Jose R. Etienne, PA-C
NPI 1407245558ActiveIndividual· Physician Assistant· Spring, TX
Physician Assistant (PA-C) with Tmc Provider Group PLLC and 1 other group, practicing in Spring, Texas. 212 Medicare patients in 2024, $18,090 paid; nearly all of their 607 Part D prescriptions were generic (92%).
Overview
| NPI | 1407245558 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jan 13, 2015 |
| Last updated in NPPES | Sep 16, 2024 |
| Certified by provider | Sep 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA10643 | TX |
| Physician Assistant | 363A00000X | 018374 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NY); Practitioner - Physician Assistant (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 212 |
|---|---|
| Services billed | 687 across 37 procedure codes |
| Paid by Medicare | $18,090 |
Part D prescriptions in 2024
| Prescriptions (claims) | 607 · 641 30-day fills |
|---|---|
| Patients | 371 |
| Total drug cost | $9,316 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical groups
- Tmc Provider Group PLLCSelma, TX · 211 clinicians
- Memorial Hermann Urgent Care PLLCHouston, TX · 113 clinicians
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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