Robert Shawn Smith , PA-C
Physician Assistant • Irving, TX
506 S Nursery Rd, Suite 101
Irving, TX 750603187
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 September 14, 2005; this date does not establish years in practice.
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Published CMS data list 313 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: 74 service units.
- 80053 — Blood test, comprehensive group of blood chemicals: 42 service units.
- 81003 — Automated urinalysis test: 35 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 9 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 2,784 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 — 238 prescription fills, including refills.
- Metformin Hcl — 143 prescription fills, including refills.
- Lisinopril — 108 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 71 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 Irving, TX (2024, 33 clinicians with data). Median for this group: 160. Middle half: 65 to 313.
More Medicare Part B services than 60% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: 211. Middle half: 76 to 593.
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 560 in 2020 to 313 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
506 S Nursery Rd
Suite 101
Irving, TX 750603187
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: Topcare Medical Group 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
1990
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
29 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 $9,894 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 $7,351 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
6,777 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
$633,323 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: $3,061.90 across 82 records.
By nature of payment
- Food and Beverage: $3,061.90 across 82 records.
Reporting-company totals (3 largest of 19)
- Bayer Healthcare Pharmaceuticals Inc.: $449.69 across 14 records.
- AstraZeneca Pharmaceuticals LP: $416.74 across 7 records.
- Corcept Therapeutics: $411.92 across 7 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
36 years (graduated 1990)
CMS Doctors and Clinicians data list 1990 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
2005
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)
Robert 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 Robert 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 Irving and Texas
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 Irving, TX (2024, 33 clinicians with data). Median for this group: 160. Middle half: 65 to 313.
More Medicare Part B services than 60% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: 211. Middle half: 76 to 593.
Medicare-allowed amount
Close to the middle for clinicians listed under Physician Assistant in Irving, TX (2024, 33 clinicians with data). Median for this group: $9,894. Middle half: $4,998 to $17,724.
A lower Medicare-allowed amount than 60% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: $15,434. Middle half: $6,111 to $35,691.
Paid by Medicare
Close to the middle for clinicians listed under Physician Assistant in Irving, TX (2024, 33 clinicians with data). Median for this group: $7,395. Middle half: $3,983 to $13,117.
A lower Medicare payment amount than 60% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: $11,276. Middle half: $4,395 to $26,238.
Medicare Part D prescriptions
More Part D prescriptions than 90% of clinicians listed under Physician Assistant in Irving, TX (2024, 37 clinicians with data). Median for this group: 356. Middle half: 65 to 817.
More Part D prescriptions than 90% of clinicians listed under Physician Assistant in Texas (2024, 4,882 clinicians with data). Median for this group: 261. Middle half: 73 to 938.
Part D drug cost
A higher Part D drug cost than 95% of clinicians listed under Physician Assistant in Irving, TX (2024, 37 clinicians with data). Median for this group: $12,157. Middle half: $675 to $110,065.
A higher Part D drug cost than 95% of clinicians listed under Physician Assistant in Texas (2024, 4,882 clinicians with data). Median for this group: $7,999. Middle half: $749 to $103,240.
82 active clinicians are listed under Physician Assistant with a practice address in Irving, TX (11,008 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Irving
17.1% of these 82 clinicians have the CMS telehealth indicator.
52.4% of these 82 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 decreased 44% from 560 in 2020 to 313 in 2024.
- 2020: 560
- 2021: 451
- 2022: 366
- 2023: 393
- 2024: 313
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Medicare-allowed amount
Medicare-allowed amount decreased 39% from $16,090 in 2020 to $9,894 in 2024.
- 2020: $16,090
- 2021: $15,986
- 2022: $12,419
- 2023: $11,097
- 2024: $9,894
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Paid by Medicare
Paid by Medicare decreased 38% from $11,903 in 2020 to $7,351 in 2024.
- 2020: $11,903
- 2021: $12,268
- 2022: $9,265
- 2023: $8,620
- 2024: $7,351
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 98% from 1,403 in 2020 to 2,784 in 2024.
- 2020: 1,403
- 2021: 1,437
- 2022: 1,296
- 2023: 1,697
- 2024: 2,784
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30-day fills
30-day fills increased 115% from 3,145 in 2020 to 6,777 in 2024.
- 2020: 3,145
- 2021: 3,303
- 2022: 3,225
- 2023: 4,031
- 2024: 6,777
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Part D drug cost
Part D drug cost increased 193% from $216,417 in 2020 to $633,323 in 2024.
- 2020: $216,417
- 2021: $163,480
- 2022: $157,581
- 2023: $366,186
- 2024: $633,323
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Industry payments (Open Payments)
Industry payments (Open Payments) decreased 26% from $4,155.46 in 2021 to $3,061.90 in 2025.
- 2021: $4,155.46
- 2022: $4,211.90
- 2023: $2,673.00
- 2024: $2,954.58
- 2025: $3,061.90
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): 82 records totaling $3,061.90.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Baxter Healthcare |
Food and Beverage
In-kind items and services
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FLOSEAL | General | $149.54 |
| Corcept Therapeutics |
Food and Beverage
In-kind items and services
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Korlym | General | $149.25 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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AMS 700 | General | $145.73 |
| Edwards Lifesciences Corporation |
Food and Beverage
In-kind items and services
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INSPIRIS RESILIA AORTIC VALVE | General | $136.42 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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Kerendia | General | $130.50 |
| Corcept Therapeutics |
Food and Beverage
In-kind items and services
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Korlym | General | $128.25 |
| GM Pharmaceuticals, Inc. |
Food and Beverage
Cash or cash equivalent
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Vanacof | General | $126.93 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Ozempic | General | $125.00 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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— | General | $124.40 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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Kerendia | General | $120.92 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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LOKELMA | General | $116.15 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC |
Food and Beverage
In-kind items and services
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XIFAXAN | General | $106.59 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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AIRSUPRA | General | $102.60 |
| Exact Sciences Corporation |
Food and Beverage
In-kind items and services
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Cologuard Collection Kit | General | $97.16 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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AIRSUPRA | General | $93.24 |
| Eli Lilly and Company |
Food and Beverage
Cash or cash equivalent
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MOUNJARO | General | $83.90 |
| Cipher Pharmaceuticals US LLC |
Food and Beverage
Cash or cash equivalent
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Natroba | General | $72.50 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
Kerendia | General | $62.19 |
| Exact Sciences Corporation |
Food and Beverage
In-kind items and services
|
Cologuard Collection Kit | General | $60.55 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
Kerendia | General | $58.21 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
FARXIGA | General | $47.84 |
| Exact Sciences Corporation |
Food and Beverage
In-kind items and services
|
Cologuard Collection Kit | General | $39.89 |
| Corcept Therapeutics |
Food and Beverage
In-kind items and services
|
Korlym | General | $35.34 |
| Corcept Therapeutics |
Food and Beverage
In-kind items and services
|
Korlym | General | $34.94 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
|
JARDIANCE | General | $29.33 |
(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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74 | 25 | $333.00 | $106.33 |
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80053
Blood test, comprehensive group of blood chemicals
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42 | 19 | $42.00 | $10.35 |
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81003
Automated urinalysis test
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35 | 16 | $20.00 | $2.20 |
|
36415
Insertion of needle into vein for collection of blood sample
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33 | 15 | $10.00 | $8.65 |
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82044
Urine microalbumin (protein) analysis
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30 | 16 | $16.00 | $6.11 |
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82570
Creatinine level to test for kidney function or muscle injury
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30 | 16 | $13.00 | $5.08 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
29 | 18 | $40.00 | $13.12 |
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83036
Hemoglobin a1c level
|
21 | 14 | $25.00 | $9.52 |
|
84443
Blood test, thyroid stimulating hormone (tsh)
|
19 | 15 | $48.00 | $16.46 |
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 | 238 | 20,308 | $1,250.20 | 97 |
| Metformin Hcl | Metformin Hcl | 143 | 12,265 | $649.29 | 61 |
| Lisinopril | Lisinopril | 108 | 8,518 | $503.69 | 38 |
| Jardiance | Empagliflozin | 106 | 8,620 | $164,021.59 | 44 |
| Farxiga | Dapagliflozin Propanediol | 103 | 6,220 | $117,557.15 | 36 |
| Gabapentin | Gabapentin | 102 | 7,985 | $1,607.89 | 41 |
| Losartan Potassium | Losartan Potassium | 85 | 7,210 | $639.31 | 30 |
| Pioglitazone Hcl | Pioglitazone Hcl | 83 | 7,460 | $714.88 | 36 |
| Amlodipine Besylate | Amlodipine Besylate | 82 | 6,570 | $288.50 | 31 |
| Levothyroxine Sodium | Levothyroxine Sodium | 82 | 6,570 | $724.10 | 30 |
| Meloxicam | Meloxicam | 79 | 5,680 | $392.11 | 34 |
| Pantoprazole Sodium | Pantoprazole Sodium | 73 | 5,608 | $599.70 | 24 |
| Fluticasone Propionate | Fluticasone Propionate | 72 | 4,034 | $1,163.61 | 32 |
| Tamsulosin Hcl | Tamsulosin Hcl | 64 | 5,390 | $456.22 | 28 |
| Finasteride | Finasteride | 59 | 4,690 | $375.67 | 21 |
| Furosemide | Furosemide | 58 | 4,390 | $190.91 | 18 |
| Ozempic | Semaglutide | 58 | 2,678 | $89,743.35 | — |
| Famotidine | Famotidine | 54 | 4,140 | $1,839.29 | 22 |
| Metoprolol Tartrate | Metoprolol Tartrate | 52 | 4,380 | $339.81 | 16 |
| Ezetimibe | Ezetimibe | 46 | 4,220 | $709.69 | 23 |
| Sucralfate | Sucralfate | 43 | 2,071 | $5,583.58 | 16 |
| Kerendia | Finerenone | 41 | 2,310 | $49,374.20 | 12 |
| Tizanidine Hcl | Tizanidine Hcl | 40 | 2,568 | $444.14 | 18 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 34 | 1,677 | $811.35 | 14 |
| Vitamin D2 | Ergocalciferol (Vitamin D2) | 34 | 2,416 | $470.90 | 14 |
(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
I20050317000760
TX
9830144369
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
Topcare Medical Group Inc
10058 A Long Point Rd, Houston, TX 770554002
Phone: 8323803980
Topcare Medical Group Inc
410 E Pioneer Pkwy, Grand Prairie, TX 750514984
Phone: 4697331890
Topcare Medical Group Inc
701 S Stemmons Fwy, Lewisville, TX 750674591
Phone: 9723166495
Topcare Medical Group Inc
1120 E Parker Rd, Plano, TX 750745374
Phone: 4692981216
Topcare Medical Group Inc
2636 Walnut St, Garland, TX 750426441
Phone: 9724875800
Topcare Medical Group Inc
8225 Broadway St, Houston, TX 770611201
Phone: 7134694735
Topcare Medical Group Inc
506 S Nursery Rd, Irving, TX 750603188
Phone: 9725733288
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
Doctor of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)
Career & Practice History
NPI enumerated September 14, 2005.
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 Irving
- Katanga Muanza, PA-C
- Lori Schomberg, PA
- Lawrence Ready, PA
- Ashley Cupstid, PA-C
- Ben Graham, PA-C
- Makenzie Sangalli, PA-C
Mailing Address
222 W Las Colinas Blvd, Suite 2000
Irving, TX 75039
Phone: 9729573000