2026 NPPES data Physician Assistant NPI 1356742019 PA-C
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EMILY MERTZ, PA-C

Physician Assistant in WAUSAU, Wisconsin. 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
570
Medicare Part D claims · 149 beneficiaries · Physician Assistant avg: 790
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
81.0662/100
▼ 2 pts below national avg 83.1 · [object Object]

What the federal data shows

EMILY MERTZ, PA-C reported a CMS MIPS final score of 81.0662/100 — below the 83.1 national average — and filed 570 Medicare Part D claims in 2023.

81.0662/100
MIPS score · -2 vs avg
570
Part D claims, 2023
88%
generic prescribing

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.

EMILY MERTZ, 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

81 36th percentile higher than 36% 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%). This entry sits in this band. 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 EMILY MERTZ, PA-C?

Near national average

NPI registry status

Active

Issued 09/11/2014

NPI 1356742019

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

570 28% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

81.0662/100 2.0337999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Wisconsin

How Physician Assistant compares to other specialties among Wisconsin providers

Wisconsin providers

Physician Assistant share within Wisconsin

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

Medicare quality performance — MIPS

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

Near national average
MIPS Final Score
81.0662/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 81.0662/100 vs national avg 83.1

0%100%National avg83%81.1%
MIPS final score (Physician Assistant) — 81.0662/100 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).

EMILY MERTZ, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 411 WESTWOOD DR, WAUSAU, WI, 54401, with a listed phone of (715) 847-2558. NPI 1356742019 was issued on 09/11/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MERTZ 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 570 prescription claims written by this provider, covering 149 Medicare beneficiaries and totaling roughly $54K in drug spend, split 12% brand-name and 88% 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 81.0662/100 for the 2023 performance year (Quality 88.0995, Cost 49.6213), 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

411 WESTWOOD DR
WAUSAU, WI 54401

Provider Details

NPI 1356742019
Specialty Physician Assistant
Credentials PA-C
Gender Female
NPI Issued 09/11/2014

CMS Quality Score (MIPS)

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

81.0662
Final Score
Avg: 83.1
88.0995
Quality
49.6213
Cost
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where EMILY MERTZ, 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.

GASTROINTESTINAL ASSOCIATES S.C.
WAUSAU, WI

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

Brand vs generic prescribing mix · Typical

EMILY MERTZ, PA-C — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 570 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.

570
Total Claims
$54K
Total Drug Cost
149
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,034
Total Day Supply
30,517
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$31K
Generic Drug Cost
$23K

Patient Demographics

Average Patient Age
68.5 years
Avg HCC Risk Score
1.52
Gender Split
61% female / 39% male

Top Prescribed Drugs (Medicare Part D)

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

What EMILY MERTZ, 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
Famotidine
170
Omeprazole
115
Pantoprazole Sodium
77
Colestipol Hcl
33
Esomeprazole Magnesium
23
Linzess
Linaclotide
20
Dexlansoprazole Dr
Dexlansoprazole
16
Balsalazide Disodium
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 EMILY MERTZ, PA-C fits within the Physician Assistant landscape nationally.

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

EMILY MERTZ, PA-C's 570 claims are below the specialty average of 790.

Nearby Physician Assistant Providers in Wisconsin

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

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

Frequently Asked Questions

What is EMILY MERTZ, PA-C's specialty?
EMILY MERTZ, PA-C specializes in Physician Assistant and practices in WAUSAU, Wisconsin. Credentials: PA-C.
How much does EMILY MERTZ, PA-C prescribe under Medicare Part D?
In 2023, EMILY MERTZ, PA-C wrote 570 Medicare Part D claims totaling $54K in drug costs for 149 beneficiaries.
What is EMILY MERTZ, PA-C's Medicare quality score?
EMILY MERTZ, PA-C has a CMS MIPS Final Score of 81.0662/100 (Quality: 88.0995, Cost: 49.6213). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is EMILY MERTZ, PA-C located?
EMILY MERTZ, PA-C is located at 411 WESTWOOD DR, WAUSAU, WI, 54401. Phone: (715) 847-2558.
What is EMILY MERTZ, PA-C's NPI number?
EMILY MERTZ, PA-C's National Provider Identifier (NPI) is 1356742019, issued on 09/11/2014.
Does EMILY MERTZ, PA-C prescribe more brand-name or generic drugs?
EMILY MERTZ, PA-C's prescribing is 12% brand-name and 88% generic drugs by claim count, with $31K 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 EMILY MERTZ, PA-C prescribe most often?
Based on 2023 Medicare Part D data, EMILY MERTZ, PA-C's most frequently prescribed drugs include Famotidine, Omeprazole, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does EMILY MERTZ, PA-C accept Medicare?
EMILY MERTZ, PA-C appears in CMS Medicare data with 570 Part D claims and 149 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify EMILY MERTZ, PA-C's credentials?
EMILY MERTZ, PA-C's NPI is 1356742019 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

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