2026 NPPES data Physician Assistant NPI 1447616040 P.A.
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CHARLES GESKE, P.A.

Physician Assistant in FORT SMITH, Arkansas. 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
212
Medicare Part D claims · 90 beneficiaries · Physician Assistant avg: 790
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75.9812/100
▼ 7 pts below national avg 83.1 · [object Object]
Industry payments
$330.04
4 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

CHARLES GESKE, P.A. reported a CMS MIPS final score of 75.9812/100 — below the 83.1 national average — and filed 212 Medicare Part D claims in 2023.

75.9812/100
MIPS score · -7 vs avg
212
Part D claims, 2023
88%
generic prescribing
$330.04
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.

CHARLES GESKE, P.A.'s MIPS score vs every scored U.S. clinician

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

76 15th percentile higher than 15% 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%). This entry sits in this band. 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 CHARLES GESKE, P.A.?

Below national average

NPI registry status

Active

Issued 01/12/2016

NPI 1447616040

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

212 73% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

75.9812/100 7.118799999999993% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Arkansas

How Physician Assistant compares to other specialties among Arkansas providers

Arkansas providers

Physician Assistant share within Arkansas

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

Medicare quality performance — MIPS

CHARLES GESKE, P.A.'s 2023 MIPS final score plotted against the Physician Assistant national average

Below national average
MIPS Final Score
75.9812/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 75.9812/100 vs national avg 83.1

0%100%National avg83%76%
MIPS final score (Physician Assistant) — 75.9812/100 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).

CHARLES GESKE, P.A. is a Physician Assistant provider practicing in FORT SMITH, Arkansas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: P.A.. NPI: 1447616040. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

CHARLES GESKE, P.A. appears in the CMS NPPES registry as a Physician Assistant provider holding P.A. credentials at 7001 ROGERS AVE STE 401A, FORT SMITH, AR, 72903, with a listed phone of (479) 314-4650. NPI 1447616040 was issued on 01/12/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GESKE 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 212 prescription claims written by this provider, covering 90 Medicare beneficiaries and totaling roughly $17K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 6.6%. 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 75.9812/100 for the 2023 performance year (Quality 90.3462, Cost 20.351), 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

7001 ROGERS AVE STE 401A
FORT SMITH, AR 72903

Provider Details

NPI 1447616040
Specialty Physician Assistant
Credentials P.A.
Gender Male
NPI Issued 01/12/2016

CMS Quality Score (MIPS)

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

75.9812
Final Score
Avg: 83.1
90.3462
Quality
20.351
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where CHARLES GESKE, P.A. 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.

FANDS PHYSICAL THERAPY, INC
ALMA, AR
MERCY CLINIC FORT SMITH COMMUNITIES
FORT SMITH, AR

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 CHARLES GESKE, P.A.. Source: openpaymentsdata.cms.gov.

Total received

$330

Largest payer

Medtronic, 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 · Typical

CHARLES GESKE, P.A. — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 212 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.

212
Total Claims
$17K
Total Drug Cost
90
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
292
Total Day Supply
7,671
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$15K
Generic Drug Cost
$2K
Opioid Claims
14 (6.6% rate)

Patient Demographics

Average Patient Age
71.2 years
Avg HCC Risk Score
2.11
Gender Split
50% female / 50% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Clopidogrel
Clopidogrel Bisulfate
124
Brilinta
Ticagrelor
15
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
13

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

Physician Assistant Overview

How CHARLES GESKE, P.A. fits within the Physician Assistant landscape nationally.

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

CHARLES GESKE, P.A.'s 212 claims are below the specialty average of 790.

Nearby Physician Assistant Providers in Arkansas

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

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

Frequently Asked Questions

What is CHARLES GESKE, P.A.'s specialty?
CHARLES GESKE, P.A. specializes in Physician Assistant and practices in FORT SMITH, Arkansas. Credentials: P.A..
How much does CHARLES GESKE, P.A. prescribe under Medicare Part D?
In 2023, CHARLES GESKE, P.A. wrote 212 Medicare Part D claims totaling $17K in drug costs for 90 beneficiaries.
What is CHARLES GESKE, P.A.'s Medicare quality score?
CHARLES GESKE, P.A. has a CMS MIPS Final Score of 75.9812/100 (Quality: 90.3462, Cost: 20.351). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CHARLES GESKE, P.A. located?
CHARLES GESKE, P.A. is located at 7001 ROGERS AVE STE 401A, FORT SMITH, AR, 72903. Phone: (479) 314-4650.
What is CHARLES GESKE, P.A.'s NPI number?
CHARLES GESKE, P.A.'s National Provider Identifier (NPI) is 1447616040, issued on 01/12/2016.
Does CHARLES GESKE, P.A. prescribe more brand-name or generic drugs?
CHARLES GESKE, P.A.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $15K in brand drug costs.
Does CHARLES GESKE, P.A. prescribe opioids?
Yes, CHARLES GESKE, P.A. had 14 opioid claims in 2023 with an opioid prescribing rate of 6.6%.
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 CHARLES GESKE, P.A. prescribe most often?
Based on 2023 Medicare Part D data, CHARLES GESKE, P.A.'s most frequently prescribed drugs include Clopidogrel, Brilinta, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CHARLES GESKE, P.A. accept Medicare?
CHARLES GESKE, P.A. appears in CMS Medicare data with 212 Part D claims and 90 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CHARLES GESKE, P.A.'s credentials?
CHARLES GESKE, P.A.'s NPI is 1447616040 with credentials P.A.. 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