Efrain Gonzalez
Physician Assistant β’ San Juan, TX
1205 N Raul Longoria Rd Ste H
San Juan, TX 785893721
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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Efrain Gonzalez is listed in NPPES under Physician Assistant.
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NPI assigned on June 21, 2022; this date does not establish years in practice.
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Published CMS data list 1,269 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers β 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 β 91 prescription fills, including refills.
- Metformin Hcl β 65 prescription fills, including refills.
- Rosuvastatin Calcium β 63 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 51 records in the table Β· Guide: How to read Medicare Part D prescriber data
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More Part D prescriptions than 80% of clinicians listed under Physician Assistant in Texas (2024, 4,882 clinicians with data). Median for this group: 261. Middle half: 73 to 938.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part D prescriptions went from 115 in 2023 to 1,269 in 2024.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2023β2024.
Practice Location & Contact Primary Location
1205 N Raul Longoria Rd Ste H
San Juan, TX 785893721
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: Norma A Iglesias, Md Pa And Associates. 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
2022
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
30-day fills
2,529 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
$88,135 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 β by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $2,585.35 across 48 records.
By nature of payment
- Food and Beverage: $2,585.35 across 48 records.
Reporting-company totals (3 largest of 12)
- Novo Nordisk Inc: $426.01 across 11 records.
- Amgen Inc.: $414.99 across 14 records.
- Dexcom, Inc.: $398.16 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
4 years (graduated 2022)
CMS Doctors and Clinicians data list 2022 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
2022
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, βDoes your provider accept Medicare as full payment?β
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)
Efrain Gonzalez 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 Efrain Gonzalez 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 San Juan and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
More Part D prescriptions than 80% of clinicians listed under Physician Assistant in Texas (2024, 4,882 clinicians with data). Median for this group: 261. Middle half: 73 to 938.
Too few clinicians listed under Physician Assistant in San Juan have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 70% 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.
Too few clinicians listed under Physician Assistant in San Juan have Medicare Part D data for 2024 to compare.
12 active clinicians are listed under Physician Assistant with a practice address in San Juan, TX (11,008 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in San Juan
0% of these 12 clinicians have the CMS telehealth indicator.
25% of these 12 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 D prescriptions
Medicare Part D prescriptions increased 1003% from 115 in 2023 to 1,269 in 2024.
- 2023: 115
- 2024: 1,269
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30-day fills
30-day fills increased 1461% from 162 in 2023 to 2,529 in 2024.
- 2023: 162
- 2024: 2,529
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Part D drug cost
Part D drug cost increased 8146% from $1,069 in 2023 to $88,135 in 2024.
- 2023: $1,069
- 2024: $88,135
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $165.41 in 2023 to $2,585.35 in 2025.
- 2023: $165.41
- 2024: $1,078.09
- 2025: $2,585.35
Sources: 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 Β· 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 β December 31, 2025): 48 records totaling $2,585.35.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Amgen Inc. |
Food and Beverage
In-kind items and services
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REPATHA | General | $129.09 |
| Optinose US, Inc. |
Food and Beverage
In-kind items and services
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Xhance | General | $127.75 |
| Eli Lilly and Company |
Food and Beverage
Cash or cash equivalent
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KISUNLA | General | $125.00 |
| Eli Lilly and Company |
Food and Beverage
Cash or cash equivalent
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ZEPBOUND | General | $125.00 |
| Phathom Pharmaceuticals, Inc. |
Food and Beverage
Cash or cash equivalent
|
VOQUEZNA | General | $125.00 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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BREZTRI | General | $125.00 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Ozempic | General | $119.94 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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REPATHA | General | $119.78 |
| Inspire Medical Systems, Inc. |
Food and Beverage
In-kind items and services
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INSPIRE | General | $118.52 |
| Dexcom, Inc. |
Food and Beverage
In-kind items and services
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Dexcom G6 Transmitter | General | $115.54 |
| Dexcom, Inc. |
Food and Beverage
In-kind items and services
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Dexcom G6 Transmitter | General | $111.35 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Ozempic | General | $108.85 |
| Dexcom, Inc. |
Food and Beverage
In-kind items and services
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DEXCOM G7 GSS (161) | General | $107.75 |
| Insulet Corporation |
Food and Beverage
Cash or cash equivalent
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OMNIPOD | General | $104.03 |
| Sage Therapeutics, LLC |
Food and Beverage
In-kind items and services
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β | General | $100.00 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Wegovy | General | $98.94 |
| Eli Lilly and Company |
Food and Beverage
Cash or cash equivalent
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MOUNJARO | General | $96.53 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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LOKELMA | General | $93.08 |
| Dexcom, Inc. |
Food and Beverage
In-kind items and services
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Dexcom G6 Transmitter | General | $63.52 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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FARXIGA | General | $62.31 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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REPATHA | General | $28.86 |
| Optinose US, Inc. |
Food and Beverage
In-kind items and services
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Xhance | General | $24.70 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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AIRSUPRA | General | $22.93 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Ozempic | General | $22.15 |
| Boehringer Ingelheim Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
JARDIANCE | General | $21.56 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
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 | 91 | 7,830 | $636.20 | 67 |
| Metformin Hcl | Metformin Hcl | 65 | 5,310 | $357.79 | 47 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 63 | 5,430 | $1,152.24 | 43 |
| Fluticasone Propionate | Fluticasone Propionate | 56 | 1,888 | $692.76 | 52 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 50 | 330 | $268.99 | 49 |
| Lisinopril | Lisinopril | 49 | 4,215 | $212.89 | 29 |
| Azithromycin | Azithromycin | 46 | 237 | $186.32 | 43 |
| Levothyroxine Sodium | Levothyroxine Sodium | 41 | 3,463 | $499.59 | 28 |
| Losartan Potassium | Losartan Potassium | 37 | 3,000 | $392.51 | 25 |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 36 | 2,437 | $560.42 | 23 |
| Ibuprofen | Ibuprofen | 35 | 307 | $165.78 | 32 |
| Ozempic | Semaglutide | 34 | 1,182 | $37,142.22 | 13 |
| Meloxicam | Meloxicam | 31 | 990 | $98.02 | 23 |
| Gabapentin | Gabapentin | 30 | 2,007 | $639.16 | 24 |
| Amlodipine Besylate | Amlodipine Besylate | 28 | 2,460 | $130.51 | 19 |
| Jardiance | Empagliflozin | 26 | 1,260 | $24,739.70 | 16 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 25 | 261 | $48.43 | 21 |
| Hydrochlorothiazide | Hydrochlorothiazide | 25 | 2,130 | $77.32 | 17 |
| Pioglitazone Hcl | Pioglitazone Hcl | 25 | 2,250 | $316.51 | 17 |
| Metoprolol Succinate | Metoprolol Succinate | 21 | 1,770 | $191.03 | 14 |
| Famotidine | Famotidine | 21 | 1,290 | $272.99 | 16 |
| Cefdinir | Cefdinir | 21 | 160 | $235.60 | 20 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 20 | 158 | $157.15 | 17 |
| Olmesartan-Hydrochlorothiazide | Olmesartan/Hydrochlorothiazide | 19 | 1,530 | $790.29 | 16 |
| Paxlovid | Nirmatrelvir/Ritonavir | 19 | 95 | $0.00 | 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: 2023-06-29NUCC 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.
NUCC Taxonomy Code: 390200000X
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - FAMILY PRACTICE
I20250813003774
TX
4789182130
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
Norma A Iglesias, Md Pa And Associates
712 S Cage Blvd, Pharr, TX 785775446
Phone: 9567831900
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant - Medical
Physician Assistant (Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1205 N RAUL LONGORIA RD STE H, SAN JUAN, TX 785893721 (Tel: 5667020444)
NPI status registered as active in NPPES database
Registered at 1201 W UNIVERSITY DR, EDINBURG, TX 785392909 (Tel: 9566657049)
Registered at 1201 W UNIVERSITY DR, EDINBURG, TX 785392909 (Tel: 9566657049)
Recorded as EFRAIN GONZALEZ
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in San Juan
All Physician Assistants in San JuanMailing Address
1201 W University Dr
Edinburg, TX 785392909
Phone: 9566657049