NPI registry status
Active
2026 NPPES data Surgical Physician Assistant NPI 1962603688 PA
Verify on CMS → Consuelo Tapia, PA
Surgical Physician Assistant in Evanston, 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 16,179 in Surgical 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
620
Medicare Part D claims · 222 beneficiaries · Surgical Physician Assistant avg: 316
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
93.1/100
▲ 10 pts above national avg 83.1 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Consuelo Tapia, PA reported a CMS MIPS final score of 93.1/100 - above the 83.1 national average - and filed 620 Medicare Part D claims in 2023.
- 93.1/100
- MIPS score · +10 vs avg
- 620
- Part D claims, 2023
- 95%
- generic prescribing
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.
Consuelo Tapia, PA's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
93 Top 29% higher than 71% 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
Where Consuelo Tapia, PA sits
This provider among surgical physician assistant peers
Across the 3,708 surgical physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Consuelo Tapia, PA writes more Part D claims than 88% of them and scores higher on MIPS quality than 72% - 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
Each dot is one surgical physician assistant peer from a representative sample of 60; the gold marker is Consuelo Tapia, PA. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Consuelo Tapia, PA?
High performer (top quartile)Primary specialty
Surgical Physician Assistant
Medicare Part D claims
620 96% vs specialty avg
MIPS final score
93.1/100 10 pts vs avg
Specialty distribution in Illinois
How Surgical Physician Assistant compares to other specialties among Illinois providers
Medicare quality performance, MIPS
Consuelo Tapia, PA's 2023 MIPS final score plotted against the Surgical Physician Assistant national average
- MIPS Final Score
- 93.1/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Surgical Physician Assistant) - 93.1/100 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).
Consuelo Tapia, PA appears in the CMS NPPES registry as a Surgical Physician Assistant provider holding PA credentials at 2650 RIDGE AVE, Evanston, IL, 60201, with a listed phone of (847) 570-2560. NPI 1962603688 was issued on 05/30/2007.
Medicare Part D records for calendar year 2023 show 620 prescription claims written by this provider, covering 222 Medicare beneficiaries and totaling roughly $21K in drug spend, split 5% brand-name and 95% generic by claim count, with an opioid prescribing rate of 15.0%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 93.1/100 for the 2023 performance year (Quality 80.8), compared with the national average of 83.1.
Surgical Physician Assistant is a mid-sized specialty nationwide, with 16,179 enrolled providers across 54 states and an average of 316 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 | 1962603688 |
|---|---|
| Specialty | Surgical Physician Assistant |
| Credentials | PA |
| Gender | Female |
| NPI Issued | 05/30/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
93.0872
Final Score
Avg: 83.1
80.7919
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Consuelo Tapia, PA 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.
Endeavor Health Medical Group
Evanston, 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).
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 Consuelo Tapia, PA. To verify Consuelo Tapia, PA'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
Consuelo Tapia, PA - brand share 5.0%
Surgical Physician Assistant average
5% brand-name claims vs 95% generic, on 620 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.
620
Total Claims
$21K
Total Drug Cost
222
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 632
- Total Day Supply
- 10,179
- Brand vs Generic
- 5% brand / 95% generic
- Brand Drug Cost
- $11K
- Generic Drug Cost
- $10K
- Opioid Claims
- 93 (15.0% rate)
- Antibiotic Claims
- 33
Patient Demographics
- Average Patient Age
- 73.8 years
- Avg HCC Risk Score
- 0.93
- Gender Split
- 61% female / 39% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Consuelo Tapia, PA prescribes most
Top Medicare Part D drugs by claim count, 2023
- Pantoprazole Sodium
Pantoprazole Sodium
123 claims
- Ondansetron Hcl
Ondansetron Hcl
115 claims
- Gabapentin
Gabapentin
81 claims
- Hydrocodone-Acetam… 49
Hydrocodone-Acetaminophen
49 claims
- Naloxone Hcl 47
Naloxone Hcl
47 claims
- Celecoxib 45
Celecoxib
45 claims
- Oxycodone Hcl 19
Oxycodone Hcl
19 claims
- Doxycycline Hyclate 18
Doxycycline Hyclate
18 claims
| Drug | Claims |
|---|---|
| Pantoprazole Sodium | 123 |
| Ondansetron Hcl | 115 |
| Gabapentin | 81 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 49 |
| Naloxone Hcl | 47 |
| Celecoxib | 45 |
| Oxycodone Hcl | 19 |
| Doxycycline Hyclate | 18 |
| Tramadol Hcl | 14 |
| Warfarin Sodium | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Surgical Physician Assistant Overview
How Consuelo Tapia, PA fits within the Surgical Physician Assistant landscape nationally.
16,179
Surgical Physician Assistant Providers in US
54
States with Surgical Physician Assistant
316
Avg Claims per Provider
Consuelo Tapia, PA's 620 claims are above the specialty average of 316.
Nearby Surgical Physician Assistant Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Tapia.
Deena Abousedu
Mokena, IL
Dr. David Agbunag
PA-C
Chicago, IL
Dr. Elizabeth Ahlgrimm
PA-C
Evanston, IL
Dr. Brad Albertini
PA-C
Springfield, IL
Dr. Anita Alexander
PA
Evanston, IL
Compare Surgical 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 Surgical 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 Consuelo Tapia, PA's specialty? ▼
Consuelo Tapia, PA specializes in Surgical Physician Assistant and practices in Evanston, Illinois. Credentials: PA.
How much does Consuelo Tapia, PA prescribe under Medicare Part D? ▼
In 2023, Consuelo Tapia, PA wrote 620 Medicare Part D claims totaling $21K in drug costs for 222 beneficiaries.
What is Consuelo Tapia, PA's Medicare quality score? ▼
Consuelo Tapia, PA has a CMS MIPS Final Score of 93.1/100 (Quality: 80.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Consuelo Tapia, PA located? ▼
Consuelo Tapia, PA is located at 2650 RIDGE AVE, Evanston, IL, 60201. Phone: (847) 570-2560.
What is Consuelo Tapia, PA's NPI number? ▼
Consuelo Tapia, PA's National Provider Identifier (NPI) is 1962603688, issued on 05/30/2007.
Does Consuelo Tapia, PA prescribe more brand-name or generic drugs? ▼
Consuelo Tapia, PA's prescribing is 5% brand-name and 95% generic drugs by claim count, with $11K in brand drug costs.
Does Consuelo Tapia, PA prescribe opioids? ▼
Yes, Consuelo Tapia, PA had 93 opioid claims in 2023 with an opioid prescribing rate of 15.0%.
How many Surgical Physician Assistant providers are there in the US? ▼
There are 16,179 Surgical Physician Assistant providers across 54 states in the US. The average Surgical Physician Assistant provider writes 316 Medicare Part D claims per year.
What drugs does Consuelo Tapia, PA prescribe most often? ▼
Based on 2023 Medicare Part D data, Consuelo Tapia, PA's most frequently prescribed drugs include Pantoprazole Sodium, Ondansetron Hcl, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Consuelo Tapia, PA accept Medicare? ▼
Consuelo Tapia, PA appears in CMS Medicare data with 620 Part D claims and 222 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Consuelo Tapia, PA's credentials? ▼
Consuelo Tapia, PA's NPI is 1962603688 with credentials PA. 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.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.