Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Benjamin Portillo-Dominguez , PA-C

Physician Assistant โ€ข Reno, NV

Active NPI 1528632718 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

555 N Arlington Ave
Reno, NV 895034723

Call 7757863040 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

555 N Arlington Ave

Reno, NV 895034723

Telephone 7757863040
Organization at the Same NPPES Address or Phone
Reno Orthopaedic Clinic, Ltd Facility NPI 1245228972

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 2 distinct group names: Custom Physical Therapy Limited Partnership; Reno Orthopaedic Clinic Ltd. 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

Graduation Year

2022

Medicare patients

421 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $92,898 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.

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 โ€“ by Provider and Service, 2024.

Paid by Medicare

About $69,194 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

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 โ€“ by Provider and Service, 2024.

30-day fills

445 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

$1,815 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

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 โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $1,801.38 across 8 records.

By nature of payment

  • Travel and Lodging: $1,226.43 across 4 records.
  • Food and Beverage: $574.95 across 4 records.

Reporting-company totals

  • Smith+Nephew, Inc.: $1,617.11 across 6 records.
  • Stryker Corporation: $184.27 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.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

4 years (graduated 2022)

CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional 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

2021

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.

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, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Benjamin Portillo-Dominguez 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Benjamin Portillo-Dominguez 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.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Reno and Nevada

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Reno, NV (2024, 132 clinicians with data). Median for this group: 381. Middle half: 160 to 873.

More Medicare Part B services than 75% 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 Reno, NV (2024, 132 clinicians with data). Median for this group: $29,997. Middle half: $14,291 to $62,844.

A higher Medicare-allowed amount than 85% 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 Reno, NV (2024, 132 clinicians with data). Median for this group: $20,311. Middle half: $10,562 to $46,188.

A higher Medicare payment amount than 85% 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 60% of clinicians listed under Physician Assistant in Reno, NV (2024, 148 clinicians with data). Median for this group: 254. Middle half: 118 to 1,203.

Close to the middle for 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 lower Part D drug cost than 60% of clinicians listed under Physician Assistant in Reno, NV (2024, 148 clinicians with data). Median for this group: $3,407. Middle half: $1,084 to $73,027.

A lower Part D drug cost than 60% 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.

234 active clinicians are listed under Physician Assistant with a practice address in Reno, NV (1,084 in Nevada).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Reno

12.8% of these 234 clinicians have the CMS telehealth indicator.

70.5% of these 234 clinicians are listed by CMS as accepting Medicare assignment.

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 ยท 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

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $1,801.38.

Manufacturer Payment Nature Product Type Amount ($)
Smith+Nephew, Inc.
Travel and Lodging
In-kind items and services
JOURNEY II General $826.14
Smith+Nephew, Inc.
Travel and Lodging
In-kind items and services
POLARSTEM General $301.44
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
JOURNEY II General $163.48
Stryker Corporation
Food and Beverage
In-kind items and services
MAKO General $154.91
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
JOURNEY II General $140.00
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
REAL INTELLIGENCE General $116.56
Smith+Nephew, Inc.
Travel and Lodging
In-kind items and services
JOURNEY II General $69.49
Stryker Corporation
Travel and Lodging
Cash or cash equivalent
MAKO General $29.36

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022โ€“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 โ€“ by Provider and Service data, 2023โ€“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
20610 Aspiration and/or injection of fluid from large joint
118 85 $359.03 $58.04
73564 X-ray of knee, 4 or more views
109 90 $127.00 $39.40
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
109 102 $156.00 $75.46
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg
101 61 $10.00 $7.02
73502 X-ray of hip, 2-3 views
99 93 $94.00 $39.33
27447 Replacement of knee joint, both sides of knee
94 89 $933.26 $176.82
73562 X-ray of knee, 3 views
69 61 $111.00 $34.04
20985 Computer-assisted surgery for muscle and bone procedure
67 65 $74.00 $18.74
27130 Replacement of thigh bone and hip joint with prosthesis
62 61 $807.00 $168.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
44 44 $240.77 $92.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
40 39 $239.00 $106.39
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose
33 24 $1315.00 $679.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
30 28 $85.43 $47.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
27 27 $317.00 $138.91
73721 Mri scan of leg joint without contrast
24 12 $748.00 $97.29

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.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Oxycodone Hcl Oxycodone Hcl 156 1,103 $908.96 106
Tramadol Hcl Tramadol Hcl 135 969 $385.98 96
Meloxicam Meloxicam 76 2,460 $235.46 34
Amoxicillin Amoxicillin 29 33 $38.99 22
Methylprednisolone Methylprednisolone 22 132 $132.62 21
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 21 139 $112.91 16

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: 2023-02-14
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES NV PA2707

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Nevada State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
250021350 (NV)
Other Identifier Caqh
15653680

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20221103003130

Enrollment State Jurisdiction

NV

PECOS Control ID

4981071982

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

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

Custom Physical Therapy Limited Partnership

440 E Golden Valley Rd, Reno, NV 895065722

Phone: 7753603000

Reno Orthopaedic Clinic Ltd

555 N Arlington Ave, Reno, NV 895034723

Phone: 7757863040

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Peter Althausen , MD

Orthopaedic Surgery - Orthopaedic Trauma

NPI 1730170903

Doctor of Medicine (M.D.)

NPI 1861883530

Physical Therapist, Doctor of Physical Therapy

Davis Ayers , PA-C

Physician Assistant - Surgical

NPI 1225227382

Physician Assistant (Certified)

Dr. Nikola Babovic , MD

Orthopaedic Surgery - Hand Surgery

NPI 1073943239

Doctor of Medicine (M.D.)

Dr. Patrick Barousse , MD

Orthopaedic Surgery

NPI 1053759555

Doctor of Medicine (M.D.)

Craig Barton , MPT

Physical Therapist

NPI 1841288628

Master of Physical Therapy

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
๐Ÿ“
Updated Practice Location October 20, 2022

Registered at 555 N ARLINGTON AVE, RENO, NV 895034723 (Tel: 7757863040)

๐Ÿ“
Updated Business Mailing Address October 20, 2022

Registered at 555 N ARLINGTON AVE, RENO, NV 895034723 (Tel: 7757863040)

๐Ÿ‘ค
Provider Name / Credentials Updated October 20, 2022

Recorded as BENJAMIN PORTILLO-DOMINGUEZ, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2022

Physician Assistant (license number reported to NPPES: NV PA2707)

โœ…
NPI Profile Active May 13, 2021

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) May 13, 2021

Registered at 18600 WEDGE PKWY, RENO, NV 895113036 (Tel: 7757844843)

๐Ÿ“
Business Mailing Address (Initial Record) May 13, 2021

Registered at 880 ROBIN ST, RENO, NV 895092434 (Tel: 7757712046)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) May 13, 2021

Recorded as BENJAMIN PORTILLO-DOMINGUEZ

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2021

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration May 13, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1528632718
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 13, 2021
Last Update: February 14, 2023
Sole Proprietor: No

Other Physician Assistants in Reno

All Physician Assistants in Reno

Mailing Address

555 N Arlington Ave

Reno, NV 895034723

Phone: 7757863040

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.