Francisco Cesar Rugama II
NPI 1780205526ActiveIndividual· Physician Assistant· Mission, TX
Physician Assistant with Donna Medical Clinic, PLLC, practicing in Mission, Texas. Their prescriptions cost Medicare Part D more than their services did: $1,066,011 for 8,588 claims, against $5,343 paid for services in 2024. Novo Nordisk Inc was the largest of 21 companies reporting payments in 2025, $1,223 in all, mostly food and beverage. Lists Doctors Hosptal at Renaissance and 1 other hospital as hospital affiliations.
Overview
| NPI | 1780205526 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | May 4, 2020 |
| Last updated in NPPES | May 4, 2020 |
| Certified by provider | May 4, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA13622 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 43 |
|---|---|
| Services billed | 175 across 25 procedure codes |
| Paid by Medicare | $5,343 |
Part D prescriptions in 2024
| Prescriptions (claims) | 8,588 · 17,460 30-day fills |
|---|---|
| Patients | 434 |
| Total drug cost | $1,066,011 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Donna Medical Clinic, PLLCDonna, TX · 35 clinicians
Hospital affiliations
- Doctors Hosptal at RenaissanceEdinburg, TX
- Mission Regional Medical CenterMission, TX
Industry payments (Open Payments)
- 2025$1,223 · 70 payments from 21 companies
- 2024$1,292 · 88 payments from 20 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $213.95 | 15 |
| Abbvie Inc. | $142.49 | 12 |
| Otsuka America Pharmaceutical, Inc. | $136.07 | 7 |
| Pfizer Inc. | $100.63 | 5 |
| Merck Sharp & Dohme LLC | $87.85 | 4 |
What the 2025 payments were for
- Food and Beverage$1,223 · 70 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Mission
- 1114555968
- 1114658622
- 1134127285
- 1245738376
- 1336631225
- 1366531691
- 1669833612
- 1043973332
- 1073244919
- 1154052009
- 1316071335
- 1285131995
All 38 physician assistants in Mission · All physician assistants in Texas