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Maria Logotaeao Dubose, P.A

NPI 1235527912ActiveIndividual· Physician Assistant, Medical· Henderson, NV

Physician Assistant, Medical (P.A) with Memorial Hermann Hospital Based Physician Group, practicing in Henderson, Nevada. 126 Medicare patients in 2024, $12,790 paid; nearly all of their 136 Part D prescriptions were generic (90%).

Overview

NPI1235527912
StatusActive
Entity typeIndividual
CredentialP.A
Sole proprietorNo
NPI issuedJan 2, 2015
Last updated in NPPESJan 2, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant, Medical Primary363AM0700XPA1585NV

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (NV); Practitioner - Physician Assistant (TX)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients126
Services billed162 across 12 procedure codes
Paid by Medicare$12,790

Part D prescriptions in 2024

Prescriptions (claims)136 · 139 30-day fills
Patients95
Total drug cost$5,636
Generic share90% of claims

Medicare sources and data years

Education and affiliations

Graduation year2014
Medicare specialtyPhysician Assistant

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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