Joshua Smith , PA-C
Physician Assistant • Henderson, NV
291 N Pecos Rd
Henderson, NV 890741918
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 January 30, 2011; this date does not establish years in practice.
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Published CMS data list 2,873 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: 751 service units.
- 99490 — Chronic care management services: 743 service units.
- 99457 — Management using the results of remote vital sign monitoring per calendar month: 248 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 18 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 4,738 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:
- Atorvastatin Calcium — 405 prescription fills, including refills.
- Levothyroxine Sodium — 262 prescription fills, including refills.
- Losartan Potassium — 240 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 98 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 90% of clinicians listed under Physician Assistant in Henderson, NV (2024, 76 clinicians with data). Median for this group: 257. Middle half: 95 to 1,166.
More Medicare Part B services than 90% of clinicians listed under Physician Assistant in Nevada (2024, 551 clinicians with data). Median for this group: 239. Middle half: 99 to 900.
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 2,851 in 2020 to 2,873 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
291 N Pecos Rd
Henderson, NV 890741918
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: Family Doctors Ramanathan Pllc. 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
2012
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
261 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 $173,887 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 $131,689 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
12,349 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
$595,733 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: $290.18 across 14 records.
By nature of payment
- Food and Beverage: $290.18 across 14 records.
Reporting-company totals (3 largest of 11)
- Novo Nordisk Inc: $46.38 across 2 records.
- Exact Sciences Corporation: $37.50 across 2 records.
- Boehringer Ingelheim Pharmaceuticals, Inc.: $31.23 across 2 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
14 years (graduated 2012)
CMS Doctors and Clinicians data list 2012 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
2011
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?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Joshua Smith 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 Joshua Smith 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 Henderson and Nevada
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 90% of clinicians listed under Physician Assistant in Henderson, NV (2024, 76 clinicians with data). Median for this group: 257. Middle half: 95 to 1,166.
More Medicare Part B services than 90% of clinicians listed under Physician Assistant in Nevada (2024, 551 clinicians with data). Median for this group: 239. Middle half: 99 to 900.
Medicare-allowed amount
A higher Medicare-allowed amount than 90% of clinicians listed under Physician Assistant in Henderson, NV (2024, 76 clinicians with data). Median for this group: $19,704. Middle half: $9,633 to $67,665.
A higher Medicare-allowed amount than 90% of clinicians listed under Physician Assistant in Nevada (2024, 551 clinicians with data). Median for this group: $19,039. Middle half: $8,218 to $51,606.
Paid by Medicare
A higher Medicare payment amount than 90% of clinicians listed under Physician Assistant in Henderson, NV (2024, 76 clinicians with data). Median for this group: $13,725. Middle half: $7,051 to $48,975.
A higher Medicare payment amount than 90% of clinicians listed under Physician Assistant in Nevada (2024, 551 clinicians with data). Median for this group: $14,357. Middle half: $5,921 to $37,821.
Medicare Part D prescriptions
More Part D prescriptions than 90% of clinicians listed under Physician Assistant in Henderson, NV (2024, 81 clinicians with data). Median for this group: 458. Middle half: 101 to 1,629.
More Part D prescriptions than 95% of clinicians listed under Physician Assistant in Nevada (2024, 617 clinicians with data). Median for this group: 324. Middle half: 94 to 1,300.
Part D drug cost
A higher Part D drug cost than 95% of clinicians listed under Physician Assistant in Henderson, NV (2024, 81 clinicians with data). Median for this group: $20,445. Middle half: $1,081 to $148,470.
A higher Part D drug cost than 95% of clinicians listed under Physician Assistant in Nevada (2024, 617 clinicians with data). Median for this group: $7,774. Middle half: $876 to $106,842.
153 active clinicians are listed under Physician Assistant with a practice address in Henderson, NV (1,084 in Nevada).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Henderson
13.7% of these 153 clinicians have the CMS telehealth indicator.
61.4% of these 153 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 varied from year to year: 2,851 in 2020 and 2,873 in 2024.
- 2020: 2,851
- 2021: 1,675
- 2022: 2,203
- 2023: 2,551
- 2024: 2,873
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Medicare-allowed amount
Medicare-allowed amount increased 20% from $144,451 in 2020 to $173,887 in 2024.
- 2020: $144,451
- 2021: $112,862
- 2022: $163,733
- 2023: $169,041
- 2024: $173,887
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Paid by Medicare
Paid by Medicare increased 20% from $109,791 in 2020 to $131,689 in 2024.
- 2020: $109,791
- 2021: $85,642
- 2022: $124,334
- 2023: $127,063
- 2024: $131,689
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 75% from 2,709 in 2020 to 4,738 in 2024.
- 2020: 2,709
- 2021: 2,128
- 2022: 3,622
- 2023: 4,531
- 2024: 4,738
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30-day fills
30-day fills increased 85% from 6,666 in 2020 to 12,349 in 2024.
- 2020: 6,666
- 2021: 5,606
- 2022: 9,290
- 2023: 11,714
- 2024: 12,349
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Part D drug cost
Part D drug cost increased 221% from $185,496 in 2020 to $595,733 in 2024.
- 2020: $185,496
- 2021: $135,399
- 2022: $321,077
- 2023: $523,078
- 2024: $595,733
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $767.20 in 2021 to $290.18 in 2025.
- 2021: $767.20
- 2022: $411.91
- 2023: $441.61
- 2024: $239.98
- 2025: $290.18
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): 14 records totaling $290.18.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Ozempic | General | $31.52 |
| Corcept Therapeutics |
Food and Beverage
In-kind items and services
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Korlym | General | $29.30 |
| MAYNE PHARMA COMMERCIAL LLC |
Food and Beverage
In-kind items and services
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— | General | $29.07 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
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TRELEGY ELLIPTA | General | $24.18 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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FREESTYLE LIBRE 3 | General | $23.48 |
| Azurity Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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AZMIRO | General | $19.94 |
| Antares Pharma, Inc. |
Food and Beverage
In-kind items and services
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XYOSTED | General | $19.38 |
| Exact Sciences Corporation |
Food and Beverage
In-kind items and services
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Cologuard Collection Kit | General | $19.20 |
| Exact Sciences Corporation |
Food and Beverage
In-kind items and services
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The Cologuard Plus Collection Kit | General | $18.30 |
| Boehringer Ingelheim Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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JARDIANCE | General | $17.17 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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UBRELVY | General | $15.87 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Rybelsus | General | $14.86 |
| Boehringer Ingelheim Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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JARDIANCE | General | $14.06 |
| Supernus Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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Qelbree | General | $13.85 |
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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751 | 223 | $548.00 | $104.53 |
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99490
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
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743 | 96 | $180.00 | $50.89 |
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99457
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes
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248 | 57 | $122.00 | $39.77 |
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99454
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days
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218 | 49 | $125.00 | $38.54 |
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99458
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes
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175 | 47 | $100.00 | $31.90 |
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G0444
Annual depression screening, 5 to 15 minutes
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155 | 155 | $32.00 | $15.29 |
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G0442
Annual alcohol misuse screening, 5 to 15 minutes
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152 | 152 | $32.00 | $15.29 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
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151 | 151 | $206.00 | $104.63 |
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99497
Advance care planning, first 30 minutes
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106 | 106 | $153.00 | $65.82 |
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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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32 | 24 | $228.00 | $74.20 |
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99453
Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment
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24 | 24 | $49.00 | $16.17 |
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93000
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
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22 | 22 | $107.00 | $11.65 |
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93040
Electrocardiogram (ecg) 1 to 3 leads with review by physician
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21 | 21 | $73.00 | $10.56 |
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G0506
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)
|
20 | 20 | $141.44 | $50.85 |
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96372
Injection of drug or substance under skin or into muscle
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16 | 12 | $104.00 | $11.67 |
|
81003
Automated urinalysis test
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14 | 12 | $39.00 | $2.20 |
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99406
Smoking and tobacco use intensive counseling, 4-10 minutes
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13 | 11 | $27.00 | $11.70 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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12 | 12 | $748.00 | $135.76 |
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 |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 405 | 36,774 | $3,369.73 | 144 |
| Levothyroxine Sodium | Levothyroxine Sodium | 262 | 23,972 | $3,180.10 | 79 |
| Losartan Potassium | Losartan Potassium | 240 | 21,957 | $2,104.64 | 81 |
| Amlodipine Besylate | Amlodipine Besylate | 210 | 18,568 | $1,348.60 | 74 |
| Metformin Hcl | Metformin Hcl | 210 | 18,880 | $1,284.69 | 75 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 199 | 18,260 | $2,563.35 | 72 |
| Lisinopril | Lisinopril | 185 | 16,970 | $1,347.51 | 56 |
| Ozempic | Semaglutide | 132 | 7,016 | $211,172.51 | 37 |
| Omeprazole | Omeprazole | 118 | 10,227 | $1,377.76 | 41 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 100 | 4,601 | $3,716.91 | 40 |
| Tamsulosin Hcl | Tamsulosin Hcl | 94 | 8,610 | $1,418.68 | 40 |
| Pantoprazole Sodium | Pantoprazole Sodium | 93 | 7,900 | $1,105.15 | 36 |
| Gabapentin | Gabapentin | 82 | 6,260 | $1,740.17 | 36 |
| Simvastatin | Simvastatin | 77 | 6,790 | $474.93 | 26 |
| Metoprolol Succinate | Metoprolol Succinate | 67 | 5,878 | $1,196.19 | 25 |
| Alendronate Sodium | Alendronate Sodium | 64 | 5,440 | $355.48 | 22 |
| Naproxen | Naproxen | 61 | 2,218 | $436.52 | 29 |
| Ezetimibe | Ezetimibe | 58 | 5,390 | $1,522.02 | 23 |
| Allopurinol | Allopurinol | 56 | 5,060 | $737.66 | 18 |
| Prednisone | Prednisone | 53 | 441 | $116.35 | 36 |
| Jardiance | Empagliflozin | 53 | 3,420 | $66,973.91 | 14 |
| Trazodone Hcl | Trazodone Hcl | 52 | 4,803 | $792.67 | 20 |
| Sildenafil Citrate | Sildenafil Citrate | 51 | 1,811 | $324.16 | — |
| Alprazolam | Alprazolam | 50 | 1,423 | $96.50 | 11 |
| Furosemide | Furosemide | 50 | 3,660 | $233.57 | 18 |
(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
Self-certified to NPPES: 2024-01-18NUCC 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
I20130130000380
NV
4183878093
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
Family Doctors Ramanathan Pllc
291 N Pecos Rd, Henderson, NV 890741918
Phone: 7026169471
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Family Nurse Practitioner
Nurse Practitioner - Family
Family Nurse Practitioner (Certified)
Family Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Physician Assistant
Physician Assistant (Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 291 N PECOS RD, HENDERSON, NV 890741918 (Tel: 7026169471)
Registered at 291 N PECOS RD, HENDERSON, NV 890741918 (Tel: 7026169471)
Recorded as JOSHUA SMITH, PA-C
NPI status registered as active in NPPES database
Registered at 291 N PECOS RD, FAMILY DOCTORS OF GREEN VALLEY, HENDERSON, NV 890741918 (Tel: 5032904505)
Registered at 291 N PECOS RD, FAMILY DOCTORS OF GREEN VALLEY, HENDERSON, NV 890741918 (Tel: 5032904505)
Recorded as JOSHUA SMITH
Physician Assistant (license number reported to NPPES: NV PA1384)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Henderson
- Stephanie Shibata, PA-C
- Terry Robichaud, PA-C
- Alicia Lee, PA-C
- Tamara Leibovich
- Vanvan Nguyen, PA-C
- Lindsay Hoffman, PA-C
Mailing Address
291 N Pecos Rd
Henderson, NV 890741918
Phone: 7026169471