2026 NPPES data Medical Physician Assistant NPI 1699931725 PA-C
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ANN MARIE HEMBROUGH, PA-C

Medical Physician Assistant in LAGUNA BEACH, California. 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
231
Medicare Part D claims · 116 beneficiaries · Medical Physician Assistant avg: 1K
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
96.2633/100
▲ 13 pts above national avg 83.1 · [object Object]
Industry payments
$2.9K
137 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ANN MARIE HEMBROUGH, PA-C reported a CMS MIPS final score of 96.2633/100 — above the 83.1 national average — and filed 231 Medicare Part D claims in 2023.

96.2633/100
MIPS score · +13 vs avg
231
Part D claims, 2023
94%
generic prescribing
$2.9K
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.

ANN MARIE HEMBROUGH, 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

96 Top 17% higher than 83% 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. 90–100: 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

What does the federal data show about ANN MARIE HEMBROUGH, PA-C?

High performer (top quartile)

NPI registry status

Active

Issued 07/29/2008

NPI 1699931725

Primary specialty

Medical Physician Assistant

Mid-sized

40,527 US NPIs in this specialty

Medicare Part D claims

231 79% vs specialty avg

2023 prescription claims

Specialty avg: 1,077

MIPS final score

96.2633/100 13.163300000000007% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in California

How Medical Physician Assistant compares to other specialties among California providers

California providers

Medical Physician Assistant share within California

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

Medicare quality performance — MIPS

ANN MARIE HEMBROUGH, PA-C's 2023 MIPS final score plotted against the Medical Physician Assistant national average

High performer (top quartile)
MIPS Final Score
96.2633/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Medical Physician Assistant) — 96.2633/100 vs national avg 83.1

0%100%National avg83%96.3%
MIPS final score (Medical Physician Assistant) — 96.2633/100 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).

ANN MARIE HEMBROUGH, PA-C appears in the CMS NPPES registry as a Medical Physician Assistant provider holding PA-C credentials at 31852 PACIFIC COAST HWY, LAGUNA BEACH, CA, 92651, with a listed phone of (949) 499-2800. NPI 1699931725 was issued on 07/29/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HEMBROUGH 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 231 prescription claims written by this provider, covering 116 Medicare beneficiaries and totaling roughly $30K in drug spend, split 6% brand-name and 94% 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 96.2633/100 for the 2023 performance year (Quality 92.5265), 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

31852 PACIFIC COAST HWY
LAGUNA BEACH, CA 92651

Provider Details

NPI 1699931725
Specialty Medical Physician Assistant
Credentials PA-C
Gender Female
NPI Issued 07/29/2008

CMS Quality Score (MIPS)

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

96.2633
Final Score
Avg: 83.1
92.5265
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where ANN MARIE HEMBROUGH, 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.

SKIN AND LASER CENTER OF NJ LLC
RAMSEY, NJ

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 ANN MARIE HEMBROUGH, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$2.9K

Largest payer

Janssen Biotech, 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 — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to ANN MARIE HEMBROUGH, PA-C. To verify ANN MARIE HEMBROUGH, PA-C's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

ANN MARIE HEMBROUGH, PA-C — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 231 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.

231
Total Claims
$30K
Total Drug Cost
116
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
271
Total Day Supply
6,699
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$23K
Generic Drug Cost
$7K

Patient Demographics

Average Patient Age
73.0 years
Avg HCC Risk Score
1.06
Gender Split
66% female / 34% male

Top Prescribed Drugs (Medicare Part D)

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

What ANN MARIE HEMBROUGH, 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
44
Triamcinolone Acetonide
33
Clobetasol Propionate
31
Clindamycin Phosphate
21
Doxycycline Hyclate
15
Mupirocin
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 ANN MARIE HEMBROUGH, 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

ANN MARIE HEMBROUGH, PA-C's 231 claims are below the specialty average of 1,077.

Nearby Medical Physician Assistant Providers in California

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

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

Frequently Asked Questions

What is ANN MARIE HEMBROUGH, PA-C's specialty?
ANN MARIE HEMBROUGH, PA-C specializes in Medical Physician Assistant and practices in LAGUNA BEACH, California. Credentials: PA-C.
How much does ANN MARIE HEMBROUGH, PA-C prescribe under Medicare Part D?
In 2023, ANN MARIE HEMBROUGH, PA-C wrote 231 Medicare Part D claims totaling $30K in drug costs for 116 beneficiaries.
What is ANN MARIE HEMBROUGH, PA-C's Medicare quality score?
ANN MARIE HEMBROUGH, PA-C has a CMS MIPS Final Score of 96.2633/100 (Quality: 92.5265). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ANN MARIE HEMBROUGH, PA-C located?
ANN MARIE HEMBROUGH, PA-C is located at 31852 PACIFIC COAST HWY, LAGUNA BEACH, CA, 92651. Phone: (949) 499-2800.
What is ANN MARIE HEMBROUGH, PA-C's NPI number?
ANN MARIE HEMBROUGH, PA-C's National Provider Identifier (NPI) is 1699931725, issued on 07/29/2008.
Does ANN MARIE HEMBROUGH, PA-C prescribe more brand-name or generic drugs?
ANN MARIE HEMBROUGH, PA-C's prescribing is 6% brand-name and 94% generic drugs by claim count, with $23K 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 ANN MARIE HEMBROUGH, PA-C prescribe most often?
Based on 2023 Medicare Part D data, ANN MARIE HEMBROUGH, 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 ANN MARIE HEMBROUGH, PA-C accept Medicare?
ANN MARIE HEMBROUGH, PA-C appears in CMS Medicare data with 231 Part D claims and 116 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANN MARIE HEMBROUGH, PA-C's credentials?
ANN MARIE HEMBROUGH, PA-C's NPI is 1699931725 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