2026 NPPES data Physician Assistant NPI 1386193100 PA
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CRYSTAL FESPERMAN, PA

Physician Assistant in NEWPORT NEWS, Virginia. 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
161
Medicare Part D claims · 57 beneficiaries · Physician Assistant avg: 790
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.0775/100
▲ 11 pts above national avg 83.1 · [object Object]
Industry payments
$140.74
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

CRYSTAL FESPERMAN, PA reported a CMS MIPS final score of 94.0775/100 — above the 83.1 national average — and filed 161 Medicare Part D claims in 2023.

94.0775/100
MIPS score · +11 vs avg
161
Part D claims, 2023
89%
generic prescribing
$140.74
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.

CRYSTAL FESPERMAN, PA's MIPS score vs every scored U.S. clinician

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

94 Top 25% higher than 75% 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 CRYSTAL FESPERMAN, PA?

High performer (top quartile)

NPI registry status

Active

Issued 09/22/2016

NPI 1386193100

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

161 80% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

94.0775/100 10.977500000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Virginia

How Physician Assistant compares to other specialties among Virginia providers

Virginia providers

Physician Assistant share within Virginia

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

Medicare quality performance — MIPS

CRYSTAL FESPERMAN, PA's 2023 MIPS final score plotted against the Physician Assistant national average

High performer (top quartile)
MIPS Final Score
94.0775/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 94.0775/100 vs national avg 83.1

0%100%National avg83%94.1%
MIPS final score (Physician Assistant) — 94.0775/100 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).

CRYSTAL FESPERMAN, PA appears in the CMS NPPES registry as a Physician Assistant provider holding PA credentials at 12200 WARWICK BLVD, NEWPORT NEWS, VA, 23601, with a listed phone of (757) 534-9988. NPI 1386193100 was issued on 09/22/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FESPERMAN 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 161 prescription claims written by this provider, covering 57 Medicare beneficiaries and totaling roughly $8K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 33.5%. 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 94.0775/100 for the 2023 performance year (Quality 90.6515), 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

12200 WARWICK BLVD
NEWPORT NEWS, VA 23601

Provider Details

NPI 1386193100
Specialty Physician Assistant
Credentials PA
Gender Female
NPI Issued 09/22/2016

CMS Quality Score (MIPS)

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

94.0775
Final Score
Avg: 83.1
90.6515
Quality
95.8391
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where CRYSTAL FESPERMAN, 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.

RIVERSIDE PHYSICIAN SERVICES INC
NEWPORT NEWS, VA

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 CRYSTAL FESPERMAN, PA. Source: openpaymentsdata.cms.gov.

Total received

$141

Largest payer

DePuy Synthes Sales 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

CRYSTAL FESPERMAN, PA — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 161 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.

161
Total Claims
$8K
Total Drug Cost
57
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
165
Total Day Supply
2,073
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$4K
Generic Drug Cost
$4K
Opioid Claims
54 (33.5% rate)
Antibiotic Claims
11

Patient Demographics

Average Patient Age
69.4 years
Avg HCC Risk Score
2.04
Gender Split
63% female / 37% male

Top Prescribed Drugs (Medicare Part D)

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

What CRYSTAL FESPERMAN, PA prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Oxycodone Hcl
32
Naloxone Hcl
27
Gabapentin
22
Methocarbamol
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 CRYSTAL FESPERMAN, PA fits within the Physician Assistant landscape nationally.

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

CRYSTAL FESPERMAN, PA's 161 claims are below the specialty average of 790.

Nearby Physician Assistant Providers in Virginia

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

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

Frequently Asked Questions

What is CRYSTAL FESPERMAN, PA's specialty?
CRYSTAL FESPERMAN, PA specializes in Physician Assistant and practices in NEWPORT NEWS, Virginia. Credentials: PA.
How much does CRYSTAL FESPERMAN, PA prescribe under Medicare Part D?
In 2023, CRYSTAL FESPERMAN, PA wrote 161 Medicare Part D claims totaling $8K in drug costs for 57 beneficiaries.
What is CRYSTAL FESPERMAN, PA's Medicare quality score?
CRYSTAL FESPERMAN, PA has a CMS MIPS Final Score of 94.0775/100 (Quality: 90.6515). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CRYSTAL FESPERMAN, PA located?
CRYSTAL FESPERMAN, PA is located at 12200 WARWICK BLVD, NEWPORT NEWS, VA, 23601. Phone: (757) 534-9988.
What is CRYSTAL FESPERMAN, PA's NPI number?
CRYSTAL FESPERMAN, PA's National Provider Identifier (NPI) is 1386193100, issued on 09/22/2016.
Does CRYSTAL FESPERMAN, PA prescribe more brand-name or generic drugs?
CRYSTAL FESPERMAN, PA's prescribing is 11% brand-name and 89% generic drugs by claim count, with $4K in brand drug costs.
Does CRYSTAL FESPERMAN, PA prescribe opioids?
Yes, CRYSTAL FESPERMAN, PA had 54 opioid claims in 2023 with an opioid prescribing rate of 33.5%.
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 CRYSTAL FESPERMAN, PA prescribe most often?
Based on 2023 Medicare Part D data, CRYSTAL FESPERMAN, PA's most frequently prescribed drugs include Oxycodone Hcl, Naloxone Hcl, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CRYSTAL FESPERMAN, PA accept Medicare?
CRYSTAL FESPERMAN, PA appears in CMS Medicare data with 161 Part D claims and 57 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CRYSTAL FESPERMAN, PA's credentials?
CRYSTAL FESPERMAN, PA's NPI is 1386193100 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

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