2026 NPPES data Physician Assistant NPI 1831153626 PA C
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Angela Buttjer, PA C

Physician Assistant in Waterloo, Iowa.

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
736
Medicare Part D claims · 306 beneficiaries · Physician Assistant avg: 790
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · Exceptional
Industry payments
$158.34
3 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Angela Buttjer, PA C reported a CMS MIPS final score of 100/100 - above the 83.1 national average - and filed 736 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
736
Part D claims, 2023
82%
generic prescribing
$158.34
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.

Angela Buttjer, 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

100 Top 7% higher than 93% 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%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90+: 189,403 scored providers (40%). This entry sits in this band. 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

Where Angela Buttjer, PA C 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, Angela Buttjer, PA C writes more Part D claims than 77% of them and scores higher on MIPS quality than 93% - 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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 40Angela Buttjer, PA C-Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 93
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 Angela Buttjer, 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 Angela Buttjer, PA C?

High performer (top quartile)

NPI registry status

Active

Issued 04/17/2006

NPI 1831153626

Primary specialty

Physician Assistant

High-volume

150,974 US NPIs in this specialty

Medicare Part D claims

736 7% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

100/100 16.9 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Iowa

How Physician Assistant compares to other specialties among Iowa providers

Iowa providers
Pharmacist - 6.6%Pharmacist6.6%Physical Therapist - 5.5%Physical Therapist5.5%Mental Health Counselor - 5%Mental Health Counselor5%Family Medicine Physician - 4.8%Family Medicine Physician4.8%Chiropractor - 4.2%Chiropractor4.2%Clinical Social Worker - 4.1%Clinical Social Worker4.1%Physician Assistant - 3%Physician Assistant3%
Largest specialties in Iowa (% of in-state providers)

Medicare quality performance, MIPS

Angela Buttjer, PA C's 2023 MIPS final score plotted against the Physician Assistant national average

High performer (top quartile)
MIPS Final Score
100/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) - 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Physician Assistant) - 100/100 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).

Angela Buttjer, PA C appears in the CMS NPPES registry as a Physician Assistant provider holding PA C credentials at 3812 PHEASANT LN, Waterloo, IA, 50701, with a listed phone of (319) 236-3444. NPI 1831153626 was issued on 04/17/2006.

Medicare Part D records for calendar year 2023 show 736 prescription claims written by this provider, covering 306 Medicare beneficiaries and totaling roughly $364K in drug spend, split 18% brand-name and 82% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year (Quality 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

3812 PHEASANT LN
Waterloo, IA 50701

Provider Details

NPI 1831153626
Specialty Physician Assistant
Credentials PA C
Gender Female
NPI Issued 04/17/2006

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where Angela Buttjer, 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.

Dermatology Associates PC
Waterloo, IA

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 Angela Buttjer, PA C. Source: openpaymentsdata.cms.gov.

Total received

$158

Largest payer

LEO Pharma 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.

Brand vs generic prescribing mix · Typical

Angela Buttjer, PA C - brand share 18.0%
Physician Assistant average

18% brand-name claims vs 82% generic, on 736 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.

736
Total Claims
$364K
Total Drug Cost
306
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
824
Total Day Supply
22,043
Brand vs Generic
18% brand / 82% generic
Brand Drug Cost
$337K
Generic Drug Cost
$27K
Antibiotic Claims
86

Patient Demographics

Average Patient Age
75.2 years
Avg HCC Risk Score
0.98
Gender Split
56% female / 44% male

Top Prescribed Drugs (Medicare Part D)

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

What Angela Buttjer, 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
Ketoconazole
68
Triamcinolone Acetonide
60
Clobetasol Propionate
47
Metronidazole
33
Fluorouracil
31
Hydrocortisone
29
Otezla
Apremilast
27
Fluticasone Propionate
24
Azelaic Acid
23
Mometasone Furoate
23

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

Physician Assistant Overview

How Angela Buttjer, 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

Angela Buttjer, PA C's 736 claims are below the specialty average of 790.

Nearby Physician Assistant Providers in Iowa

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

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 Iowa 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.

Frequently Asked Questions

What is Angela Buttjer, PA C's specialty?
Angela Buttjer, PA C specializes in Physician Assistant and practices in Waterloo, Iowa. Credentials: PA C.
How much does Angela Buttjer, PA C prescribe under Medicare Part D?
In 2023, Angela Buttjer, PA C wrote 736 Medicare Part D claims totaling $364K in drug costs for 306 beneficiaries.
What is Angela Buttjer, PA C's Medicare quality score?
Angela Buttjer, PA C has a CMS MIPS Final Score of 100/100 (Quality: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Angela Buttjer, PA C located?
Angela Buttjer, PA C is located at 3812 PHEASANT LN, Waterloo, IA, 50701. Phone: (319) 236-3444.
What is Angela Buttjer, PA C's NPI number?
Angela Buttjer, PA C's National Provider Identifier (NPI) is 1831153626, issued on 04/17/2006.
Does Angela Buttjer, PA C prescribe more brand-name or generic drugs?
Angela Buttjer, PA C's prescribing is 18% brand-name and 82% generic drugs by claim count, with $337K 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 Angela Buttjer, PA C prescribe most often?
Based on 2023 Medicare Part D data, Angela Buttjer, PA C's most frequently prescribed drugs include Ketoconazole, Triamcinolone Acetonide, Clobetasol Propionate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Angela Buttjer, PA C accept Medicare?
Angela Buttjer, PA C appears in CMS Medicare data with 736 Part D claims and 306 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Angela Buttjer, PA C's credentials?
Angela Buttjer, PA C's NPI is 1831153626 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

Compiled from official public sources by the PlainDoctor editorial team.

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.