NPI registry status
Active
2026 NPPES data Medical Physician Assistant NPI 1225033756 PA-C
Verify on CMS → Benjamin Carr, PA-C
Medical Physician Assistant in West Reading, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 40,580 in Medical 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
17
Medicare Part D claims · 13 beneficiaries · Medical Physician Assistant avg: 1K
MIPS score
81.2/100
▼ 2 pts below national avg 83.1 · Above neutral
Industry payments
$255.91
7 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Benjamin Carr, PA-C reported a CMS MIPS final score of 81.2/100 - below the 83.1 national average - and filed 17 Medicare Part D claims in 2023.
- 81.2/100
- MIPS score · -2 vs avg
- 17
- Part D claims, 2023
- $255.91
- 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.
Benjamin Carr, 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
81 36th percentile higher than 36% of 477,587 scored providers
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 Benjamin Carr, PA-C sits
This provider among medical physician assistant peers
Across the 7,339 medical physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Benjamin Carr, PA-C writes more Part D claims than 2% of them and scores higher on MIPS quality than 34% - placing this provider in the lower-volume, lower-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
Each dot is one medical physician assistant peer from a representative sample of 60; the gold marker is Benjamin Carr, 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 Benjamin Carr, PA-C?
Near national averagePrimary specialty
Medical Physician Assistant
Medicare Part D claims
17 98% vs specialty avg
MIPS final score
81.2/100 1.9 pts vs avg
Specialty distribution in Pennsylvania
How Medical Physician Assistant compares to other specialties among Pennsylvania providers
Medicare quality performance, MIPS
Benjamin Carr, PA-C's 2023 MIPS final score plotted against the Medical Physician Assistant national average
- MIPS Final Score
- 81.2/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Medical Physician Assistant) - 81.2/100 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).
Benjamin Carr, PA-C appears in the CMS NPPES registry as a Medical Physician Assistant provider holding PA-C credentials at 420 S 5TH AVE, West Reading, PA, 19611, with a listed phone of (484) 628-3637. NPI 1225033756 was issued on 06/21/2005.
Medicare Part D records for calendar year 2023 show 17 prescription claims written by this provider, covering 13 Medicare beneficiaries and totaling roughly $142 in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 81.2/100 for the 2023 performance year (Quality 74.6, Cost 65.2), compared with the national average of 83.1.
Medical Physician Assistant is a mid-sized specialty nationwide, with 40,580 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
Provider Details
| NPI | 1225033756 |
|---|---|
| Specialty | Medical Physician Assistant |
| Credentials | PA-C |
| Gender | Male |
| NPI Issued | 06/21/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
81.1913
Final Score
Avg: 83.1
74.5659
Quality
65.2384
Cost
97
Promoting Interoperability
Reporting: Group practice
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 Benjamin Carr, PA-C. Source: openpaymentsdata.cms.gov.
Total received
$256
Largest payer
Inspire Medical Systems, 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 - Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Benjamin Carr, PA-C. To verify Benjamin Carr, PA-C's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
17
Total Claims
$142
Total Drug Cost
13
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 17
- Total Day Supply
- 223
- Generic Drug Cost
- $99
Patient Demographics
- Average Patient Age
- 60.6 years
- Avg HCC Risk Score
- 1.11
Medical Physician Assistant Overview
How Benjamin Carr, PA-C fits within the Medical Physician Assistant landscape nationally.
40,580
Medical Physician Assistant Providers in US
55
States with Medical Physician Assistant
1,077
Avg Claims per Provider
Benjamin Carr, PA-C's 17 claims are below the specialty average of 1,077.
Nearby Medical Physician Assistant Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Carr.
Dr. Kathryn Abadi
PA-C
Wellsboro, PA
Dr. Michael Abbott
PA-C
Pittsburgh, PA
Dr. Patricia Abbott
PA-C
Philadelphia, PA
Paul Abbott
Butler, PA
Dr. Bashera Abdul-Hadi
PA-C
Philadelphia, PA
Compare Medical 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 Pennsylvania medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Medical 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.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Pennsylvania
Frequently Asked Questions
What is Benjamin Carr, PA-C's specialty? ▼
Benjamin Carr, PA-C specializes in Medical Physician Assistant and practices in West Reading, Pennsylvania. Credentials: PA-C.
How much does Benjamin Carr, PA-C prescribe under Medicare Part D? ▼
In 2023, Benjamin Carr, PA-C wrote 17 Medicare Part D claims totaling $142 in drug costs for 13 beneficiaries.
What is Benjamin Carr, PA-C's Medicare quality score? ▼
Benjamin Carr, PA-C has a CMS MIPS Final Score of 81.2/100 (Quality: 74.6, Cost: 65.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Benjamin Carr, PA-C located? ▼
Benjamin Carr, PA-C is located at 420 S 5TH AVE, West Reading, PA, 19611. Phone: (484) 628-3637.
What is Benjamin Carr, PA-C's NPI number? ▼
Benjamin Carr, PA-C's National Provider Identifier (NPI) is 1225033756, issued on 06/21/2005.
How many Medical Physician Assistant providers are there in the US? ▼
There are 40,580 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.
Does Benjamin Carr, PA-C accept Medicare? ▼
Benjamin Carr, PA-C appears in CMS Medicare data with 17 Part D claims and 13 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Benjamin Carr, PA-C's credentials? ▼
Benjamin Carr, PA-C's NPI is 1225033756 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
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.