2026 NPPES data Medical Physician Assistant NPI 1174875223 PA-C
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AMY SMITH, PA-C

Medical Physician Assistant in DECATUR, Illinois. 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
5K
Medicare Part D claims · 242 beneficiaries · Medical Physician Assistant avg: 1K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
67.1858/100
▼ 16 pts below national avg 83.1 · [object Object]

What the federal data shows

AMY SMITH, PA-C reported a CMS MIPS final score of 67.1858/100 — below the 83.1 national average — and filed 4,643 Medicare Part D claims in 2023.

67.1858/100
MIPS score · -16 vs avg
5K
Part D claims, 2023
86%
generic prescribing

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.

AMY SMITH, PA-C's MIPS score vs every scored U.S. clinician

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

67 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 AMY SMITH, PA-C?

Below national average

NPI registry status

Active

Issued 10/12/2012

NPI 1174875223

Primary specialty

Medical Physician Assistant

Mid-sized

40,527 US NPIs in this specialty

Medicare Part D claims

4,643 331% vs specialty avg

2023 prescription claims

Specialty avg: 1,077

MIPS final score

67.1858/100 15.914199999999994% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Illinois

How Medical Physician Assistant compares to other specialties among Illinois providers

Illinois providers

Medical Physician Assistant share within Illinois

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

Medicare quality performance — MIPS

AMY SMITH, PA-C's 2023 MIPS final score plotted against the Medical Physician Assistant national average

Below national average
MIPS Final Score
67.1858/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Medical Physician Assistant) — 67.1858/100 vs national avg 83.1

0%100%National avg83%67.2%
MIPS final score (Medical Physician Assistant) — 67.1858/100 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).

AMY SMITH, PA-C appears in the CMS NPPES registry as a Medical Physician Assistant provider holding PA-C credentials at 550 SOUTHLAND DR, DECATUR, IL, 62521, with a listed phone of (217) 425-9264. NPI 1174875223 was issued on 10/12/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SMITH 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 4,643 prescription claims written by this provider, covering 242 Medicare beneficiaries and totaling roughly $402K in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 0.3%. 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 67.1858/100 for the 2023 performance year (Quality 63.8613, Cost 56.8734), 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

550 SOUTHLAND DR
DECATUR, IL 62521

Provider Details

NPI 1174875223
Specialty Medical Physician Assistant
Credentials PA-C
Gender Female
NPI Issued 10/12/2012

CMS Quality Score (MIPS)

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

67.1858
Final Score
Avg: 83.1
63.8613
Quality
56.8734
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where AMY SMITH, PA-C 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.

DECATUR MEMORIAL HOSPITAL
★★★☆☆ 3/5
FORSYTH, IL
Acute Care Hospitals
CMS CCN: 140135

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

License & disciplinary context — Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 — they are NOT specific to AMY SMITH, PA-C. To verify AMY SMITH, PA-C's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

AMY SMITH, PA-C — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 4,643 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.

4,643
Total Claims
$402K
Total Drug Cost
242
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
9,314
Total Day Supply
271,190
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$329K
Generic Drug Cost
$70K
Opioid Claims
12 (0.3% rate)
Antibiotic Claims
78

Patient Demographics

Average Patient Age
70.6 years
Avg HCC Risk Score
1.33
Gender Split
64% female / 36% male
Age Distribution
<65: 40, 65-74: 123, 75-84: 62, 85+: 17

Top Prescribed Drugs (Medicare Part D)

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

What AMY SMITH, PA-C 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
Atorvastatin Calcium
335
Metformin Hcl
166
Lisinopril
157
Levothyroxine Sodium
154
Omeprazole
146
Amlodipine Besylate
122
Metoprolol Succinate
120
Hydrochlorothiazide
112
Gabapentin
108
Sertraline Hcl
95

* 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 AMY SMITH, PA-C 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

AMY SMITH, PA-C's 4,643 claims are above the specialty average of 1,077.

Nearby Medical Physician Assistant Providers in Illinois

Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as SMITH.

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

Frequently Asked Questions

What is AMY SMITH, PA-C's specialty?
AMY SMITH, PA-C specializes in Medical Physician Assistant and practices in DECATUR, Illinois. Credentials: PA-C.
How much does AMY SMITH, PA-C prescribe under Medicare Part D?
In 2023, AMY SMITH, PA-C wrote 4,643 Medicare Part D claims totaling $402K in drug costs for 242 beneficiaries.
What is AMY SMITH, PA-C's Medicare quality score?
AMY SMITH, PA-C has a CMS MIPS Final Score of 67.1858/100 (Quality: 63.8613, Cost: 56.8734). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is AMY SMITH, PA-C located?
AMY SMITH, PA-C is located at 550 SOUTHLAND DR, DECATUR, IL, 62521. Phone: (217) 425-9264.
What is AMY SMITH, PA-C's NPI number?
AMY SMITH, PA-C's National Provider Identifier (NPI) is 1174875223, issued on 10/12/2012.
Does AMY SMITH, PA-C prescribe more brand-name or generic drugs?
AMY SMITH, PA-C's prescribing is 14% brand-name and 86% generic drugs by claim count, with $329K in brand drug costs.
Does AMY SMITH, PA-C prescribe opioids?
Yes, AMY SMITH, PA-C had 12 opioid claims in 2023 with an opioid prescribing rate of 0.3%.
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 AMY SMITH, PA-C prescribe most often?
Based on 2023 Medicare Part D data, AMY SMITH, PA-C's most frequently prescribed drugs include Atorvastatin Calcium, Metformin Hcl, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does AMY SMITH, PA-C accept Medicare?
AMY SMITH, PA-C appears in CMS Medicare data with 4,643 Part D claims and 242 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify AMY SMITH, PA-C's credentials?
AMY SMITH, PA-C's NPI is 1174875223 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

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