2026 NPPES data Medical Physician Assistant NPI 1184174807 PA
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DAVID MESSINGER, PA

Medical Physician Assistant in FORT COLLINS, Colorado. 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
132
Medicare Part D claims · 95 beneficiaries · Medical Physician Assistant avg: 1K
MIPS score
73.8718/100
▼ 9 pts below national avg 83.1 · [object Object]
Industry payments
$23.61
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

DAVID MESSINGER, PA reported a CMS MIPS final score of 73.8718/100 — below the 83.1 national average — and filed 132 Medicare Part D claims in 2023.

73.8718/100
MIPS score · -9 vs avg
132
Part D claims, 2023
$23.61
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.

DAVID MESSINGER, PA's MIPS score vs every scored U.S. clinician

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

74 11th percentile higher than 11% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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 DAVID MESSINGER, PA?

Below national average

NPI registry status

Active

Issued 10/05/2016

NPI 1184174807

Primary specialty

Medical Physician Assistant

Mid-sized

40,527 US NPIs in this specialty

Medicare Part D claims

132 88% vs specialty avg

2023 prescription claims

Specialty avg: 1,077

MIPS final score

73.8718/100 9.228200000000001% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Colorado

How Medical Physician Assistant compares to other specialties among Colorado providers

Colorado providers

Medical Physician Assistant share within Colorado

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

Medicare quality performance — MIPS

DAVID MESSINGER, PA's 2023 MIPS final score plotted against the Medical Physician Assistant national average

Below national average
MIPS Final Score
73.8718/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Medical Physician Assistant) — 73.8718/100 vs national avg 83.1

0%100%National avg83%73.9%
MIPS final score (Medical Physician Assistant) — 73.8718/100 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).

DAVID MESSINGER, PA appears in the CMS NPPES registry as a Medical Physician Assistant provider holding PA credentials at 2500 E PROSPECT RD, FORT COLLINS, CO, 80525, with a listed phone of (970) 493-0112. NPI 1184174807 was issued on 10/05/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MESSINGER 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 132 prescription claims written by this provider, covering 95 Medicare beneficiaries and totaling roughly $1K in drug spend, with an opioid prescribing rate of 44.7%. 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 73.8718/100 for the 2023 performance year (Quality 68.4654, Cost 74.4406), 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

2500 E PROSPECT RD
FORT COLLINS, CO 80525

Provider Details

NPI 1184174807
Specialty Medical Physician Assistant
Credentials PA
Gender Male
NPI Issued 10/05/2016

CMS Quality Score (MIPS)

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

73.8718
Final Score
Avg: 83.1
68.4654
Quality
74.4406
Cost
64
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where DAVID MESSINGER, 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.

ORTHOPAEDIC AND SPINE CENTER OF THE ROCKIES PC
GREELEY, CO

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 DAVID MESSINGER, PA. Source: openpaymentsdata.cms.gov.

Total received

$24

Largest payer

Smith+Nephew, 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

132
Total Claims
$1K
Total Drug Cost
95
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
133
Total Day Supply
831
Generic Drug Cost
$748
Opioid Claims
59 (44.7% rate)
Antibiotic Claims
40

Patient Demographics

Average Patient Age
71.4 years
Avg HCC Risk Score
0.89
Gender Split
65% female / 35% male

Top Prescribed Drugs (Medicare Part D)

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

What DAVID MESSINGER, 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
33
Amoxicillin
32
Tramadol Hcl
21
Cyclobenzaprine Hcl
12

* 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 DAVID MESSINGER, PA fits within the Medical Physician Assistant landscape nationally.

40,527
Medical Physician Assistant Providers in US
55
States with Medical Physician Assistant
1,077
Avg Claims per Provider

DAVID MESSINGER, PA's 132 claims are below the specialty average of 1,077.

Nearby Medical Physician Assistant Providers in Colorado

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

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

Frequently Asked Questions

What is DAVID MESSINGER, PA's specialty?
DAVID MESSINGER, PA specializes in Medical Physician Assistant and practices in FORT COLLINS, Colorado. Credentials: PA.
How much does DAVID MESSINGER, PA prescribe under Medicare Part D?
In 2023, DAVID MESSINGER, PA wrote 132 Medicare Part D claims totaling $1K in drug costs for 95 beneficiaries.
What is DAVID MESSINGER, PA's Medicare quality score?
DAVID MESSINGER, PA has a CMS MIPS Final Score of 73.8718/100 (Quality: 68.4654, Cost: 74.4406). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DAVID MESSINGER, PA located?
DAVID MESSINGER, PA is located at 2500 E PROSPECT RD, FORT COLLINS, CO, 80525. Phone: (970) 493-0112.
What is DAVID MESSINGER, PA's NPI number?
DAVID MESSINGER, PA's National Provider Identifier (NPI) is 1184174807, issued on 10/05/2016.
Does DAVID MESSINGER, PA prescribe opioids?
Yes, DAVID MESSINGER, PA had 59 opioid claims in 2023 with an opioid prescribing rate of 44.7%.
How many Medical Physician Assistant providers are there in the US?
There are 40,527 Medical Physician Assistant providers across 55 states in the US. The average Medical Physician Assistant provider writes 1,077 Medicare Part D claims per year.
What drugs does DAVID MESSINGER, PA prescribe most often?
Based on 2023 Medicare Part D data, DAVID MESSINGER, PA's most frequently prescribed drugs include Oxycodone Hcl, Amoxicillin, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DAVID MESSINGER, PA accept Medicare?
DAVID MESSINGER, PA appears in CMS Medicare data with 132 Part D claims and 95 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DAVID MESSINGER, PA's credentials?
DAVID MESSINGER, PA's NPI is 1184174807 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