NPI registry status
Active
2026 NPPES data Physician Assistant NPI 1174184121 PA-C
Verify on CMS → Alexandra Paul, PA-C
Physician Assistant in Rockwall, Texas.
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
479
Medicare Part D claims · 193 beneficiaries · Physician Assistant avg: 790
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84.4/100
▲ 1 pts above national avg 83.5 · Above neutral
Industry payments
$64.48
3 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Alexandra Paul, PA-C reported a CMS MIPS final score of 84.4/100 - above the 83.5 national average - and filed 479 Medicare Part D claims in 2023.
- 84.4/100
- MIPS score · +1 vs avg
- 479
- Part D claims, 2023
- 80%
- generic prescribing
- $64.48
- 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.
CMS NPPES provider registry desk
NPI 1174184121 · Physician Assistant
NPI-10 · ENUM-RECENT · TAX-MEGA · MIPS-INLINE · RX-LIGHT · BOOK-MID · PHOTO-FINISH
- NPI-10 1174184121
- ENUM-RECENT 2019
- TAX-MEGA 151K Physician Assistant
- MIPS-INLINE 84.4/100
- RX-LIGHT 479
- BOOK-MID 9,933 in Texas
- PHOTO-FINISH Jacquelyn Donohue · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Paul · this prov…
Paul · this provider
84.4 MIPS pts
- Jessica Gahres ·…
Jessica Gahres
84.4 MIPS pts
- Caitlyn Stowe · …
Caitlyn Stowe
84.4 MIPS pts
- Max Courtney · n…
Max Courtney
84.4 MIPS pts
- Jacquelyn Donohu…
Jacquelyn Donohue
84.4 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Alexandra Paul, PA-C's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
84 ≥ 42nd percentile 42% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Alexandra Paul, PA-C sits
This provider among physician assistant peers
Across the 26,497 physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Alexandra Paul, PA-C writes more Part D claims than 68% of them and scores higher on MIPS quality than 42% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one physician assistant peer from a representative sample of 60; the gold marker is Alexandra Paul, PA-C. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Alexandra Paul, PA-C?
Near national averagePrimary specialty
Physician Assistant
Medicare Part D claims
479 39% vs specialty avg
MIPS final score
84.4/100 0.9 pts vs avg
Specialty distribution in Texas
How Physician Assistant compares to other specialties among Texas providers
Medicare quality performance, MIPS
Alexandra Paul, PA-C's 2023 MIPS final score plotted against the Physician Assistant national average
- MIPS Final Score
- 84.4/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
Provider Details
| NPI | 1174184121 |
|---|---|
| Specialty | Physician Assistant |
| Credentials | PA-C |
| Gender | Female |
| NPI Issued | 06/20/2019 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
84.3743
Final Score
Measured-score avg: 83.5
61.2776
Quality
93
Promoting Interoperability
Reporting: Alternative Payment Model
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 Alexandra Paul, PA-C. Source: openpaymentsdata.cms.gov.
Total received
$64
Largest payer
Sumitomo Pharma America, Inc.
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.
License & disciplinary context - Texas TMB 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 - they are NOT specific to Alexandra Paul, PA-C. To verify Alexandra Paul, PA-C's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Alexandra Paul, PA-C - brand share 20.0%
Physician Assistant average
20% brand-name claims vs 80% generic, on 479 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.
479
Total Claims
$80K
Total Drug Cost
193
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,028
- Total Day Supply
- 27,846
- Brand vs Generic
- 20% brand / 80% generic
- Brand Drug Cost
- $66K
- Generic Drug Cost
- $14K
- Antibiotic Claims
- 164
Patient Demographics
- Average Patient Age
- 76.1 years
- Avg HCC Risk Score
- 1.37
- Gender Split
- 68% female / 32% male
- Age Distribution
- <65: 11, 65-74: 70, 75-84: 81, 85+: 31
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Alexandra Paul, PA-C prescribes most
Top Medicare Part D drugs by claim count, 2023
- Tamsulosin Hcl
Tamsulosin Hcl
58 claims
- Myrbetriq
Myrbetriq
57 claims
- Oxybutynin Chlorid…
Oxybutynin Chloride Er
39 claims
- Estradiol
Estradiol
38 claims
- Cephalexin
Cephalexin
34 claims
- Finasteride
Finasteride
29 claims
- Solifenacin Succin…
Solifenacin Succinate
28 claims
- Sulfamethoxazole-T…
Sulfamethoxazole-Trimethoprim
28 claims
| Drug | Claims |
|---|---|
| Tamsulosin Hcl | 58 |
| Myrbetriq Mirabegron | 57 |
| Oxybutynin Chloride Er Oxybutynin Chloride | 39 |
| Estradiol | 38 |
| Cephalexin | 34 |
| Finasteride | 29 |
| Solifenacin Succinate | 28 |
| Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim | 28 |
| Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst | 25 |
| Trimethoprim | 24 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Physician Assistant Overview
How Alexandra Paul, PA-C fits within the Physician Assistant landscape nationally.
150,974
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider
Alexandra Paul, PA-C's 479 claims are below the specialty average of 790.
Nationwide Physician Assistant peers with similar MIPS or enrollment year
Two federal-record peer sets for Paul, both outside Texas so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (84.4 here).
Same NPPES enumeration year (2019)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Physician Assistant Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Paul.
One of 9,933 Physician Assistant providers enrolled in Texas, 5 are shown here.
Dr. Neha Aamir
PA
Pearland, TX
Dr. Shaghayegh Ababaf
PA-C
Lewisville, TX
Dr. Linda Abad
PA-C
Houston, TX
Hansaa Abbasi
Dallas, TX
Dr. Alicia Abbey
MPAS, PA-C
San Antonio, TX
Compare Physician Assistant nationally: see state-by-state distribution →
Frequently Asked Questions
What is Alexandra Paul, PA-C's specialty? ▼
Alexandra Paul, PA-C specializes in Physician Assistant and practices in Rockwall, Texas. Credentials: PA-C.
How much does Alexandra Paul, PA-C prescribe under Medicare Part D? ▼
In 2023, Alexandra Paul, PA-C wrote 479 Medicare Part D claims totaling $80K in drug costs for 193 beneficiaries.
What is Alexandra Paul, PA-C's Medicare quality score? ▼
Alexandra Paul, PA-C has a CMS MIPS Final Score of 84.4/100 (Quality: 61.3). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Alexandra Paul, PA-C located? ▼
Alexandra Paul, PA-C is located at 890 ROCKWALL PKWY STE 110, Rockwall, TX, 75032. Phone: (972) 494-6764.
What is Alexandra Paul, PA-C's NPI number? ▼
Alexandra Paul, PA-C's National Provider Identifier (NPI) is 1174184121, issued on 06/20/2019.
Does Alexandra Paul, PA-C prescribe more brand-name or generic drugs? ▼
Alexandra Paul, PA-C's prescribing is 20% brand-name and 80% generic drugs by claim count, with $66K in brand drug costs.
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 Alexandra Paul, PA-C prescribe most often? ▼
Based on 2023 Medicare Part D data, Alexandra Paul, PA-C's most frequently prescribed drugs include Tamsulosin Hcl, Myrbetriq, Oxybutynin Chloride Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Alexandra Paul, PA-C accept Medicare? ▼
Alexandra Paul, PA-C appears in CMS Medicare data with 479 Part D claims and 193 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Alexandra Paul, PA-C's credentials? ▼
Alexandra Paul, PA-C's NPI is 1174184121 with credentials PA-C. 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.