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2026 NPPES data Physician Assistant NPI 1225495898 PHYSICIAN ASSISTANT
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Caroline Coon, PHYSICIAN ASSISTANT

Physician Assistant in Chicago, Illinois.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 149,975 in 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 · 257 beneficiaries · Physician Assistant avg: 790
Generic prescribing
98%
generic claims · 2% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
87.1/100
▲ 4 pts above national avg 83.1 · Above neutral
Industry payments
$162.51
2 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Caroline Coon, PHYSICIAN ASSISTANT reported a CMS MIPS final score of 87.1/100 - above the 83.1 national average - and filed 1,309 Medicare Part D claims in 2023.

87.1/100
MIPS score · +4 vs avg
1K
Part D claims, 2023
98%
generic prescribing
$162.51
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.

Caroline Coon, 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

87 Top 46% higher than 54% 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+: 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

Where Caroline Coon, PHYSICIAN ASSISTANT sits

This provider among physician assistant peers

Across the 27,054 physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Caroline Coon, PHYSICIAN ASSISTANT writes more Part D claims than 87% of them and scores higher on MIPS quality than 52% - placing this provider in the high-volume, high-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

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

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

What does the federal data show about Caroline Coon, PHYSICIAN ASSISTANT?

High performer (top quartile)

NPI registry status

Active

Issued 01/26/2016

NPI 1225495898

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

1,309 66% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

87.1/100 4 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Illinois

How Physician Assistant compares to other specialties among Illinois providers

Illinois providers
Clinical Social Worker - 5.2%Clinical Social Worker5.2%Physical Therapist - 5%Physical Therapist5%Mental Health Counselor - 4.5%Mental Health Counselor4.5%Speech-Language Pathologist - 4.2%Speech-Language Pathologist4.2%Student in an Organized Health Care Education/Training Program - 4.2%Student in an Organized Health Care Education/Training Program4.2%Pharmacist - 4.1%Pharmacist4.1%Physician Assistant - 1.9%Physician Assistant1.9%
Largest specialties in Illinois (% of in-state providers)

Medicare quality performance, MIPS

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

High performer (top quartile)
MIPS Final Score
87.1/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) - 87.1/100 vs national avg 83.1

0%100%National avg83%87.1%
MIPS final score (Physician Assistant) - 87.1/100 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).

Caroline Coon, PHYSICIAN ASSISTANT appears in the CMS NPPES registry as a Physician Assistant provider holding PHYSICIAN ASSISTANT credentials at 1740 W TAYLOR ST # 3200W, Chicago, IL, 60612, with a listed phone of (312) 996-4020. NPI 1225495898 was issued on 01/26/2016.

Medicare Part D records for calendar year 2023 show 1,309 prescription claims written by this provider, covering 257 Medicare beneficiaries and totaling roughly $50K in drug spend, split 2% brand-name and 98% generic by claim count, with an opioid prescribing rate of 34.5%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 87.1/100 for the 2023 performance year (Quality 70.8, Cost 52.8), 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

1740 W TAYLOR ST # 3200W
Chicago, IL 60612
(312) 996-4020

Provider Details

NPI 1225495898
Specialty Physician Assistant
Credentials PHYSICIAN ASSISTANT
Gender Female
NPI Issued 01/26/2016

CMS Quality Score (MIPS)

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

87.0887
Final Score
Avg: 83.1
70.7998
Quality
52.8291
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Caroline Coon, 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.

The Board OF Trustees OF The University OF Illinois
Chicago, IL

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 Coon, PHYSICIAN ASSISTANT. Source: openpaymentsdata.cms.gov.

Total received

$163

Largest payer

Abbott Laboratories

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 - Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 - they are NOT specific to Caroline Coon, PHYSICIAN ASSISTANT. To verify Caroline Coon, PHYSICIAN ASSISTANT's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

Caroline Coon, PHYSICIAN ASSISTANT - brand share 2.0%
Physician Assistant average

2% brand-name claims vs 98% generic, on 1,309 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.

1,309
Total Claims
$50K
Total Drug Cost
257
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,448
Total Day Supply
39,709
Brand vs Generic
2% brand / 98% generic
Brand Drug Cost
$1K
Generic Drug Cost
$49K
Opioid Claims
452 (34.5% rate)

Patient Demographics

Average Patient Age
62.0 years
Avg HCC Risk Score
1.88
Gender Split
67% female / 33% male
Age Distribution
<65: 129, 65-74: 94, 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 Caroline Coon, 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
Pregabalin
 247
Gabapentin
 184
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
174
Tramadol Hcl
 93
Duloxetine Hcl
 80
Tizanidine Hcl
 74
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
61
Baclofen
 55
Cyclobenzaprine Hcl
 53
Diclofenac Sodium
 38

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

More Physician Assistant in IL → All providers in Illinois → Compare specialties →

Physician Assistant Overview

How Caroline Coon, 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

Caroline Coon, PHYSICIAN ASSISTANT's 1,309 claims are above the specialty average of 790.

Nearby Physician Assistant Providers in Illinois

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

Dr. Brooke Aarhus
PA-C
Park Ridge, IL
Dr. Traci Aaron
PA-C
Chicago, IL
Dr. Sana Abbasi
PA
Carol Stream, IL
Dr. Susan Abbinanti
PA-C
Elk Grove Village, IL
Dr. Katheryn Abbott
PA
Schaumburg, IL

Compare 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 Illinois medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby 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.

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Frequently Asked Questions

What is Caroline Coon, PHYSICIAN ASSISTANT's specialty? ▼
Caroline Coon, PHYSICIAN ASSISTANT specializes in Physician Assistant and practices in Chicago, Illinois. Credentials: PHYSICIAN ASSISTANT.
How much does Caroline Coon, PHYSICIAN ASSISTANT prescribe under Medicare Part D? ▼
In 2023, Caroline Coon, PHYSICIAN ASSISTANT wrote 1,309 Medicare Part D claims totaling $50K in drug costs for 257 beneficiaries.
What is Caroline Coon, PHYSICIAN ASSISTANT's Medicare quality score? ▼
Caroline Coon, PHYSICIAN ASSISTANT has a CMS MIPS Final Score of 87.1/100 (Quality: 70.8, Cost: 52.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Caroline Coon, PHYSICIAN ASSISTANT located? ▼
Caroline Coon, PHYSICIAN ASSISTANT is located at 1740 W TAYLOR ST # 3200W, Chicago, IL, 60612. Phone: (312) 996-4020.
What is Caroline Coon, PHYSICIAN ASSISTANT's NPI number? ▼
Caroline Coon, PHYSICIAN ASSISTANT's National Provider Identifier (NPI) is 1225495898, issued on 01/26/2016.
Does Caroline Coon, PHYSICIAN ASSISTANT prescribe more brand-name or generic drugs? ▼
Caroline Coon, PHYSICIAN ASSISTANT's prescribing is 2% brand-name and 98% generic drugs by claim count, with $1K in brand drug costs.
Does Caroline Coon, PHYSICIAN ASSISTANT prescribe opioids? ▼
Yes, Caroline Coon, PHYSICIAN ASSISTANT had 452 opioid claims in 2023 with an opioid prescribing rate of 34.5%.
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 Caroline Coon, PHYSICIAN ASSISTANT prescribe most often? ▼
Based on 2023 Medicare Part D data, Caroline Coon, PHYSICIAN ASSISTANT's most frequently prescribed drugs include Pregabalin, Gabapentin, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Caroline Coon, PHYSICIAN ASSISTANT accept Medicare? ▼
Caroline Coon, PHYSICIAN ASSISTANT appears in CMS Medicare data with 1,309 Part D claims and 257 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Caroline Coon, PHYSICIAN ASSISTANT's credentials? ▼
Caroline Coon, PHYSICIAN ASSISTANT's NPI is 1225495898 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

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

Compiled from official public sources by the PlainDoctor editorial team.