Edman Fuentes, PAC
NPI 1013988955ActiveIndividual· Physician Assistant, Surgical· Sonora, CA
Physician Assistant, Surgical (PAC) with Select Physical Therapy Holdings Inc and 1 other group, practicing in Sonora, California. Their prescriptions cost Medicare Part D more than their services did: $55,311 for 2,012 claims, against $6,244 paid for services in 2024. Theragen, Inc. reported $15.00 in payments in 2025, mostly food and beverage. Lists Adventhealth Littleton and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1013988955 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | No |
| NPI issued | Jan 30, 2006 |
| Last updated in NPPES | Jan 21, 2025 |
| Certified by provider | Jan 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | PA51630 | CA |
| Physician Assistant, Surgical | 363AS0400X | PA.008727 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 52 |
|---|---|
| Services billed | 107 across 29 procedure codes |
| Paid by Medicare | $6,244 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,012 · 2,138 30-day fills |
|---|---|
| Patients | 403 |
| Total drug cost | $55,311 |
| Generic share | 99% of claims |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical groups
- Select Physical Therapy Holdings IncClarksville, TN · 2,024 clinicians
- Portercare Adventist Health SystemDenver, CO · 774 clinicians
Hospital affiliations
- Adventhealth LittletonLittleton, CO
- Adventhealth ParkerParker, CO
- Adventhealth PorterDenver, CO
- San Luis Valley Regional Medical CenterAlamosa, CO
Industry payments (Open Payments)
- 2025$15.00 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Theragen, Inc. | $15.00 | 1 |
What the 2025 payments were for
- Food and Beverage$15.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant, Surgical providers in Sonora
- 1710160353
- 1699110429