, PA
- Julie Palmer, PHYSICIAN ASSISTANT
- Julie Morrison, PA-C
Mailing Address
477 N El Camino Real, Suite # A200
Encinitas, CA 920241328
Phone: 7609421242