CHARLES HORTENSTINE, PA-C
Medical Physician Assistant in FAYETTEVILLE, Georgia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
CHARLES HORTENSTINE, PA-C reported a CMS MIPS final score of 98.4043/100 — above the 83.1 national average — and filed 669 Medicare Part D claims in 2023.
- 98.4043/100
- MIPS score · +15 vs avg
- 669
- Part D claims, 2023
- 79%
- generic prescribing
- $167.28
- 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 HORTENSTINE, 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
98 Top 11% higher than 89% of 477,587 scored providers
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 HORTENSTINE, PA-C?
High performer (top quartile)Primary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Georgia
How Medical Physician Assistant compares to other specialties among Georgia providers
Medical Physician Assistant share within Georgia
Medical Physician Assistant is one of the more visible NUCC categories in Georgia
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
CHARLES HORTENSTINE, PA-C's 2023 MIPS final score plotted against the Medical Physician Assistant national average
- MIPS Final Score
- 98.4043/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Medical Physician Assistant) — 98.4043/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Specialty volume Medical Physician Assistant US NPIs
98.4043/100 MIPS final score — 15.3 pts above the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Medical Physician Assistant.
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 HORTENSTINE, PA-C appears in the CMS NPPES registry as a Medical Physician Assistant provider holding PA-C credentials at 1267 HIGHWAY 54 W STE 4200, FAYETTEVILLE, GA, 30214, with a listed phone of (678) 829-1060. NPI 1861028466 was issued on 03/16/2020. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HORTENSTINE 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 669 prescription claims written by this provider, covering 206 Medicare beneficiaries and totaling roughly $557K in drug spend, split 21% brand-name and 79% generic by claim count. 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 98.4043/100 for the 2023 performance year, compared with the national average of 83.1.
Medical Physician Assistant is a mid-sized specialty nationwide, with 40,527 enrolled providers across 55 states and an average of 1,077 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
Provider Details
| NPI | 1861028466 |
|---|---|
| Specialty | Medical Physician Assistant |
| Credentials | PA-C |
| Gender | Male |
| NPI Issued | 03/16/2020 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm CHARLES HORTENSTINE, PA-C's current license status, disciplinary history, and board certifications with the Georgia Composite Medical Board in Georgia before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Group practice
Hospital and facility affiliations
Facilities where CHARLES HORTENSTINE, 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.
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 HORTENSTINE, PA-C. Source: openpaymentsdata.cms.gov.
Total received
$167
Largest payer
ABBVIE 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
21% brand-name claims vs 79% generic, on 669 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.
Prescribing Breakdown
- 30-Day Fills
- 1,050
- Total Day Supply
- 28,760
- Brand vs Generic
- 21% brand / 79% generic
- Brand Drug Cost
- $503K
- Generic Drug Cost
- $54K
- Antibiotic Claims
- 38
Patient Demographics
- Average Patient Age
- 73.5 years
- Avg HCC Risk Score
- 2.54
- Gender Split
- 70% female / 30% male
- Age Distribution
- <65: 15, 65-74: 92, 75-84: 81, 85+: 18
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What CHARLES HORTENSTINE, PA-C prescribes most
Top Medicare Part D drugs by claim count, 2023
- Anastrozole
Anastrozole
122 claims
- Eliquis 43
Eliquis
43 claims
- Levothyroxine Sodium 40
Levothyroxine Sodium
40 claims
- Gabapentin 26
Gabapentin
26 claims
- Mirtazapine 20
Mirtazapine
20 claims
- Lidocaine-Prilocaine 19
Lidocaine-Prilocaine
19 claims
- Ondansetron Odt 19
Ondansetron Odt
19 claims
- Pantoprazole Sodium 15
Pantoprazole Sodium
15 claims
| Drug | Claims |
|---|---|
| Anastrozole | 122 |
| Eliquis Apixaban | 43 |
| Levothyroxine Sodium | 40 |
| Gabapentin | 26 |
| Mirtazapine | 20 |
| Lidocaine-Prilocaine Lidocaine/Prilocaine | 19 |
| Ondansetron Odt Ondansetron | 19 |
| Pantoprazole Sodium | 15 |
| Lonsurf Trifluridine/Tipiracil Hcl | 14 |
| Montelukast Sodium | 14 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Medical Physician Assistant Overview
How CHARLES HORTENSTINE, PA-C fits within the Medical Physician Assistant landscape nationally.
CHARLES HORTENSTINE, PA-C's 669 claims are below the specialty average of 1,077.
Nearby Medical Physician Assistant Providers in Georgia
Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as HORTENSTINE.
Compare Medical Physician Assistant nationally: see state-by-state distribution →
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Frequently Asked Questions
What is CHARLES HORTENSTINE, PA-C's specialty? ▼
How much does CHARLES HORTENSTINE, PA-C prescribe under Medicare Part D? ▼
What is CHARLES HORTENSTINE, PA-C's Medicare quality score? ▼
Where is CHARLES HORTENSTINE, PA-C located? ▼
What is CHARLES HORTENSTINE, PA-C's NPI number? ▼
Does CHARLES HORTENSTINE, PA-C prescribe more brand-name or generic drugs? ▼
How many Medical Physician Assistant providers are there in the US? ▼
What drugs does CHARLES HORTENSTINE, PA-C prescribe most often? ▼
Does CHARLES HORTENSTINE, PA-C accept Medicare? ▼
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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