Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Kandace Denise Gard-Dawson , PA

Physician Assistant • Big Spring, TX

Active NPI 1427060144 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

1901 Highway 87 N
Big Spring, TX 797200283

Call 4322678216 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

1901 Highway 87 N

Big Spring, TX 797200283

Telephone 4322678216
Fax 4322687790
Organization at the Same NPPES Address or Phone
Health And Human Services Commission Facility NPI 1174532220

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 1 group name: West Texas Centers For Mhmr. 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

2004

Medicare patients

19 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 – by Provider, 2024.

Medicare-allowed amount

About $6,142 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 – by Provider and Service, 2024.

Paid by Medicare

About $3,408 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 – by Provider and Service, 2024.

30-day fills

730 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

$45,756 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 – by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $28.15 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

Years since graduation

22 years (graduated 2004)

CMS Doctors and Clinicians data list 2004 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

2006

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, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Kandace Gard-Dawson 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 Kandace Gard-Dawson 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 Big Spring and Texas

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 60% of clinicians listed under Physician Assistant in Texas (2024, 4,404 clinicians with data). Median for this group: 212. Middle half: 76 to 594.

Too few clinicians listed under Physician Assistant in Big Spring have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 70% of clinicians listed under Physician Assistant in Texas (2024, 4,404 clinicians with data). Median for this group: $15,420. Middle half: $6,125 to $35,671.

Too few clinicians listed under Physician Assistant in Big Spring have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 80% of clinicians listed under Physician Assistant in Texas (2024, 4,404 clinicians with data). Median for this group: $11,271. Middle half: $4,421 to $26,238.

Too few clinicians listed under Physician Assistant in Big Spring have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 65% of clinicians listed under Physician Assistant in Texas (2024, 4,879 clinicians with data). Median for this group: 263. Middle half: 73 to 939.

Too few clinicians listed under Physician Assistant in Big Spring have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 65% of clinicians listed under Physician Assistant in Texas (2024, 4,879 clinicians with data). Median for this group: $8,121. Middle half: $753 to $103,226.

Too few clinicians listed under Physician Assistant in Big Spring have Medicare Part D data for 2024 to compare.

6 active clinicians are listed under Physician Assistant with a practice address in Big Spring, TX (11,125 in Texas).

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

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

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $28.15.

Manufacturer Payment Nature Product Type Amount ($)
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
INVEGA SUSTENNA General $28.15

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 · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017–2023 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, 2018–2024; 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
59 13 $102.00 $79.80
Q3014 Telehealth originating site facility fee
58 19 $25.00 $24.72

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 · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Aripiprazole Aripiprazole 85 2,790 $1,462.00 —
Sertraline Hcl Sertraline Hcl 74 2,220 $544.73 —
Buspirone Hcl Buspirone Hcl 62 2,250 $543.50 11
Mirtazapine Mirtazapine 59 1,980 $712.66 —
Quetiapine Fumarate Quetiapine Fumarate 59 2,070 $722.00 —
Risperidone Risperidone 43 1,350 $390.55 —
Bupropion Xl Bupropion Hcl 31 930 $356.16 —
Escitalopram Oxalate Escitalopram Oxalate 29 870 $104.44 —
Trazodone Hcl Trazodone Hcl 24 720 $91.92 —
Duloxetine Hcl Duloxetine Hcl 23 750 $380.14 —
Divalproex Sodium Er Divalproex Sodium 22 960 $2,002.23 —
Olanzapine Olanzapine 19 930 $596.09 —
Oxcarbazepine Oxcarbazepine 16 480 $143.28 —
Amitriptyline Hcl Amitriptyline Hcl 15 480 $207.39 —
Hydroxyzine Hcl Hydroxyzine Hcl 15 430 $514.93 —
Venlafaxine Hcl Er Venlafaxine Hcl 13 930 $335.83 —
Abilify Maintena Aripiprazole 13 364 $36,427.98 —
Citalopram Hbr Citalopram Hydrobromide 12 390 $44.75 —
Fluoxetine Hcl Fluoxetine Hcl 12 540 $56.87 —
Prazosin Hcl Prazosin Hcl 11 420 $118.43 —

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

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES TX PA04235

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: Texas Medical Board.
Look Up on State Board Site

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

I20041119000257

Enrollment State Jurisdiction

TX

PECOS Control ID

9436113396

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

West Texas Centers For Mhmr

1501 W 11th Pl, Big Spring, TX 797204122

Phone: 4322630027

West Texas Centers For Mhmr

215 Nw 1st Street, Andrews, TX 797146317

Phone: 4325237340

West Texas Centers For Mhmr

700 W Daggett St, Pecos, TX 797726901

Phone: 4324472628

Clinicians Sharing This Practice Address or Phone

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

13 listed
Maureen Balcazar , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1598338337

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Dr. William Bazzell , MD

Psychiatry & Neurology - Psychiatry

NPI 1134130339

Doctor of Medicine (M.D.)

Tommy Chang , NP-C

Nurse Practitioner - Psychiatric/Mental Health

NPI 1699170498

Nurse Practitioner (Certified)

Dr. Carlos Escobar , MD

Psychiatry & Neurology - Psychiatry

NPI 1982617841

Doctor of Medicine (M.D.)

Dr. Neema Khonsari , MD

Psychiatry & Neurology - Psychiatry

NPI 1235691288

Doctor of Medicine (M.D.)

Dr. David Mitchell , PhD

Clinical Neuropsychologist

NPI 1659505725

Doctor of Philosophy (Ph.D.)

Career & Practice History

NPI enumerated August 12, 2006.

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 November 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1427060144
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2006
Last Update: June 20, 2008
Sole Proprietor: No

Other Physician Assistants in Big Spring

Healthcare providers in Big Spring

Mailing Address

1901 N Us Highway 87

Big Spring, TX 797200283

Phone: 4322678216

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.