2026 NPPES data Physician Assistant NPI 1659719599 PA-C
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CATHLEEN ENCARNACION, PA-C

Physician Assistant in CARMICHAEL, California. 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
174
Medicare Part D claims · 84 beneficiaries · Physician Assistant avg: 790
MIPS score
96.5085/100
▲ 13 pts above national avg 83.1 · [object Object]

What the federal data shows

CATHLEEN ENCARNACION, PA-C reported a CMS MIPS final score of 96.5085/100 — above the 83.1 national average — and filed 174 Medicare Part D claims in 2023.

96.5085/100
MIPS score · +13 vs avg
174
Part D claims, 2023

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.

CATHLEEN ENCARNACION, 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

97 Top 17% higher than 83% 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 CATHLEEN ENCARNACION, PA-C?

High performer (top quartile)

NPI registry status

Active

Issued 06/13/2013

NPI 1659719599

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

174 78% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

96.5085/100 13.408500000000004% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in California

How Physician Assistant compares to other specialties among California providers

California providers

Physician Assistant share within California

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

Medicare quality performance — MIPS

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

High performer (top quartile)
MIPS Final Score
96.5085/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 96.5085/100 vs national avg 83.1

0%100%National avg83%96.5%
MIPS final score (Physician Assistant) — 96.5085/100 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).

CATHLEEN ENCARNACION, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 6555 COYLE AVENUE, CARMICHAEL, CA, 95608, with a listed phone of (916) 536-2585. NPI 1659719599 was issued on 06/13/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ENCARNACION 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 174 prescription claims written by this provider, covering 84 Medicare beneficiaries and totaling roughly $11K in drug spend, with an opioid prescribing rate of 9.2%. 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 96.5085/100 for the 2023 performance year (Quality 80.342), 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

6555 COYLE AVENUE
CARMICHAEL, CA 95608

Provider Details

NPI 1659719599
Specialty Physician Assistant
Credentials PA-C
Gender Female
NPI Issued 06/13/2013

CMS Quality Score (MIPS)

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

96.5085
Final Score
Avg: 83.1
80.342
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where CATHLEEN ENCARNACION, 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.

VITUITY-CALIFORNIA OBSERVATION SERVICES PC
ROSEVILLE, CA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to CATHLEEN ENCARNACION, PA-C. To verify CATHLEEN ENCARNACION, PA-C's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California 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 2023.

174
Total Claims
$11K
Total Drug Cost
84
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
187
Total Day Supply
4,376
Generic Drug Cost
$2K
Opioid Claims
16 (9.2% rate)
Antibiotic Claims
15

Patient Demographics

Average Patient Age
73.9 years
Avg HCC Risk Score
1.73
Gender Split
62% female / 38% male
Age Distribution
<65: 12, 65-74: 39, 75-84: 16, 85+: 17

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
16
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
12

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

Physician Assistant Overview

How CATHLEEN ENCARNACION, 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

CATHLEEN ENCARNACION, PA-C's 174 claims are below the specialty average of 790.

Nearby Physician Assistant Providers in California

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

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

Frequently Asked Questions

What is CATHLEEN ENCARNACION, PA-C's specialty?
CATHLEEN ENCARNACION, PA-C specializes in Physician Assistant and practices in CARMICHAEL, California. Credentials: PA-C.
How much does CATHLEEN ENCARNACION, PA-C prescribe under Medicare Part D?
In 2023, CATHLEEN ENCARNACION, PA-C wrote 174 Medicare Part D claims totaling $11K in drug costs for 84 beneficiaries.
What is CATHLEEN ENCARNACION, PA-C's Medicare quality score?
CATHLEEN ENCARNACION, PA-C has a CMS MIPS Final Score of 96.5085/100 (Quality: 80.342). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CATHLEEN ENCARNACION, PA-C located?
CATHLEEN ENCARNACION, PA-C is located at 6555 COYLE AVENUE, CARMICHAEL, CA, 95608. Phone: (916) 536-2585.
What is CATHLEEN ENCARNACION, PA-C's NPI number?
CATHLEEN ENCARNACION, PA-C's National Provider Identifier (NPI) is 1659719599, issued on 06/13/2013.
Does CATHLEEN ENCARNACION, PA-C prescribe opioids?
Yes, CATHLEEN ENCARNACION, PA-C had 16 opioid claims in 2023 with an opioid prescribing rate of 9.2%.
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 CATHLEEN ENCARNACION, PA-C prescribe most often?
Based on 2023 Medicare Part D data, CATHLEEN ENCARNACION, PA-C's most frequently prescribed drugs include Atorvastatin Calcium, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CATHLEEN ENCARNACION, PA-C accept Medicare?
CATHLEEN ENCARNACION, PA-C appears in CMS Medicare data with 174 Part D claims and 84 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CATHLEEN ENCARNACION, PA-C's credentials?
CATHLEEN ENCARNACION, PA-C's NPI is 1659719599 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