2026 NPPES data Physician Assistant NPI 1073862280 PA
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ELYSE ARCHILA, PA

Physician Assistant in WORCESTER, Massachusetts. 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
269
Medicare Part D claims · 223 beneficiaries · Physician Assistant avg: 790
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
86.2643/100
▲ 3 pts above national avg 83.1 · [object Object]
What the federal data reveals: ELYSE ARCHILA, PA is a Physician Assistant ([object Object]) practicing in WORCESTER, Massachusetts with a Medicare Part D prescribing footprint of 269 claims across 223 beneficiaries — 5% brand-name prescribing . Their CMS MIPS Final Score of 86.2643/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: ELYSE ARCHILA, PA reported a CMS MIPS final score of 86.2643 out of 100, above the 83.1 national average, and filed 269 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

ELYSE ARCHILA, PA at a glance

High performer (top quartile)

NPI registry status

Active

Issued 09/04/2012

NPI 1073862280

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

269 66% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

86.2643/100 3.1643000000000114% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Massachusetts

How Physician Assistant compares to other specialties among Massachusetts providers

Massachusetts providers

Physician Assistant share within Massachusetts

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

Medicare quality performance — MIPS

ELYSE ARCHILA, PA's 2023 MIPS final score plotted against the Physician Assistant national average

High performer (top quartile)
MIPS Final Score
86.2643/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 86.2643/100 vs national avg 83.1

0%100%National avg83%86.3%
MIPS final score (Physician Assistant) — 86.2643/100 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).

ELYSE ARCHILA, PA is a Physician Assistant provider practicing in WORCESTER, Massachusetts, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: PA. NPI: 1073862280. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ELYSE ARCHILA, PA appears in the CMS NPPES registry as a Physician Assistant provider holding PA credentials at 123 SUMMER ST, WORCESTER, MA, 01608, with a listed phone of (508) 363-5519. NPI 1073862280 was issued on 09/04/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ARCHILA 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 269 prescription claims written by this provider, covering 223 Medicare beneficiaries and totaling roughly $3K in drug spend, split 5% brand-name and 95% generic by claim count. 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 86.2643/100 for the 2023 performance year (Quality 78.8411, Cost 58.7066), 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

123 SUMMER ST
WORCESTER, MA 01608

Provider Details

NPI 1073862280
Specialty Physician Assistant
Credentials PA
Gender Female
NPI Issued 09/04/2012

CMS Quality Score (MIPS)

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

86.2643
Final Score
Avg: 83.1
78.8411
Quality
58.7066
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ELYSE ARCHILA, 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.

BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC
BOSTON, MA
HALLMARK HEALTH MEDICAL ASSOCIATES INC
REVERE, MA
MASS GENERAL BRIGHAM URGENT CARE LLC
BROOKLINE, 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).

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 ELYSE ARCHILA, PA. To verify ELYSE ARCHILA, PA'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

ELYSE ARCHILA, PA — brand share 5.0%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 269 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.

269
Total Claims
$3K
Total Drug Cost
223
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
274
Total Day Supply
2,387
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$1K
Generic Drug Cost
$2K
Antibiotic Claims
123

Patient Demographics

Average Patient Age
71.0 years
Avg HCC Risk Score
1.12
Gender Split
73% female / 27% male
Age Distribution
<65: 36, 65-74: 94, 75-84: 77, 85+: 16

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Paxlovid (Eua)
Nirmatrelvir/Ritonavir
46
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
29
Azithromycin
25
Prednisone
22
Amoxicillin
13
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
13

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

Physician Assistant Overview

How ELYSE ARCHILA, 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

ELYSE ARCHILA, PA's 269 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 ARCHILA.

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

Frequently Asked Questions

What is ELYSE ARCHILA, PA's specialty?
ELYSE ARCHILA, PA specializes in Physician Assistant and practices in WORCESTER, Massachusetts. Credentials: PA.
How much does ELYSE ARCHILA, PA prescribe under Medicare Part D?
In 2023, ELYSE ARCHILA, PA wrote 269 Medicare Part D claims totaling $3K in drug costs for 223 beneficiaries.
What is ELYSE ARCHILA, PA's Medicare quality score?
ELYSE ARCHILA, PA has a CMS MIPS Final Score of 86.2643/100 (Quality: 78.8411, Cost: 58.7066). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ELYSE ARCHILA, PA located?
ELYSE ARCHILA, PA is located at 123 SUMMER ST, WORCESTER, MA, 01608. Phone: (508) 363-5519.
What is ELYSE ARCHILA, PA's NPI number?
ELYSE ARCHILA, PA's National Provider Identifier (NPI) is 1073862280, issued on 09/04/2012.
Does ELYSE ARCHILA, PA prescribe more brand-name or generic drugs?
ELYSE ARCHILA, PA's prescribing is 5% brand-name and 95% generic drugs by claim count, with $1K in brand drug costs.
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 ELYSE ARCHILA, PA prescribe most often?
Based on 2023 Medicare Part D data, ELYSE ARCHILA, PA's most frequently prescribed drugs include Paxlovid (Eua), Amoxicillin-Clavulanate Potass, Azithromycin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ELYSE ARCHILA, PA accept Medicare?
ELYSE ARCHILA, PA appears in CMS Medicare data with 269 Part D claims and 223 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ELYSE ARCHILA, PA's credentials?
ELYSE ARCHILA, PA's NPI is 1073862280 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