2026 NPPES data Physician Assistant NPI 1851020788 PAC
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DOMINIC PICCOLO, PAC

Physician Assistant in LINCOLN, Nebraska. 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
754
Medicare Part D claims · 203 beneficiaries · Physician Assistant avg: 790
MIPS score
77.3943/100
▼ 6 pts below national avg 83.1 · [object Object]

What the federal data shows

DOMINIC PICCOLO, PAC reported a CMS MIPS final score of 77.3943/100 — below the 83.1 national average — and filed 754 Medicare Part D claims in 2023.

77.3943/100
MIPS score · -6 vs avg
754
Part D claims, 2023

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.

DOMINIC PICCOLO, PAC's MIPS score vs every scored U.S. clinician

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

77 24th percentile higher than 24% 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 DOMINIC PICCOLO, PAC?

Below national average

NPI registry status

Active

Issued 06/07/2022

NPI 1851020788

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

754 5% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

77.3943/100 5.705699999999993% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Nebraska

How Physician Assistant compares to other specialties among Nebraska providers

Nebraska providers

Physician Assistant share within Nebraska

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

Medicare quality performance — MIPS

DOMINIC PICCOLO, PAC's 2023 MIPS final score plotted against the Physician Assistant national average

Below national average
MIPS Final Score
77.3943/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 77.3943/100 vs national avg 83.1

0%100%National avg83%77.4%
MIPS final score (Physician Assistant) — 77.3943/100 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).

DOMINIC PICCOLO, PAC appears in the CMS NPPES registry as a Physician Assistant provider holding PAC credentials at 7441 O ST STE 400, LINCOLN, NE, 68510, with a listed phone of (402) 464-9000. NPI 1851020788 was issued on 06/07/2022. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PICCOLO 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 754 prescription claims written by this provider, covering 203 Medicare beneficiaries and totaling roughly $79K in drug spend, with an opioid prescribing rate of 12.3%. 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 77.3943/100 for the 2023 performance year (Quality 97.2536, Cost 28.3096), 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

7441 O ST STE 400
LINCOLN, NE 68510

Provider Details

NPI 1851020788
Specialty Physician Assistant
Credentials PAC
Gender Male
NPI Issued 06/07/2022

CMS Quality Score (MIPS)

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

77.3943
Final Score
Avg: 83.1
97.2536
Quality
28.3096
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where DOMINIC PICCOLO, PAC 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.

RHEUMATOLOGY AND OSTEOPOROSIS SERVICES, P.C.
LINCOLN, NE

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

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

754
Total Claims
$79K
Total Drug Cost
203
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,276
Total Day Supply
37,479
Generic Drug Cost
$35K
Opioid Claims
93 (12.3% rate)

Patient Demographics

Average Patient Age
71.4 years
Avg HCC Risk Score
1.39
Gender Split
78% female / 22% male
Age Distribution
<65: 32, 65-74: 102, 75-84: 56, 85+: 13

Top Prescribed Drugs (Medicare Part D)

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

What DOMINIC PICCOLO, PAC 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
Hydroxychloroquine Sulfate
154
Prednisone
125
Methotrexate
Methotrexate Sodium
76
Duloxetine Hcl
49
Tramadol Hcl
48
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
43
Gabapentin
27
Celecoxib
25
Meloxicam
21
Raloxifene Hcl
14

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

Physician Assistant Overview

How DOMINIC PICCOLO, PAC fits within the Physician Assistant landscape nationally.

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

DOMINIC PICCOLO, PAC's 754 claims are below the specialty average of 790.

Nearby Physician Assistant Providers in Nebraska

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

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

Frequently Asked Questions

What is DOMINIC PICCOLO, PAC's specialty?
DOMINIC PICCOLO, PAC specializes in Physician Assistant and practices in LINCOLN, Nebraska. Credentials: PAC.
How much does DOMINIC PICCOLO, PAC prescribe under Medicare Part D?
In 2023, DOMINIC PICCOLO, PAC wrote 754 Medicare Part D claims totaling $79K in drug costs for 203 beneficiaries.
What is DOMINIC PICCOLO, PAC's Medicare quality score?
DOMINIC PICCOLO, PAC has a CMS MIPS Final Score of 77.3943/100 (Quality: 97.2536, Cost: 28.3096). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DOMINIC PICCOLO, PAC located?
DOMINIC PICCOLO, PAC is located at 7441 O ST STE 400, LINCOLN, NE, 68510. Phone: (402) 464-9000.
What is DOMINIC PICCOLO, PAC's NPI number?
DOMINIC PICCOLO, PAC's National Provider Identifier (NPI) is 1851020788, issued on 06/07/2022.
Does DOMINIC PICCOLO, PAC prescribe opioids?
Yes, DOMINIC PICCOLO, PAC had 93 opioid claims in 2023 with an opioid prescribing rate of 12.3%.
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 DOMINIC PICCOLO, PAC prescribe most often?
Based on 2023 Medicare Part D data, DOMINIC PICCOLO, PAC's most frequently prescribed drugs include Hydroxychloroquine Sulfate, Prednisone, Methotrexate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DOMINIC PICCOLO, PAC accept Medicare?
DOMINIC PICCOLO, PAC appears in CMS Medicare data with 754 Part D claims and 203 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DOMINIC PICCOLO, PAC's credentials?
DOMINIC PICCOLO, PAC's NPI is 1851020788 with credentials PAC. 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