2026 NPPES data Physician Assistant NPI 1316959083 PA
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BRIAN RAGUSE, PA

Physician Assistant in GREEN BAY, Wisconsin. 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
401
Medicare Part D claims · 178 beneficiaries · Physician Assistant avg: 790
Generic prescribing
97%
generic claims · 3% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
82.7791/100
▼ 0 pts below national avg 83.1 · [object Object]

What the federal data shows

BRIAN RAGUSE, PA reported a CMS MIPS final score of 82.7791/100 — below the 83.1 national average — and filed 401 Medicare Part D claims in 2023.

82.7791/100
MIPS score · 0 vs avg
401
Part D claims, 2023
97%
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.

BRIAN RAGUSE, PA's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

83 39th percentile higher than 39% 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 BRIAN RAGUSE, PA?

Near national average

NPI registry status

Active

Issued 08/12/2006

NPI 1316959083

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

401 49% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

82.7791/100 0.32089999999999463% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Wisconsin

How Physician Assistant compares to other specialties among Wisconsin providers

Wisconsin providers

Physician Assistant share within Wisconsin

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

Medicare quality performance — MIPS

BRIAN RAGUSE, PA's 2023 MIPS final score plotted against the Physician Assistant national average

Near national average
MIPS Final Score
82.7791/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 82.7791/100 vs national avg 83.1

0%100%National avg83%82.8%
MIPS final score (Physician Assistant) — 82.7791/100 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).

BRIAN RAGUSE, PA appears in the CMS NPPES registry as a Physician Assistant provider holding PA credentials at 1160 KEPLER DR, GREEN BAY, WI, 54311, with a listed phone of (920) 288-5555. NPI 1316959083 was issued on 08/12/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what RAGUSE 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 401 prescription claims written by this provider, covering 178 Medicare beneficiaries and totaling roughly $10K in drug spend, split 3% brand-name and 97% generic by claim count, with an opioid prescribing rate of 65.1%. 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 82.7791/100 for the 2023 performance year (Quality 85.3615, Cost 57.2354), 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

1160 KEPLER DR
GREEN BAY, WI 54311

Provider Details

NPI 1316959083
Specialty Physician Assistant
Credentials PA
Gender Male
NPI Issued 08/12/2006

CMS Quality Score (MIPS)

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

82.7791
Final Score
Avg: 83.1
85.3615
Quality
57.2354
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where BRIAN RAGUSE, 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.

FROEDTERT MANITOWOC MEDICAL GROUP, LLC
SHEBOYGAN, WI

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 · Generic-heavy

BRIAN RAGUSE, PA — brand share 3.0%
Specialty average (est.)

3% brand-name claims vs 97% generic, on 401 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.

401
Total Claims
$10K
Total Drug Cost
178
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
415
Total Day Supply
4,481
Brand vs Generic
3% brand / 97% generic
Brand Drug Cost
$6K
Generic Drug Cost
$4K
Opioid Claims
261 (65.1% rate)
Antibiotic Claims
66

Patient Demographics

Average Patient Age
71.5 years
Avg HCC Risk Score
1.04
Gender Split
59% female / 41% male

Top Prescribed Drugs (Medicare Part D)

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

What BRIAN RAGUSE, 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
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
90
Oxycodone Hcl
88
Tramadol Hcl
71
Doxycycline Hyclate
55
Meloxicam
21
Celecoxib
13

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

Physician Assistant Overview

How BRIAN RAGUSE, 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

BRIAN RAGUSE, PA's 401 claims are below the specialty average of 790.

Nearby Physician Assistant Providers in Wisconsin

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

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

Frequently Asked Questions

What is BRIAN RAGUSE, PA's specialty?
BRIAN RAGUSE, PA specializes in Physician Assistant and practices in GREEN BAY, Wisconsin. Credentials: PA.
How much does BRIAN RAGUSE, PA prescribe under Medicare Part D?
In 2023, BRIAN RAGUSE, PA wrote 401 Medicare Part D claims totaling $10K in drug costs for 178 beneficiaries.
What is BRIAN RAGUSE, PA's Medicare quality score?
BRIAN RAGUSE, PA has a CMS MIPS Final Score of 82.7791/100 (Quality: 85.3615, Cost: 57.2354). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BRIAN RAGUSE, PA located?
BRIAN RAGUSE, PA is located at 1160 KEPLER DR, GREEN BAY, WI, 54311. Phone: (920) 288-5555.
What is BRIAN RAGUSE, PA's NPI number?
BRIAN RAGUSE, PA's National Provider Identifier (NPI) is 1316959083, issued on 08/12/2006.
Does BRIAN RAGUSE, PA prescribe more brand-name or generic drugs?
BRIAN RAGUSE, PA's prescribing is 3% brand-name and 97% generic drugs by claim count, with $6K in brand drug costs.
Does BRIAN RAGUSE, PA prescribe opioids?
Yes, BRIAN RAGUSE, PA had 261 opioid claims in 2023 with an opioid prescribing rate of 65.1%.
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 BRIAN RAGUSE, PA prescribe most often?
Based on 2023 Medicare Part D data, BRIAN RAGUSE, PA'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 BRIAN RAGUSE, PA accept Medicare?
BRIAN RAGUSE, PA appears in CMS Medicare data with 401 Part D claims and 178 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BRIAN RAGUSE, PA's credentials?
BRIAN RAGUSE, PA's NPI is 1316959083 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