2026 NPPES data Physician Assistant NPI 1164801676 PA-C
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ERIK ANDERSON, PA-C

Physician Assistant in SOUTH CHARLESTON, West Virginia. 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
23
Medicare Part D claims · 18 beneficiaries · Physician Assistant avg: 790
MIPS score
49.8152/100
▼ 33 pts below national avg 83.1 · [object Object]
Industry payments
$2.3K
35 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ERIK ANDERSON, PA-C reported a CMS MIPS final score of 49.8152/100 — below the 83.1 national average — and filed 23 Medicare Part D claims in 2023.

49.8152/100
MIPS score · -33 vs avg
23
Part D claims, 2023
$2.3K
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.

ERIK ANDERSON, 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

50 4th percentile higher than 4% 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%). This entry sits in this band. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 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 ERIK ANDERSON, PA-C?

Below national average

NPI registry status

Active

Issued 05/29/2015

NPI 1164801676

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

23 97% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

49.8152/100 33.2848% pts

Below average band

vs 83.1 national avg

Specialty distribution in West Virginia

How Physician Assistant compares to other specialties among West Virginia providers

West Virginia providers

Physician Assistant share within West Virginia

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

Medicare quality performance — MIPS

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

Below national average
MIPS Final Score
49.8152/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 49.8152/100 vs national avg 83.1

0%100%National avg83%49.8%
MIPS final score (Physician Assistant) — 49.8152/100 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).

ERIK ANDERSON, PA-C is a Physician Assistant provider practicing in SOUTH CHARLESTON, West Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: PA-C. NPI: 1164801676. 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.

ERIK ANDERSON, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 242 DIVISION ST, SOUTH CHARLESTON, WV, 25309, with a listed phone of (304) 767-7840. NPI 1164801676 was issued on 05/29/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ANDERSON 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 23 prescription claims written by this provider, covering 18 Medicare beneficiaries and totaling roughly $169 in drug spend. 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 49.8152/100 for the 2023 performance year (Quality 55.177, Cost 73.3735), 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

242 DIVISION ST
SOUTH CHARLESTON, WV 25309

Provider Details

NPI 1164801676
Specialty Physician Assistant
Credentials PA-C
Gender Male
NPI Issued 05/29/2015

CMS Quality Score (MIPS)

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

49.8152
Final Score
Avg: 83.1
55.177
Quality
73.3735
Cost
0
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ERIK ANDERSON, 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.

WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
MORGANTOWN, WV

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 ERIK ANDERSON, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$2.3K

Largest payer

SI-BONE, 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.

23
Total Claims
$169
Total Drug Cost
18
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
23
Total Day Supply
293
Generic Drug Cost
$164

Patient Demographics

Average Patient Age
69.8 years
Avg HCC Risk Score
1.62

Physician Assistant Overview

How ERIK ANDERSON, 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

ERIK ANDERSON, PA-C's 23 claims are below the specialty average of 790.

Nearby Physician Assistant Providers in West Virginia

Other clinicians with the same primary specialty enrolled in West Virginia, drawn from the same CMS NPPES roster as ANDERSON.

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

Frequently Asked Questions

What is ERIK ANDERSON, PA-C's specialty?
ERIK ANDERSON, PA-C specializes in Physician Assistant and practices in SOUTH CHARLESTON, West Virginia. Credentials: PA-C.
How much does ERIK ANDERSON, PA-C prescribe under Medicare Part D?
In 2023, ERIK ANDERSON, PA-C wrote 23 Medicare Part D claims totaling $169 in drug costs for 18 beneficiaries.
What is ERIK ANDERSON, PA-C's Medicare quality score?
ERIK ANDERSON, PA-C has a CMS MIPS Final Score of 49.8152/100 (Quality: 55.177, Cost: 73.3735). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ERIK ANDERSON, PA-C located?
ERIK ANDERSON, PA-C is located at 242 DIVISION ST, SOUTH CHARLESTON, WV, 25309. Phone: (304) 767-7840.
What is ERIK ANDERSON, PA-C's NPI number?
ERIK ANDERSON, PA-C's National Provider Identifier (NPI) is 1164801676, issued on 05/29/2015.
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.
Does ERIK ANDERSON, PA-C accept Medicare?
ERIK ANDERSON, PA-C appears in CMS Medicare data with 23 Part D claims and 18 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ERIK ANDERSON, PA-C's credentials?
ERIK ANDERSON, PA-C's NPI is 1164801676 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