2026 NPPES data Physician Assistant NPI 1457602914 PA-C
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CLAUDIA APPLEGATE, PA-C

Physician Assistant in TROY, Michigan. 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
3K
Medicare Part D claims · 590 beneficiaries · Physician Assistant avg: 790
MIPS score
86.0114/100
▲ 3 pts above national avg 83.1 · [object Object]
Industry payments
$231.82
6 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: CLAUDIA APPLEGATE, PA-C is a Physician Assistant ([object Object]) practicing in TROY, Michigan with a Medicare Part D prescribing footprint of 3K claims across 590 beneficiaries . Their CMS MIPS Final Score of 86.0114/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $231.82 across 6 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: CLAUDIA APPLEGATE, PA-C reported a CMS MIPS final score of 86.0114 out of 100, above the 83.1 national average, and filed 2,762 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

CLAUDIA APPLEGATE, PA-C at a glance

High performer (top quartile)

NPI registry status

Active

Issued 09/25/2012

NPI 1457602914

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

2,762 250% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

86.0114/100 2.9114000000000004% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Michigan

How Physician Assistant compares to other specialties among Michigan providers

Michigan providers

Physician Assistant share within Michigan

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

Medicare quality performance — MIPS

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

High performer (top quartile)
MIPS Final Score
86.0114/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 86.0114/100 vs national avg 83.1

0%100%National avg83%86%
MIPS final score (Physician Assistant) — 86.0114/100 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).

CLAUDIA APPLEGATE, PA-C is a Physician Assistant provider practicing in TROY, Michigan, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: PA-C. NPI: 1457602914. 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.

CLAUDIA APPLEGATE, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 1719 W BIG BEAVER RD, TROY, MI, 48084, with a listed phone of (248) 458-0400. NPI 1457602914 was issued on 09/25/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what APPLEGATE 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 2,762 prescription claims written by this provider, covering 590 Medicare beneficiaries and totaling roughly $101K in drug spend, with an opioid prescribing rate of 58.4%. 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 86.0114/100 for the 2023 performance year (Quality 79.2933), 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

1719 W BIG BEAVER RD
TROY, MI 48084

Provider Details

NPI 1457602914
Specialty Physician Assistant
Credentials PA-C
Gender Female
NPI Issued 09/25/2012

CMS Quality Score (MIPS)

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

86.0114
Final Score
Avg: 83.1
79.2933
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where CLAUDIA APPLEGATE, 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.

NORTHSTAR ANESTHESIA OF MICHIGAN III PLLC
WAYNE, MI
NSA PAIN SERVICES OF MICHIGAN III, PLLC
TAYLOR, MI

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 CLAUDIA APPLEGATE, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$232

Largest payer

Nevro Corp.

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 — Michigan MI-BOM 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 ~41K Michigan medical licensees in 2023 — they are NOT specific to CLAUDIA APPLEGATE, PA-C. To verify CLAUDIA APPLEGATE, PA-C's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM 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 Michigan 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.

2,762
Total Claims
$101K
Total Drug Cost
590
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,061
Total Day Supply
88,553
Generic Drug Cost
$66K
Opioid Claims
1,614 (58.4% rate)

Patient Demographics

Average Patient Age
68.6 years
Avg HCC Risk Score
1.91
Gender Split
69% female / 31% male
Age Distribution
<65: 188, 65-74: 236, 75-84: 131, 85+: 35

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
533
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
463
Gabapentin
361
Oxycodone Hcl
144
Tizanidine Hcl
124
Cyclobenzaprine Hcl
123
Pregabalin
114
Morphine Sulfate Er
Morphine Sulfate
113
Tramadol Hcl
91
Methocarbamol
72

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

Physician Assistant Overview

How CLAUDIA APPLEGATE, 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

CLAUDIA APPLEGATE, PA-C's 2,762 claims are above the specialty average of 790.

Nearby Physician Assistant Providers in Michigan

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

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

Frequently Asked Questions

What is CLAUDIA APPLEGATE, PA-C's specialty?
CLAUDIA APPLEGATE, PA-C specializes in Physician Assistant and practices in TROY, Michigan. Credentials: PA-C.
How much does CLAUDIA APPLEGATE, PA-C prescribe under Medicare Part D?
In 2023, CLAUDIA APPLEGATE, PA-C wrote 2,762 Medicare Part D claims totaling $101K in drug costs for 590 beneficiaries.
What is CLAUDIA APPLEGATE, PA-C's Medicare quality score?
CLAUDIA APPLEGATE, PA-C has a CMS MIPS Final Score of 86.0114/100 (Quality: 79.2933). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CLAUDIA APPLEGATE, PA-C located?
CLAUDIA APPLEGATE, PA-C is located at 1719 W BIG BEAVER RD, TROY, MI, 48084. Phone: (248) 458-0400.
What is CLAUDIA APPLEGATE, PA-C's NPI number?
CLAUDIA APPLEGATE, PA-C's National Provider Identifier (NPI) is 1457602914, issued on 09/25/2012.
Does CLAUDIA APPLEGATE, PA-C prescribe opioids?
Yes, CLAUDIA APPLEGATE, PA-C had 1,614 opioid claims in 2023 with an opioid prescribing rate of 58.4%.
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 CLAUDIA APPLEGATE, PA-C prescribe most often?
Based on 2023 Medicare Part D data, CLAUDIA APPLEGATE, PA-C's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Oxycodone-Acetaminophen, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CLAUDIA APPLEGATE, PA-C accept Medicare?
CLAUDIA APPLEGATE, PA-C appears in CMS Medicare data with 2,762 Part D claims and 590 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CLAUDIA APPLEGATE, PA-C's credentials?
CLAUDIA APPLEGATE, PA-C's NPI is 1457602914 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