2026 NPPES data Physician Assistant NPI 1053406223 PA
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ARAM KALPAKGIAN, PA

Physician Assistant in NEW LONDON, New Hampshire. 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
139
Medicare Part D claims · 53 beneficiaries · Physician Assistant avg: 790
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
89.7541/100
▲ 7 pts above national avg 83.1 · [object Object]

What the federal data shows

ARAM KALPAKGIAN, PA reported a CMS MIPS final score of 89.7541/100 — above the 83.1 national average — and filed 139 Medicare Part D claims in 2023.

89.7541/100
MIPS score · +7 vs avg
139
Part D claims, 2023
88%
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.

ARAM KALPAKGIAN, PA'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

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%). This entry sits in this band. 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 ARAM KALPAKGIAN, PA?

High performer (top quartile)

NPI registry status

Active

Issued 10/04/2006

NPI 1053406223

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

139 82% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

89.7541/100 6.6541% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New Hampshire

How Physician Assistant compares to other specialties among New Hampshire providers

New Hampshire providers

Physician Assistant share within New Hampshire

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

Medicare quality performance — MIPS

ARAM KALPAKGIAN, PA's 2023 MIPS final score plotted against the Physician Assistant national average

High performer (top quartile)
MIPS Final Score
89.7541/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 89.7541/100 vs national avg 83.1

0%100%National avg83%89.8%
MIPS final score (Physician Assistant) — 89.7541/100 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).

ARAM KALPAKGIAN, PA appears in the CMS NPPES registry as a Physician Assistant provider holding PA credentials at 273 COUNTY ROAD, NEW LONDON, NH, 03257, with a listed phone of (603) 526-2911. NPI 1053406223 was issued on 10/04/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KALPAKGIAN 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 139 prescription claims written by this provider, covering 53 Medicare beneficiaries and totaling roughly $17K in drug spend, split 12% brand-name and 88% 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 89.7541/100 for the 2023 performance year (Quality 81.3711), compared with the national average of 83.1.

Physician Assistant is a high-volume specialty nationwide, with 149,975 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

273 COUNTY ROAD
NEW LONDON, NH 03257

Provider Details

NPI 1053406223
Specialty Physician Assistant
Credentials PA
Gender Male
NPI Issued 10/04/2006

CMS Quality Score (MIPS)

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

89.7541
Final Score
Avg: 83.1
81.3711
Quality
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ARAM KALPAKGIAN, PA 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.

ALLIANCE URGENT CARE SERVICES LLC
GOFFSTOWN, NH
CLEARCHOICEMD, PLLC
LEBANON, NH

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

Brand vs generic prescribing mix · Typical

ARAM KALPAKGIAN, PA — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 139 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.

139
Total Claims
$17K
Total Drug Cost
53
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
139
Total Day Supply
2,382
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$14K
Generic Drug Cost
$4K
Antibiotic Claims
34

Patient Demographics

Average Patient Age
67.6 years
Avg HCC Risk Score
0.84
Gender Split
57% female / 43% male

Top Prescribed Drugs (Medicare Part D)

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

What ARAM KALPAKGIAN, PA 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
Buprenorphine-Naloxone
Buprenorphine Hcl/Naloxone Hcl
50
Buprenorphine Hcl
21
Suboxone
Buprenorphine Hcl/Naloxone Hcl
17

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

Physician Assistant Overview

How ARAM KALPAKGIAN, PA fits within the Physician Assistant landscape nationally.

149,975
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider

ARAM KALPAKGIAN, PA's 139 claims are below the specialty average of 790.

Nearby Physician Assistant Providers in New Hampshire

Other clinicians with the same primary specialty enrolled in New Hampshire, drawn from the same CMS NPPES roster as KALPAKGIAN.

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

Frequently Asked Questions

What is ARAM KALPAKGIAN, PA's specialty?
ARAM KALPAKGIAN, PA specializes in Physician Assistant and practices in NEW LONDON, New Hampshire. Credentials: PA.
How much does ARAM KALPAKGIAN, PA prescribe under Medicare Part D?
In 2023, ARAM KALPAKGIAN, PA wrote 139 Medicare Part D claims totaling $17K in drug costs for 53 beneficiaries.
What is ARAM KALPAKGIAN, PA's Medicare quality score?
ARAM KALPAKGIAN, PA has a CMS MIPS Final Score of 89.7541/100 (Quality: 81.3711). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ARAM KALPAKGIAN, PA located?
ARAM KALPAKGIAN, PA is located at 273 COUNTY ROAD, NEW LONDON, NH, 03257. Phone: (603) 526-2911.
What is ARAM KALPAKGIAN, PA's NPI number?
ARAM KALPAKGIAN, PA's National Provider Identifier (NPI) is 1053406223, issued on 10/04/2006.
Does ARAM KALPAKGIAN, PA prescribe more brand-name or generic drugs?
ARAM KALPAKGIAN, PA's prescribing is 12% brand-name and 88% generic drugs by claim count, with $14K in brand drug costs.
How many Physician Assistant providers are there in the US?
There are 149,975 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 ARAM KALPAKGIAN, PA prescribe most often?
Based on 2023 Medicare Part D data, ARAM KALPAKGIAN, PA's most frequently prescribed drugs include Buprenorphine-Naloxone, Buprenorphine Hcl, Suboxone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ARAM KALPAKGIAN, PA accept Medicare?
ARAM KALPAKGIAN, PA appears in CMS Medicare data with 139 Part D claims and 53 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ARAM KALPAKGIAN, PA's credentials?
ARAM KALPAKGIAN, PA's NPI is 1053406223 with credentials PA. 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