Dr. Manuel Juson , MD
General Practice • Shamrock, TX
1000 S Main St
Shamrock, TX 790792820
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 March 9, 2006; this date does not establish years in practice.
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Published CMS data list 66 Original Medicare Part B services in 2022.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2022. Published rows only; this is not a quality measure.
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Published Part B service records, 2022:
- G0179 — Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a: 40 service units.
- 99283 — Emergency department visit with low level of medical decision making: 26 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2022. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2021 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2022). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 2,269 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:
- Gabapentin — 149 prescription fills, including refills.
- Lisinopril — 129 prescription fills, including refills.
- Hydrochlorothiazide — 106 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 68 records in the table · Guide: How to read Medicare Part D prescriber data
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More Part D prescriptions than 70% of clinicians listed under General Practice in Texas (2024, 221 clinicians with data). Median for this group: 452. Middle half: 78 to 2,858.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 128 in 2018 to 66 in 2022.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018–2022.
Practice Location & Contact Primary Location
1000 S Main St
Shamrock, TX 790792820
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
General Practice: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $3,386 in 2022
The total amount Medicare approved for these services in 2022. 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, 2022.
Paid by Medicare
About $2,374 in 2022
The part of the Medicare-allowed amount that Medicare itself paid in 2022, 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, 2022.
30-day fills
2,902 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
$112,521 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 2024
All general payments: $29.01 across 2 records.
By nature of payment
- Food and Beverage: $29.01 across 2 records.
Reporting-company totals
- AstraZeneca Pharmaceuticals LP: $29.01 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 2024 (published June 30, 2026).
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.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
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)
Dr. Juson 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 Dr. Juson 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 Shamrock and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
More Part D prescriptions than 70% of clinicians listed under General Practice in Texas (2024, 221 clinicians with data). Median for this group: 452. Middle half: 78 to 2,858.
Too few clinicians listed under General Practice in Shamrock 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 General Practice in Texas (2024, 221 clinicians with data). Median for this group: $17,804. Middle half: $993 to $222,529.
Too few clinicians listed under General Practice in Shamrock have Medicare Part D data for 2024 to compare.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Juson are from 2022.
1 active clinicians are listed under General Practice with a practice address in Shamrock, TX (1,066 in Texas).
Addresses are self-reported to NPPES and may be out of date.
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 48% from 128 in 2018 to 66 in 2022.
- 2018: 128
- 2019: 194
- 2020: 101
- 2021: 126
- 2022: 66
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Medicare-allowed amount
Medicare-allowed amount decreased 79% from $15,871 in 2018 to $3,386 in 2022.
- 2018: $15,871
- 2019: $21,838
- 2020: $14,361
- 2021: $12,314
- 2022: $3,386
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Paid by Medicare
Paid by Medicare decreased 80% from $12,149 in 2018 to $2,374 in 2022.
- 2018: $12,149
- 2019: $15,853
- 2020: $10,887
- 2021: $9,433
- 2022: $2,374
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Medicare Part D prescriptions
Medicare Part D prescriptions varied from year to year: 2,250 in 2020 and 2,269 in 2024.
- 2020: 2,250
- 2021: 2,185
- 2022: 2,476
- 2023: 1,810
- 2024: 2,269
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30-day fills
30-day fills decreased 21% from 3,672 in 2020 to 2,902 in 2024.
- 2020: 3,672
- 2021: 3,882
- 2022: 4,138
- 2023: 3,043
- 2024: 2,902
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Part D drug cost
Part D drug cost increased 97% from $57,150 in 2020 to $112,521 in 2024.
- 2020: $57,150
- 2021: $66,810
- 2022: $133,793
- 2023: $93,731
- 2024: $112,521
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Industry payments (Open Payments)
CMS data for industry payments (Open Payments) are available for 2024 only.
Sources: CMS Medicare Physician & Other Practitioners (2022), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), 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 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $29.01.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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FARXIGA | General | $14.97 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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FARXIGA | General | $14.04 |
Source: CMS Open Payments, program year 2024, 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 2016–2021 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, 2017–2022; 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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G0179
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a
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40 | 17 | $56.00 | $39.60 |
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99283
Emergency department visit with low level of medical decision making
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26 | 23 | $315.00 | $69.31 |
Source: CMS Part B by Provider and Service, 2022; 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 |
|---|---|---|---|---|---|
| Gabapentin | Gabapentin | 149 | 5,338 | $2,194.15 | 22 |
| Lisinopril | Lisinopril | 129 | 5,490 | $676.54 | 24 |
| Hydrochlorothiazide | Hydrochlorothiazide | 106 | 4,680 | $616.19 | 19 |
| Amlodipine Besylate | Amlodipine Besylate | 97 | 4,050 | $612.38 | 15 |
| Pantoprazole Sodium | Pantoprazole Sodium | 80 | 2,867 | $716.28 | 13 |
| Metformin Hcl | Metformin Hcl | 76 | 3,515 | $623.04 | 15 |
| Levothyroxine Sodium | Levothyroxine Sodium | 74 | 3,596 | $491.01 | 18 |
| Atorvastatin Calcium | Atorvastatin Calcium | 71 | 3,330 | $446.21 | 16 |
| Zolpidem Tartrate | Zolpidem Tartrate | 71 | 2,100 | $608.98 | — |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 68 | 1,597 | $2,854.55 | 14 |
| Glimepiride | Glimepiride | 56 | 1,980 | $483.98 | — |
| Omeprazole | Omeprazole | 53 | 2,610 | $781.68 | — |
| Losartan Potassium | Losartan Potassium | 51 | 2,190 | $417.41 | — |
| Sertraline Hcl | Sertraline Hcl | 46 | 1,380 | $269.93 | — |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 44 | 1,800 | $529.49 | — |
| Meloxicam | Meloxicam | 41 | 1,770 | $253.23 | — |
| Carvedilol | Carvedilol | 39 | 1,590 | $212.59 | — |
| Metoprolol Succinate | Metoprolol Succinate | 39 | 1,590 | $316.85 | — |
| Metoprolol Tartrate | Metoprolol Tartrate | 34 | 1,680 | $241.12 | — |
| Clonazepam | Clonazepam | 34 | 1,020 | $309.71 | — |
| Pravastatin Sodium | Pravastatin Sodium | 34 | 1,320 | $383.29 | — |
| Furosemide | Furosemide | 32 | 912 | $175.24 | — |
| Pregabalin | Pregabalin | 30 | 1,260 | $463.40 | — |
| Diclofenac Sodium | Diclofenac Sodium | 29 | 948 | $474.14 | — |
| Potassium Chloride | Potassium Chloride | 29 | 900 | $322.41 | — |
(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: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
NUCC Taxonomy Code: 207P00000X
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
NUCC Taxonomy Code: 208000000X
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - FAMILY PRACTICE
I20050217000097
TX
1759299019
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner
Nurse Practitioner
Career & Practice History
NPI enumerated March 09, 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 August 2026.
NPI Administrative Meta
Mailing Address
Po Box 8337
Amarillo, TX 791148337
Phone: 8063556593