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2026 NPPES data Surgical Physician Assistant NPI 1962160242 NP
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Caroline Budnik, NP

Surgical Physician Assistant in Rochester, New York.

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
1K
Medicare Part D claims · 122 beneficiaries · Surgical Physician Assistant avg: 341
MIPS score
76.8/100
▼ 7 pts below national avg 83.5 · Above neutral
Industry payments
$294.13
3 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Caroline Budnik, NP reported a CMS MIPS final score of 76.8/100 - below the 83.5 national average - and filed 1,007 Medicare Part D claims in 2024.

76.8/100
MIPS score · -7 vs avg
1K
Part D claims, 2024
$294.13
industry payments (Sunshine Act)
≥17th
pct among measured MIPS (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 Caroline Budnik, NP

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1962160242), first enumerated 12/03/2021.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 1,007 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 76.8/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • 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

    $294.13 in reported industry payments (3 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    New York statewide board action statistics are published annually — these figures describe aggregate state activity, not Caroline Budnik, NP's individual license status. Verify directly with the state medical board.

    Source: NYSBPMC annual report 2023

  • 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 1962160242 · Surgical Physician Assistant

NPI-10 · ENUM-RECENT · TAX-MID · MIPS-BELOW · RX-MID · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1962160242
  • ENUM-RECENT 2021
  • TAX-MID 16K Surgical Physician
  • MIPS-BELOW 76.8/100
  • RX-MID 1,007
  • BOOK-LIGHT 2,096 in New York
  • PHOTO-FINISH Amanda Bryan · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Caroline Budnik, NP's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

77 ≥ 17th percentile 17% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). This entry sits in this band. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Caroline Budnik, NP sits

This provider among surgical physician assistant peers

Across the 3,657 surgical physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Caroline Budnik, NP writes more Part D claims than 94% of them and scores higher on MIPS quality than 18% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 40Caroline Budnik, NP, Part D claim volume, percentile in specialty: 94 · MIPS quality, percentile: 18
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one surgical physician assistant peer from a representative sample of 60; the gold marker is Caroline Budnik, NP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Caroline Budnik, NP?

Below national average

NPI registry status

Active

Issued 12/03/2021

NPI 1962160242

Primary specialty

Surgical Physician Assistant

Mid-sized

16,380 US NPIs in this specialty

Medicare Part D claims

1,007 195% vs specialty avg

2024 prescription claims

Specialty avg: 341

MIPS final score

76.8/100 6.7 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in New York

How Surgical Physician Assistant compares to other specialties among New York providers

New York providers
Student in an Organized Heal…8%Registered Nurse5.2%Clinical Social Worker4.9%Social Worker4.5%Speech-Language Pathologist4.5%Licensed Practical Nurse4.3%Surgical Physician Assistant0.4%
Largest specialties in New York (% of in-state providers)

Medicare quality performance, MIPS

Caroline Budnik, NP's 2023 MIPS final score plotted against the Surgical Physician Assistant national average

Below national average
MIPS Final Score
76.8/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%76.8%
MIPS final score (Surgical Physician Assistant) - 76.8/100 vs national avg 83.5
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

601 ELMWOOD AVE
Rochester, NY 14642
(585) 275-0526

Provider Details

NPI 1962160242
Specialty Surgical Physician Assistant
Credentials NP
Gender Female
NPI Issued 12/03/2021

CMS Quality Score (MIPS)

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

76.8466
Final Score
Measured-score avg: 83.5
68.2024
Quality
42.684
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Caroline Budnik, NP 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.

Infectious Disease Clinical
Rochester, NY
University OF Rochester
Rochester, NY

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 Caroline Budnik, NP. Source: openpaymentsdata.cms.gov.

Total received

$294

Largest payer

Gilead Sciences, 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 - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Caroline Budnik, NP. To verify Caroline Budnik, NP's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York 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 2024.

1,007
Total Claims
$1.5M
Total Drug Cost
122
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,185.567
Total Day Supply
33,620
Generic Drug Cost
$32K
Opioid Claims
28 (2.8% rate)
Antibiotic Claims
21

Patient Demographics

Average Patient Age
63.4 years
Avg HCC Risk Score
1.60
Gender Split
35% female / 65% male
Age Distribution
<65: 57, 65-74: 50, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Caroline Budnik, NP prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Biktarvy
Bictegrav/Emtricit/Tenofov Ala
161
Dovato
Dolutegravir Sodium/Lamivudine
51
Symtuza
Darunavir/Cob/Emtri/Tenof Alaf
47
Tivicay
Dolutegravir Sodium
45
Sertraline Hcl
 31
Valacyclovir
Valacyclovir Hcl
30
Omeprazole
 25
Atorvastatin Calcium
 23
Bupropion Xl
Bupropion Hcl
22
Rosuvastatin Calcium
 22

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

More Surgical Physician Assistant in NY → All providers in New York → Compare specialties →

Surgical Physician Assistant Overview

How Caroline Budnik, NP 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

Caroline Budnik, NP's 1,007 claims are above the specialty average of 341.

Nationwide Surgical Physician Assistant peers with similar MIPS or enrollment year

Two federal-record peer sets for Budnik, both outside New York so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (76.8 here).

Avery Petrucci 76.9 VA Amanda Bryan 76.8 OH Madison Burgei 76.8 OH John Kraft 76.8 OH

Same NPPES enumeration year (2021)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Laura Barsch Denver, CO Rachael Anstine Missoula, MT Erin Ladd Golden, CO Kaitlin Ngo Waterbury, CT

Nearby Surgical Physician Assistant Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Budnik.

One of 2,096 Surgical Physician Assistant providers enrolled in New York, 5 are shown here.

Katrina Abdalla
PA
Utica, NY
Bahgat Abdelaziz
P.A.
Auburn, NY
Nasir Abdul-Wadud
PA
Syracuse, NY
Anat Abeckaser
PA
Brooklyn, NY
Faiz Abed
Staten Island, NY

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

Frequently Asked Questions

What is Caroline Budnik, NP's specialty? ▼
Caroline Budnik, NP specializes in Surgical Physician Assistant and practices in Rochester, New York. Credentials: NP.
How much does Caroline Budnik, NP prescribe under Medicare Part D? ▼
In 2024, Caroline Budnik, NP wrote 1,007 Medicare Part D claims totaling $1.5M in drug costs for 122 beneficiaries.
What is Caroline Budnik, NP's Medicare quality score? ▼
Caroline Budnik, NP has a CMS MIPS Final Score of 76.8/100 (Quality: 68.2, Cost: 42.7). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Caroline Budnik, NP located? ▼
Caroline Budnik, NP is located at 601 ELMWOOD AVE, Rochester, NY, 14642. Phone: (585) 275-0526.
What is Caroline Budnik, NP's NPI number? ▼
Caroline Budnik, NP's National Provider Identifier (NPI) is 1962160242, issued on 12/03/2021.
Does Caroline Budnik, NP prescribe opioids? ▼
Yes, Caroline Budnik, NP had 28 opioid claims in 2024 with an opioid prescribing rate of 2.8%.
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 Caroline Budnik, NP prescribe most often? ▼
Based on 2024 Medicare Part D data, Caroline Budnik, NP's most frequently prescribed drugs include Biktarvy, Dovato, Symtuza. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Caroline Budnik, NP accept Medicare? ▼
Caroline Budnik, NP appears in CMS Medicare data with 1,007 Part D claims and 122 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Caroline Budnik, NP's credentials? ▼
Caroline Budnik, NP's NPI is 1962160242 with credentials NP. 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.
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 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

Compiled from official public sources by the editorial process.

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.