NPI registry status
Active
2026 NPPES data Physician Assistant NPI 1205463858
Verify on CMS → Addison Schwaller
Physician Assistant in Kokomo, Indiana.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 150,974 in Physician Assistant, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
467
Medicare Part D claims · 315 beneficiaries · Physician Assistant avg: 790
MIPS score
89.6/100
▲ 6 pts above national avg 83.1 · Exceptional
What the federal data shows
Addison Schwaller reported a CMS MIPS final score of 89.6/100 - above the 83.1 national average - and filed 467 Medicare Part D claims in 2023.
- 89.6/100
- MIPS score · +6 vs avg
- 467
- Part D claims, 2023
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.
Addison Schwaller's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
90 Top 42% higher than 58% of 477,587 scored providers
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
Where Addison Schwaller sits
This provider among physician assistant peers
Across the 27,054 physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Addison Schwaller writes more Part D claims than 67% of them and scores higher on MIPS quality than 57% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one physician assistant peer from a representative sample of 60; the gold marker is Addison Schwaller. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Addison Schwaller?
High performer (top quartile)Primary specialty
Physician Assistant
Medicare Part D claims
467 41% vs specialty avg
MIPS final score
89.6/100 6.5 pts vs avg
Specialty distribution in Indiana
How Physician Assistant compares to other specialties among Indiana providers
Medicare quality performance, MIPS
Addison Schwaller's 2023 MIPS final score plotted against the Physician Assistant national average
- MIPS Final Score
- 89.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Physician Assistant) - 89.6/100 vs national avg 83.1
How MIPS and board certification work
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).
Addison Schwaller appears in the CMS NPPES registry as a Physician Assistant provider at 1907 W SYCAMORE ST, Kokomo, IN, 46901, with a listed phone of (765) 456-5611. NPI 1205463858 was issued on 03/24/2020.
Medicare Part D records for calendar year 2023 show 467 prescription claims written by this provider, covering 315 Medicare beneficiaries and totaling roughly $5K in drug spend, with an opioid prescribing rate of 17.3%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 89.6/100 for the 2023 performance year (Quality 70.5, Cost 100), compared with the national average of 83.1.
Physician Assistant is a high-volume specialty nationwide, with 150,974 enrolled providers across 56 states and an average of 790 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
Provider Details
| NPI | 1205463858 |
|---|---|
| Specialty | Physician Assistant |
| Gender | Female |
| NPI Issued | 03/24/2020 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
89.5594
Final Score
Avg: 83.1
70.4515
Quality
100
Cost
Reporting: Group practice
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
467
Total Claims
$5K
Total Drug Cost
315
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 468
- Total Day Supply
- 3,536
- Generic Drug Cost
- $3K
- Opioid Claims
- 81 (17.3% rate)
- Antibiotic Claims
- 198
Patient Demographics
- Average Patient Age
- 69.7 years
- Avg HCC Risk Score
- 1.67
- Gender Split
- 56% female / 44% male
- Age Distribution
- <65: 87, 65-74: 109, 75-84: 80, 85+: 39
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Addison Schwaller prescribes most
Top Medicare Part D drugs by claim count, 2023
- Cephalexin
Cephalexin
69 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
67 claims
- Methylprednisolone
Methylprednisolone
51 claims
- Azithromycin
Azithromycin
43 claims
- Doxycycline Hyclate
Doxycycline Hyclate
31 claims
- Ondansetron Odt
Ondansetron Odt
29 claims
- Amoxicillin-Clavul… 17
Amoxicillin-Clavulanate Potass
17 claims
- Cyclobenzaprine Hcl 11
Cyclobenzaprine Hcl
11 claims
| Drug | Claims |
|---|---|
| Cephalexin | 69 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 67 |
| Methylprednisolone | 51 |
| Azithromycin | 43 |
| Doxycycline Hyclate | 31 |
| Ondansetron Odt Ondansetron | 29 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 17 |
| Cyclobenzaprine Hcl | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Physician Assistant Overview
How Addison Schwaller fits within the Physician Assistant landscape nationally.
150,974
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider
Addison Schwaller's 467 claims are below the specialty average of 790.
Nearby Physician Assistant Providers in Indiana
Other clinicians with the same primary specialty enrolled in Indiana, drawn from the same CMS NPPES roster as Schwaller.
Dr. Mary Abbas
PA-C
Indianapolis, IN
Dr. Alexandra Abbey
PA-C
Indianapolis, IN
Dr. Mackenzie Accorsi
PA-C
La Porte, IN
Dr. Anna Ackermann
PA-C
Indianapolis, IN
Dr. Joshua Ackermann
PA-C
Indianapolis, IN
Compare Physician Assistant nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Indiana medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Physician Assistant peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Addison Schwaller's specialty? ▼
Addison Schwaller specializes in Physician Assistant and practices in Kokomo, Indiana.
How much does Addison Schwaller prescribe under Medicare Part D? ▼
In 2023, Addison Schwaller wrote 467 Medicare Part D claims totaling $5K in drug costs for 315 beneficiaries.
What is Addison Schwaller's Medicare quality score? ▼
Addison Schwaller has a CMS MIPS Final Score of 89.6/100 (Quality: 70.5, Cost: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Addison Schwaller located? ▼
Addison Schwaller is located at 1907 W SYCAMORE ST, Kokomo, IN, 46901. Phone: (765) 456-5611.
What is Addison Schwaller's NPI number? ▼
Addison Schwaller's National Provider Identifier (NPI) is 1205463858, issued on 03/24/2020.
Does Addison Schwaller prescribe opioids? ▼
Yes, Addison Schwaller had 81 opioid claims in 2023 with an opioid prescribing rate of 17.3%.
How many Physician Assistant providers are there in the US? ▼
There are 150,974 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 790 Medicare Part D claims per year.
What drugs does Addison Schwaller prescribe most often? ▼
Based on 2023 Medicare Part D data, Addison Schwaller's most frequently prescribed drugs include Cephalexin, Hydrocodone-Acetaminophen, Methylprednisolone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Addison Schwaller accept Medicare? ▼
Addison Schwaller appears in CMS Medicare data with 467 Part D claims and 315 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Addison Schwaller's credentials? ▼
Addison Schwaller's NPI is 1205463858. 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
View source datasets and methodology notes
- 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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.