2026 NPPES data Medical Physician Assistant NPI 1811129521 P.A.
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ABBEY NIX GILBERT, P.A.

Medical Physician Assistant in LAWRENCEVILLE, Georgia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
171
Medicare Part D claims · 46 beneficiaries · Medical Physician Assistant avg: 1K
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
68.5568/100
▼ 15 pts below national avg 83.1 · [object Object]
Industry payments
$448.67
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ABBEY NIX GILBERT, P.A. reported a CMS MIPS final score of 68.5568/100 — below the 83.1 national average — and filed 171 Medicare Part D claims in 2023.

68.5568/100
MIPS score · -15 vs avg
171
Part D claims, 2023
84%
generic prescribing
$448.67
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

ABBEY NIX GILBERT, P.A.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

69 7th percentile higher than 7% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). This entry sits in this band. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

What does the federal data show about ABBEY NIX GILBERT, P.A.?

Below national average

NPI registry status

Active

Issued 08/13/2009

NPI 1811129521

Primary specialty

Medical Physician Assistant

Mid-sized

40,527 US NPIs in this specialty

Medicare Part D claims

171 84% vs specialty avg

2023 prescription claims

Specialty avg: 1,077

MIPS final score

68.5568/100 14.543199999999999% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Georgia

How Medical Physician Assistant compares to other specialties among Georgia providers

Georgia providers

Medical Physician Assistant share within Georgia

1. Medical Physician Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Medical Physician Assistant share within Georgia

Medicare quality performance — MIPS

ABBEY NIX GILBERT, P.A.'s 2023 MIPS final score plotted against the Medical Physician Assistant national average

Below national average
MIPS Final Score
68.5568/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Medical Physician Assistant) — 68.5568/100 vs national avg 83.1

0%100%National avg83%68.6%
MIPS final score (Medical Physician Assistant) — 68.5568/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ABBEY NIX GILBERT, P.A. appears in the CMS NPPES registry as a Medical Physician Assistant provider holding P.A. credentials at 721 WELLNESS WAY STE 210, LAWRENCEVILLE, GA, 30046, with a listed phone of (404) 962-6030. NPI 1811129521 was issued on 08/13/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what NIX GILBERT most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 171 prescription claims written by this provider, covering 46 Medicare beneficiaries and totaling roughly $15K in drug spend, split 16% brand-name and 84% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 68.5568/100 for the 2023 performance year (Quality 63.1547, Cost 52.0348), compared with the national average of 83.1.

Medical Physician Assistant is a mid-sized specialty nationwide, with 40,527 enrolled providers across 55 states and an average of 1,077 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

721 WELLNESS WAY STE 210
LAWRENCEVILLE, GA 30046

Provider Details

NPI 1811129521
Specialty Medical Physician Assistant
Credentials P.A.
Gender Female
NPI Issued 08/13/2009

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

68.5568
Final Score
Avg: 83.1
63.1547
Quality
52.0348
Cost
76
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ABBEY NIX GILBERT, P.A. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

NORTHSIDE CARDIOVASCULAR PROFESSIONAL SERVICES, LLC
ATLANTA, GA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for ABBEY NIX GILBERT, P.A.. Source: openpaymentsdata.cms.gov.

Total received

$449

Largest payer

Abbott Laboratories

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Typical

ABBEY NIX GILBERT, P.A. — brand share 16.0%
Specialty average (est.)

16% brand-name claims vs 84% generic, on 171 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

171
Total Claims
$15K
Total Drug Cost
46
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
217
Total Day Supply
6,387
Brand vs Generic
16% brand / 84% generic
Brand Drug Cost
$14K
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
74.3 years
Avg HCC Risk Score
1.71
Gender Split
46% female / 54% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What ABBEY NIX GILBERT, P.A. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Eliquis
Apixaban
18
Clopidogrel
Clopidogrel Bisulfate
17
Metoprolol Succinate
14
Nitroglycerin
12
Amlodipine Besylate
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Medical Physician Assistant Overview

How ABBEY NIX GILBERT, P.A. fits within the Medical Physician Assistant landscape nationally.

40,527
Medical Physician Assistant Providers in US
55
States with Medical Physician Assistant
1,077
Avg Claims per Provider

ABBEY NIX GILBERT, P.A.'s 171 claims are below the specialty average of 1,077.

Nearby Medical Physician Assistant Providers in Georgia

Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as NIX GILBERT.

Compare Medical Physician Assistant nationally: see state-by-state distribution →

Frequently Asked Questions

What is ABBEY NIX GILBERT, P.A.'s specialty?
ABBEY NIX GILBERT, P.A. specializes in Medical Physician Assistant and practices in LAWRENCEVILLE, Georgia. Credentials: P.A..
How much does ABBEY NIX GILBERT, P.A. prescribe under Medicare Part D?
In 2023, ABBEY NIX GILBERT, P.A. wrote 171 Medicare Part D claims totaling $15K in drug costs for 46 beneficiaries.
What is ABBEY NIX GILBERT, P.A.'s Medicare quality score?
ABBEY NIX GILBERT, P.A. has a CMS MIPS Final Score of 68.5568/100 (Quality: 63.1547, Cost: 52.0348). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ABBEY NIX GILBERT, P.A. located?
ABBEY NIX GILBERT, P.A. is located at 721 WELLNESS WAY STE 210, LAWRENCEVILLE, GA, 30046. Phone: (404) 962-6030.
What is ABBEY NIX GILBERT, P.A.'s NPI number?
ABBEY NIX GILBERT, P.A.'s National Provider Identifier (NPI) is 1811129521, issued on 08/13/2009.
Does ABBEY NIX GILBERT, P.A. prescribe more brand-name or generic drugs?
ABBEY NIX GILBERT, P.A.'s prescribing is 16% brand-name and 84% generic drugs by claim count, with $14K in brand drug costs.
How many Medical Physician Assistant providers are there in the US?
There are 40,527 Medical Physician Assistant providers across 55 states in the US. The average Medical Physician Assistant provider writes 1,077 Medicare Part D claims per year.
What drugs does ABBEY NIX GILBERT, P.A. prescribe most often?
Based on 2023 Medicare Part D data, ABBEY NIX GILBERT, P.A.'s most frequently prescribed drugs include Eliquis, Clopidogrel, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ABBEY NIX GILBERT, P.A. accept Medicare?
ABBEY NIX GILBERT, P.A. appears in CMS Medicare data with 171 Part D claims and 46 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ABBEY NIX GILBERT, P.A.'s credentials?
ABBEY NIX GILBERT, P.A.'s NPI is 1811129521 with credentials P.A.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology