2026 NPPES data Physician Assistant NPI 1265401277 PHYSICIAN ASSISTANT
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CAROL PACKARD, PHYSICIAN ASSISTANT

Physician Assistant in OGALLALA, Nebraska. 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
6K
Medicare Part D claims · 306 beneficiaries · Physician Assistant avg: 790
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
67.7372/100
▼ 15 pts below national avg 83.1 · [object Object]
Industry payments
$44.49
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

CAROL PACKARD, PHYSICIAN ASSISTANT reported a CMS MIPS final score of 67.7372/100 — below the 83.1 national average — and filed 5,771 Medicare Part D claims in 2023.

67.7372/100
MIPS score · -15 vs avg
6K
Part D claims, 2023
88%
generic prescribing
$44.49
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.

CAROL PACKARD, PHYSICIAN ASSISTANT's MIPS score vs every scored U.S. clinician

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

68 7th percentile higher than 7% 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%). This entry sits in this band. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 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 CAROL PACKARD, PHYSICIAN ASSISTANT?

Below national average

NPI registry status

Active

Issued 03/14/2006

NPI 1265401277

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

5,771 631% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

67.7372/100 15.362799999999993% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Nebraska

How Physician Assistant compares to other specialties among Nebraska providers

Nebraska providers

Physician Assistant share within Nebraska

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

Medicare quality performance — MIPS

CAROL PACKARD, PHYSICIAN ASSISTANT's 2023 MIPS final score plotted against the Physician Assistant national average

Below national average
MIPS Final Score
67.7372/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 67.7372/100 vs national avg 83.1

0%100%National avg83%67.7%
MIPS final score (Physician Assistant) — 67.7372/100 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).

CAROL PACKARD, PHYSICIAN ASSISTANT appears in the CMS NPPES registry as a Physician Assistant provider holding PHYSICIAN ASSISTANT credentials at 221 E 10TH ST, OGALLALA, NE, 69153, with a listed phone of (308) 284-8421. NPI 1265401277 was issued on 03/14/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PACKARD 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 5,771 prescription claims written by this provider, covering 306 Medicare beneficiaries and totaling roughly $547K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 2.8%. 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 67.7372/100 for the 2023 performance year (Quality 49.5222), 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

221 E 10TH ST
OGALLALA, NE 69153

Provider Details

NPI 1265401277
Specialty Physician Assistant
Credentials PHYSICIAN ASSISTANT
Gender Female
NPI Issued 03/14/2006

CMS Quality Score (MIPS)

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

67.7372
Final Score
Avg: 83.1
49.5222
Quality
85
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where CAROL PACKARD, PHYSICIAN ASSISTANT 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.

PERKINS COUNTY HOSPITAL DISTRICT
OGALLALA, NE

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 CAROL PACKARD, PHYSICIAN ASSISTANT. Source: openpaymentsdata.cms.gov.

Total received

$44

Largest payer

AstraZeneca Pharmaceuticals LP

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 · Typical

CAROL PACKARD, PHYSICIAN ASSISTANT — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 5,771 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.

5,771
Total Claims
$547K
Total Drug Cost
306
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
9,914
Total Day Supply
284,839
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$438K
Generic Drug Cost
$108K
Opioid Claims
160 (2.8% rate)
Antibiotic Claims
147

Patient Demographics

Average Patient Age
74.1 years
Avg HCC Risk Score
1.04
Gender Split
55% female / 45% male
Age Distribution
<65: 22, 65-74: 145, 75-84: 103, 85+: 36

Top Prescribed Drugs (Medicare Part D)

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

What CAROL PACKARD, PHYSICIAN ASSISTANT 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
Atorvastatin Calcium
337
Lisinopril
230
Levothyroxine Sodium
213
Losartan Potassium
170
Pantoprazole Sodium
167
Tamsulosin Hcl
151
Simvastatin
133
Amlodipine Besylate
128
Metformin Hcl Er
Metformin Hcl
113
Warfarin Sodium
106

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

Physician Assistant Overview

How CAROL PACKARD, PHYSICIAN ASSISTANT fits within the Physician Assistant landscape nationally.

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

CAROL PACKARD, PHYSICIAN ASSISTANT's 5,771 claims are above the specialty average of 790.

Nearby Physician Assistant Providers in Nebraska

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

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

Frequently Asked Questions

What is CAROL PACKARD, PHYSICIAN ASSISTANT's specialty?
CAROL PACKARD, PHYSICIAN ASSISTANT specializes in Physician Assistant and practices in OGALLALA, Nebraska. Credentials: PHYSICIAN ASSISTANT.
How much does CAROL PACKARD, PHYSICIAN ASSISTANT prescribe under Medicare Part D?
In 2023, CAROL PACKARD, PHYSICIAN ASSISTANT wrote 5,771 Medicare Part D claims totaling $547K in drug costs for 306 beneficiaries.
What is CAROL PACKARD, PHYSICIAN ASSISTANT's Medicare quality score?
CAROL PACKARD, PHYSICIAN ASSISTANT has a CMS MIPS Final Score of 67.7372/100 (Quality: 49.5222). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CAROL PACKARD, PHYSICIAN ASSISTANT located?
CAROL PACKARD, PHYSICIAN ASSISTANT is located at 221 E 10TH ST, OGALLALA, NE, 69153. Phone: (308) 284-8421.
What is CAROL PACKARD, PHYSICIAN ASSISTANT's NPI number?
CAROL PACKARD, PHYSICIAN ASSISTANT's National Provider Identifier (NPI) is 1265401277, issued on 03/14/2006.
Does CAROL PACKARD, PHYSICIAN ASSISTANT prescribe more brand-name or generic drugs?
CAROL PACKARD, PHYSICIAN ASSISTANT's prescribing is 12% brand-name and 88% generic drugs by claim count, with $438K in brand drug costs.
Does CAROL PACKARD, PHYSICIAN ASSISTANT prescribe opioids?
Yes, CAROL PACKARD, PHYSICIAN ASSISTANT had 160 opioid claims in 2023 with an opioid prescribing rate of 2.8%.
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 CAROL PACKARD, PHYSICIAN ASSISTANT prescribe most often?
Based on 2023 Medicare Part D data, CAROL PACKARD, PHYSICIAN ASSISTANT's most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CAROL PACKARD, PHYSICIAN ASSISTANT accept Medicare?
CAROL PACKARD, PHYSICIAN ASSISTANT appears in CMS Medicare data with 5,771 Part D claims and 306 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CAROL PACKARD, PHYSICIAN ASSISTANT's credentials?
CAROL PACKARD, PHYSICIAN ASSISTANT's NPI is 1265401277 with credentials PHYSICIAN ASSISTANT. 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