2026 NPPES data Physician Assistant NPI 1821095928 P.A.
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Gary Lachenmyer, P.A.

Physician Assistant in Bend, Oregon.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 150,974 in Physician Assistant, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
373
Medicare Part D claims · 165 beneficiaries · Physician Assistant avg: 790
MIPS score
73.2/100
▼ 10 pts below national avg 83.1 · Mid-tier
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Gary Lachenmyer, P.A. reported a CMS MIPS final score of 73.2/100 - below the 83.1 national average - and filed 373 Medicare Part D claims in 2023.

73.2/100
MIPS score · -10 vs avg
373
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.

Gary Lachenmyer, P.A.'s MIPS score vs every scored U.S. clinician

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

73 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+: 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

Where Gary Lachenmyer, P.A. sits

This provider among physician assistant peers

Across the 27,054 physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Gary Lachenmyer, P.A. writes more Part D claims than 62% of them and scores higher on MIPS quality than 9% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 42Gary Lachenmyer, P.A.-Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 9
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one physician assistant peer from a representative sample of 60; the gold marker is Gary Lachenmyer, P.A.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Gary Lachenmyer, P.A.?

Below national average

NPI registry status

Active

Issued 07/05/2005

NPI 1821095928

Primary specialty

Physician Assistant

High-volume

150,974 US NPIs in this specialty

Medicare Part D claims

373 53% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

73.2/100 9.9 pts vs avg

Mid-tier band

vs 83.1 national avg

Specialty distribution in Oregon

How Physician Assistant compares to other specialties among Oregon providers

Oregon providers
Mental Health Counselor - 12.1%Mental Health Counselor12.1%Massage Therapist - 4.8%Massage Therapist4.8%Counselor - 3.9%Counselor3.9%Addiction (Substance Use Disorder) Counselor - 3.5%Addiction (Substance Use Disorder) Counselor3.5%Case Manager/Care Coordinator - 3.4%Case Manager/Care Coordinator3.4%Clinical Social Worker - 3.3%Clinical Social Worker3.3%Physician Assistant - 1.6%Physician Assistant1.6%
Largest specialties in Oregon (% of in-state providers)

Medicare quality performance, MIPS

Gary Lachenmyer, P.A.'s 2023 MIPS final score plotted against the Physician Assistant national average

Below national average
MIPS Final Score
73.2/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) - 73.2/100 vs national avg 83.1

0%100%National avg83%73.2%
MIPS final score (Physician Assistant) - 73.2/100 vs national avg 83.1
How MIPS and board certification work

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).

Gary Lachenmyer, P.A. appears in the CMS NPPES registry as a Physician Assistant provider holding P.A. credentials at 2200 NE NEFF RD., Bend, OR, 97701, with a listed phone of (541) 382-3344. NPI 1821095928 was issued on 07/05/2005.

Medicare Part D records for calendar year 2023 show 373 prescription claims written by this provider, covering 165 Medicare beneficiaries and totaling roughly $4K in drug spend, with an opioid prescribing rate of 42.1%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 73.2/100 for the 2023 performance year (Quality 51.4, Cost 83.6), compared with the national average of 83.1.

Physician Assistant is a high-volume specialty nationwide, with 150,974 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

2200 NE NEFF RD.
Bend, OR 97701

Provider Details

NPI 1821095928
Specialty Physician Assistant
Credentials P.A.
Gender Male
NPI Issued 07/05/2005

CMS Quality Score (MIPS)

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

73.2302
Final Score
Avg: 83.1
51.3624
Quality
83.5714
Cost
71
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Gary Lachenmyer, P.A. 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.

St Charles Health System Inc
Redmond, OR

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.

373
Total Claims
$4K
Total Drug Cost
165
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
399
Total Day Supply
5,131
Generic Drug Cost
$3K
Opioid Claims
157 (42.1% rate)

Patient Demographics

Average Patient Age
71.5 years
Avg HCC Risk Score
1.21
Gender Split
58% female / 42% male

Top Prescribed Drugs (Medicare Part D)

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

What Gary Lachenmyer, P.A. 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
Cyclobenzaprine Hcl
73
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
66
Oxycodone Hcl
46
Meloxicam
35
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
30
Tizanidine Hcl
29
Gabapentin
21
Methylprednisolone
17
Dexamethasone
15

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

Physician Assistant Overview

How Gary Lachenmyer, P.A. fits within the Physician Assistant landscape nationally.

150,974
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider

Gary Lachenmyer, P.A.'s 373 claims are below the specialty average of 790.

Nearby Physician Assistant Providers in Oregon

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

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

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Oregon medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Physician Assistant peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Gary Lachenmyer, P.A.'s specialty?
Gary Lachenmyer, P.A. specializes in Physician Assistant and practices in Bend, Oregon. Credentials: P.A..
How much does Gary Lachenmyer, P.A. prescribe under Medicare Part D?
In 2023, Gary Lachenmyer, P.A. wrote 373 Medicare Part D claims totaling $4K in drug costs for 165 beneficiaries.
What is Gary Lachenmyer, P.A.'s Medicare quality score?
Gary Lachenmyer, P.A. has a CMS MIPS Final Score of 73.2/100 (Quality: 51.4, Cost: 83.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Gary Lachenmyer, P.A. located?
Gary Lachenmyer, P.A. is located at 2200 NE NEFF RD., Bend, OR, 97701. Phone: (541) 382-3344.
What is Gary Lachenmyer, P.A.'s NPI number?
Gary Lachenmyer, P.A.'s National Provider Identifier (NPI) is 1821095928, issued on 07/05/2005.
Does Gary Lachenmyer, P.A. prescribe opioids?
Yes, Gary Lachenmyer, P.A. had 157 opioid claims in 2023 with an opioid prescribing rate of 42.1%.
How many Physician Assistant providers are there in the US?
There are 150,974 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 Gary Lachenmyer, P.A. prescribe most often?
Based on 2023 Medicare Part D data, Gary Lachenmyer, P.A.'s most frequently prescribed drugs include Cyclobenzaprine Hcl, Oxycodone-Acetaminophen, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Gary Lachenmyer, P.A. accept Medicare?
Gary Lachenmyer, P.A. appears in CMS Medicare data with 373 Part D claims and 165 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Gary Lachenmyer, P.A.'s credentials?
Gary Lachenmyer, P.A.'s NPI is 1821095928 with credentials P.A.. 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

View source datasets and methodology notes
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

Compiled from official public sources by the PlainDoctor editorial team.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.