NPI registry status
Active
2026 NPPES data Surgical Physician Assistant NPI 1639778970 PA-C
Verify on CMS → Austin Qualizza, PA-C
Surgical Physician Assistant in Chesterton, Indiana.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,380 in Surgical 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
257
Medicare Part D claims · 134 beneficiaries · Surgical Physician Assistant avg: 341
Industry payments
$16.01
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Austin Qualizza, PA-C filed 257 Medicare Part D claims in 2024 as a Surgical Physician Assistant in Chesterton, Indiana.
- 257
- Part D claims, 2024
- $16.01
- industry payments (Sunshine Act)
- ≥48th
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about Austin Qualizza, PA-C
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1639778970), first enumerated 10/19/2020.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 257 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Hospital affiliations
2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$16.01 in reported industry payments (1 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1639778970 · Surgical Physician Assistant
NPI-10 · ENUM-RECENT · TAX-MID · RX-LIGHT · BOOK-THIN · PHOTO-ENUM
- NPI-10 1639778970
- ENUM-RECENT 2020
- TAX-MID 16K Surgical Physician
- RX-LIGHT 257
- BOOK-THIN 166 in Indiana
- PHOTO-ENUM Larisa Gillern · 2020
Austin Qualizza, PA-C's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
257 ≥ 48th percentile 48% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
What does the federal data show about Austin Qualizza, PA-C?
Quality data not reportedPrimary specialty
Surgical Physician Assistant
Medicare Part D claims
257 25% vs specialty avg
Specialty distribution in Indiana
How Surgical Physician Assistant compares to other specialties among Indiana providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Surgical Physician Assistant. Verify directly:
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 | 1639778970 |
|---|---|
| Specialty | Surgical Physician Assistant |
| Credentials | PA-C |
| Gender | Male |
| NPI Issued | 10/19/2020 |
Hospital and facility affiliations
Facilities where Austin Qualizza, 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.
Lakeshore Bone And Joint Institute, PC
Crown Point, IN
Rci (wrs) LLC
Demotte, IN
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 Austin Qualizza, PA-C. Source: openpaymentsdata.cms.gov.
Total received
$16
Largest payer
Stryker Corporation
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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
257
Total Claims
$2K
Total Drug Cost
134
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 257
- Total Day Supply
- 3,121
- Brand Drug Cost
- $0
- Generic Drug Cost
- $2K
- Opioid Claims
- 190 (73.9% rate)
Patient Demographics
- Average Patient Age
- 71.9 years
- Avg HCC Risk Score
- 1.01
- Gender Split
- 62% female / 38% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Austin Qualizza, PA-C prescribes most
Top Medicare Part D drugs by claim count, 2024
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
80 claims
- Oxycodone Hcl
Oxycodone Hcl
61 claims
- Tramadol Hcl
Tramadol Hcl
48 claims
- Gabapentin
Gabapentin
33 claims
- Diclofenac Sodium 21
Diclofenac Sodium
21 claims
| Drug | Claims |
|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 80 |
| Oxycodone Hcl | 61 |
| Tramadol Hcl | 48 |
| Gabapentin | 33 |
| Diclofenac Sodium | 21 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Surgical Physician Assistant Overview
How Austin Qualizza, PA-C fits within the Surgical Physician Assistant landscape nationally.
16,380
Surgical Physician Assistant Providers in US
54
States with Surgical Physician Assistant
341
Avg Claims per Provider
Austin Qualizza, PA-C's 257 claims are below the specialty average of 341.
Nationwide Surgical Physician Assistant peers with similar MIPS or enrollment year
Two federal-record peer sets for Qualizza, both outside Indiana so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2020)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Surgical Physician Assistant Providers in Indiana
Other clinicians with the same primary specialty enrolled in Indiana, drawn from the same CMS NPPES roster as Qualizza.
One of 166 Surgical Physician Assistant providers enrolled in Indiana, 5 are shown here.
Sarah Adams
PA
Indianapolis, IN
Joshua Allen
PA-C
Chesterton, IN
Davina Ananias
Indianapolis, IN
Jessica Ansara
Carmel, IN
Daniel Balcerak
PA-C
Hammond, IN
Compare Surgical Physician Assistant nationally: see state-by-state distribution →
Frequently Asked Questions
What is Austin Qualizza, PA-C's specialty? ▼
Austin Qualizza, PA-C specializes in Surgical Physician Assistant and practices in Chesterton, Indiana. Credentials: PA-C.
How much does Austin Qualizza, PA-C prescribe under Medicare Part D? ▼
In 2024, Austin Qualizza, PA-C wrote 257 Medicare Part D claims totaling $2K in drug costs for 134 beneficiaries.
Where is Austin Qualizza, PA-C located? ▼
Austin Qualizza, PA-C is located at 601 GATEWAY BLVD N, Chesterton, IN, 46304. Phone: (219) 921-1444.
What is Austin Qualizza, PA-C's NPI number? ▼
Austin Qualizza, PA-C's National Provider Identifier (NPI) is 1639778970, issued on 10/19/2020.
Does Austin Qualizza, PA-C prescribe opioids? ▼
Yes, Austin Qualizza, PA-C had 190 opioid claims in 2024 with an opioid prescribing rate of 73.9%.
How many Surgical Physician Assistant providers are there in the US? ▼
There are 16,380 Surgical Physician Assistant providers across 54 states in the US. The average Surgical Physician Assistant provider writes 341 Medicare Part D claims per year.
What drugs does Austin Qualizza, PA-C prescribe most often? ▼
Based on 2024 Medicare Part D data, Austin Qualizza, PA-C's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Oxycodone Hcl, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Austin Qualizza, PA-C accept Medicare? ▼
Austin Qualizza, PA-C appears in CMS Medicare data with 257 Part D claims and 134 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Austin Qualizza, PA-C's credentials? ▼
Austin Qualizza, PA-C's NPI is 1639778970 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 (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- 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 August 2026 (NPPES) / 2024 (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 August 2026.