2026 NPPES data Physician Assistant NPI 1558724468 PA-C
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Cynthia Duhamel, PA-C

Physician Assistant in Worcester, Massachusetts.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 150,974 in 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
268
Medicare Part D claims · 169 beneficiaries · Physician Assistant avg: 790
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97/100
▲ 14 pts above national avg 83.1 · Exceptional
Industry payments
$21.85
1 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Cynthia Duhamel, PA-C reported a CMS MIPS final score of 97/100 - above the 83.1 national average - and filed 268 Medicare Part D claims in 2023.

97/100
MIPS score · +14 vs avg
268
Part D claims, 2023
92%
generic prescribing
$21.85
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.

Cynthia Duhamel, 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

97 Top 15% higher than 85% 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+: 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

Where Cynthia Duhamel, PA-C sits

This provider among physician assistant peers

Across the 27,054 physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Cynthia Duhamel, PA-C writes more Part D claims than 53% of them and scores higher on MIPS quality than 86% - 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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 40Cynthia Duhamel, PA-C-Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 86
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one physician assistant peer from a representative sample of 60; the gold marker is Cynthia Duhamel, PA-C. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Cynthia Duhamel, PA-C?

High performer (top quartile)

NPI registry status

Active

Issued 03/30/2016

NPI 1558724468

Primary specialty

Physician Assistant

High-volume

150,974 US NPIs in this specialty

Medicare Part D claims

268 66% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

97/100 13.9 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Massachusetts

How Physician Assistant compares to other specialties among Massachusetts providers

Massachusetts providers
Mental Health Counselor - 8.3%Mental Health Counselor8.3%Clinical Social Worker - 7.8%Clinical Social Worker7.8%Student in an Organized Health Care Education/Training Program - 6.2%Student in an Organized Health Care Education/Training Program6.2%Behavior Technician - 4.9%Behavior Technician4.9%Counselor - 4.3%Counselor4.3%Internal Medicine Physician - 3.7%Internal Medicine Physician3.7%Physician Assistant - 2%Physician Assistant2%
Largest specialties in Massachusetts (% of in-state providers)

Medicare quality performance, MIPS

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

High performer (top quartile)
MIPS Final Score
97/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) - 97/100 vs national avg 83.1

0%100%National avg83%97%
MIPS final score (Physician Assistant) - 97/100 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).

Cynthia Duhamel, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 48 ELM ST, Worcester, MA, 01609, with a listed phone of (508) 757-0330. NPI 1558724468 was issued on 03/30/2016.

Medicare Part D records for calendar year 2023 show 268 prescription claims written by this provider, covering 169 Medicare beneficiaries and totaling roughly $8K in drug spend, split 8% brand-name and 92% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 97/100 for the 2023 performance year (Quality 78.1), compared with the national average of 83.1.

Physician Assistant is a high-volume specialty nationwide, with 150,974 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

48 ELM ST
Worcester, MA 01609

Provider Details

NPI 1558724468
Specialty Physician Assistant
Credentials PA-C
Gender Female
NPI Issued 03/30/2016

CMS Quality Score (MIPS)

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

97.0218
Final Score
Avg: 83.1
78.0983
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Cynthia Duhamel, 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.

Associates IN Otolaryngology Head And Neck Surgery, PC
Worcester, MA

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 Cynthia Duhamel, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$22

Largest payer

Optinose US, 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.

License & disciplinary context - Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 - they are NOT specific to Cynthia Duhamel, PA-C. To verify Cynthia Duhamel, PA-C's current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM 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 Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

Cynthia Duhamel, PA-C - brand share 8.0%
Physician Assistant average

8% brand-name claims vs 92% generic, on 268 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.

268
Total Claims
$8K
Total Drug Cost
169
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
378
Total Day Supply
8,107
Brand vs Generic
8% brand / 92% generic
Brand Drug Cost
$2K
Generic Drug Cost
$6K
Antibiotic Claims
38

Patient Demographics

Average Patient Age
72.9 years
Avg HCC Risk Score
1.17
Gender Split
61% female / 39% male
Age Distribution
<65: 19, 65-74: 66, 75-84: 65, 85+: 19

Top Prescribed Drugs (Medicare Part D)

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

What Cynthia Duhamel, PA-C 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
Betamethasone Dipropionate
28
Famotidine
25
Fluticasone Propionate
22
Ciprofloxacin-Dexamethasone
Ciprofloxacin Hcl/Dexameth
19
Ipratropium Bromide
19
Mupirocin
14
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
11
Fluocinolone Acetonide Oil
11

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

Physician Assistant Overview

How Cynthia Duhamel, PA-C fits within the Physician Assistant landscape nationally.

150,974
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider

Cynthia Duhamel, PA-C's 268 claims are below the specialty average of 790.

Nearby Physician Assistant Providers in Massachusetts

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

Compare 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 Massachusetts medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby 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.

Frequently Asked Questions

What is Cynthia Duhamel, PA-C's specialty?
Cynthia Duhamel, PA-C specializes in Physician Assistant and practices in Worcester, Massachusetts. Credentials: PA-C.
How much does Cynthia Duhamel, PA-C prescribe under Medicare Part D?
In 2023, Cynthia Duhamel, PA-C wrote 268 Medicare Part D claims totaling $8K in drug costs for 169 beneficiaries.
What is Cynthia Duhamel, PA-C's Medicare quality score?
Cynthia Duhamel, PA-C has a CMS MIPS Final Score of 97/100 (Quality: 78.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Cynthia Duhamel, PA-C located?
Cynthia Duhamel, PA-C is located at 48 ELM ST, Worcester, MA, 01609. Phone: (508) 757-0330.
What is Cynthia Duhamel, PA-C's NPI number?
Cynthia Duhamel, PA-C's National Provider Identifier (NPI) is 1558724468, issued on 03/30/2016.
Does Cynthia Duhamel, PA-C prescribe more brand-name or generic drugs?
Cynthia Duhamel, PA-C's prescribing is 8% brand-name and 92% generic drugs by claim count, with $2K in brand drug costs.
How many Physician Assistant providers are there in the US?
There are 150,974 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 Cynthia Duhamel, PA-C prescribe most often?
Based on 2023 Medicare Part D data, Cynthia Duhamel, PA-C's most frequently prescribed drugs include Betamethasone Dipropionate, Famotidine, Fluticasone Propionate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Cynthia Duhamel, PA-C accept Medicare?
Cynthia Duhamel, PA-C appears in CMS Medicare data with 268 Part D claims and 169 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Cynthia Duhamel, PA-C's credentials?
Cynthia Duhamel, PA-C's NPI is 1558724468 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

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.