2026 NPPES data Physician Assistant NPI 1609527746 PA-C
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CARINA MESSURA, PA-C

Physician Assistant in JACKSONVILLE, North Carolina. 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
1K
Medicare Part D claims · 220 beneficiaries · Physician Assistant avg: 790
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$4.3K
269 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

CARINA MESSURA, PA-C reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 1,460 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
1K
Part D claims, 2023
91%
generic prescribing
$4.3K
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.

CARINA MESSURA, 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

100 Top 7% higher than 93% 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 CARINA MESSURA, PA-C?

High performer (top quartile)

NPI registry status

Active

Issued 01/11/2022

NPI 1609527746

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

1,460 85% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in North Carolina

How Physician Assistant compares to other specialties among North Carolina providers

North Carolina providers

Physician Assistant share within North Carolina

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

Medicare quality performance — MIPS

CARINA MESSURA, PA-C's 2023 MIPS final score plotted against the Physician Assistant national average

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

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

0%100%National avg83%99%
MIPS final score (Physician Assistant) — 100/100 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).

CARINA MESSURA, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 200 TARPON TRL, JACKSONVILLE, NC, 28546, with a listed phone of (910) 938-1114. NPI 1609527746 was issued on 01/11/2022. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MESSURA 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 1,460 prescription claims written by this provider, covering 220 Medicare beneficiaries and totaling roughly $236K in drug spend, split 9% brand-name and 91% 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 100/100 for the 2023 performance year, 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

200 TARPON TRL
JACKSONVILLE, NC 28546

Provider Details

NPI 1609527746
Specialty Physician Assistant
Credentials PA-C
Gender Female
NPI Issued 01/11/2022

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
96
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where CARINA MESSURA, 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.

COASTAL CAROLINA NEUROPSYCHIATRIC CENTER PA
FAYETTEVILLE, NC

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 CARINA MESSURA, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$4.3K

Largest payer

Vanda Pharmaceuticals 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.

Brand vs generic prescribing mix · Generic-heavy

CARINA MESSURA, PA-C — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 1,460 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.

1,460
Total Claims
$236K
Total Drug Cost
220
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,627
Total Day Supply
47,604
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$187K
Generic Drug Cost
$50K

Patient Demographics

Average Patient Age
53.0 years
Avg HCC Risk Score
1.45
Gender Split
69% female / 31% male
Age Distribution
<65: 167, 65-74: 44, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What CARINA MESSURA, 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
Trazodone Hcl
105
Buspirone Hcl
87
Aripiprazole
85
Duloxetine Hcl
63
Alprazolam
56
Clonazepam
55
Lamotrigine
53
Bupropion Xl
Bupropion Hcl
50
Zolpidem Tartrate
43
Prazosin Hcl
39

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

Physician Assistant Overview

How CARINA MESSURA, PA-C fits within the Physician Assistant landscape nationally.

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

CARINA MESSURA, PA-C's 1,460 claims are above the specialty average of 790.

Nearby Physician Assistant Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as MESSURA.

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

Frequently Asked Questions

What is CARINA MESSURA, PA-C's specialty?
CARINA MESSURA, PA-C specializes in Physician Assistant and practices in JACKSONVILLE, North Carolina. Credentials: PA-C.
How much does CARINA MESSURA, PA-C prescribe under Medicare Part D?
In 2023, CARINA MESSURA, PA-C wrote 1,460 Medicare Part D claims totaling $236K in drug costs for 220 beneficiaries.
What is CARINA MESSURA, PA-C's Medicare quality score?
CARINA MESSURA, PA-C has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CARINA MESSURA, PA-C located?
CARINA MESSURA, PA-C is located at 200 TARPON TRL, JACKSONVILLE, NC, 28546. Phone: (910) 938-1114.
What is CARINA MESSURA, PA-C's NPI number?
CARINA MESSURA, PA-C's National Provider Identifier (NPI) is 1609527746, issued on 01/11/2022.
Does CARINA MESSURA, PA-C prescribe more brand-name or generic drugs?
CARINA MESSURA, PA-C's prescribing is 9% brand-name and 91% generic drugs by claim count, with $187K 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 CARINA MESSURA, PA-C prescribe most often?
Based on 2023 Medicare Part D data, CARINA MESSURA, PA-C's most frequently prescribed drugs include Trazodone Hcl, Buspirone Hcl, Aripiprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CARINA MESSURA, PA-C accept Medicare?
CARINA MESSURA, PA-C appears in CMS Medicare data with 1,460 Part D claims and 220 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CARINA MESSURA, PA-C's credentials?
CARINA MESSURA, PA-C's NPI is 1609527746 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