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2026 NPPES data Physician Assistant NPI 1881278224 PA-C
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Gloria Maldonado, PA-C

Physician Assistant in Lexington, Kentucky.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 156,084 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
94
Medicare Part D claims · 22 beneficiaries · Physician Assistant avg: 832
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.5 · Exceptional
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Gloria Maldonado, PA-C reported a CMS MIPS final score of 100/100 - above the 83.5 national average - and filed 94 Medicare Part D claims in 2024.

100/100
MIPS score · +17 vs avg
94
Part D claims, 2024
88%
generic prescribing
≥92nd
pct among measured MIPS (lower-bound band)

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.

Federal trust snapshot

What official records show about Gloria Maldonado, PA-C

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1881278224), first enumerated 05/11/2021.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 94 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 100/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1881278224 · Physician Assistant

NPI-10 · ENUM-RECENT · TAX-MEGA · MIPS-ELITE · RX-TRACE · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1881278224
  • ENUM-RECENT 2021
  • TAX-MEGA 156K Physician Assistant
  • MIPS-ELITE 100/100
  • RX-TRACE 94
  • BOOK-LIGHT 1,659 in Kentucky
  • PHOTO-FINISH Kara Arnold · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Gloria Maldonado, PA-C's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

100 ≥ 92nd percentile 92% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Gloria Maldonado, PA-C sits

This provider among physician assistant peers

Across the 26,497 physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Gloria Maldonado, PA-C writes more Part D claims than 25% of them and scores higher on MIPS quality than 93% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 65Gloria Maldonado, PA-C, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 93
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 Gloria Maldonado, PA-C. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Gloria Maldonado, PA-C?

High performer (top quartile)

NPI registry status

Active

Issued 05/11/2021

NPI 1881278224

Primary specialty

Physician Assistant

High-volume

156,084 US NPIs in this specialty

Medicare Part D claims

94 89% vs specialty avg

2024 prescription claims

Specialty avg: 832

MIPS final score

100/100 16.5 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in Kentucky

How Physician Assistant compares to other specialties among Kentucky providers

Kentucky providers
Family Nurse Practitioner5.8%Student in an Organized Heal…5.2%Pharmacist4.8%Mental Health Counselor4.6%Clinical Social Worker4.2%Physical Therapist3.6%Physician Assistant1.9%
Largest specialties in Kentucky (% of in-state providers)

Medicare quality performance, MIPS

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

High performer (top quartile)
MIPS Final Score
100/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%99%
MIPS final score (Physician Assistant) - 100/100 vs national avg 83.5
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).

Practice Address

740 S LIMESTONE
Lexington, KY 40536
(859) 323-5544

Provider Details

NPI 1881278224
Specialty Physician Assistant
Credentials PA-C
Gender Female
NPI Issued 05/11/2021

CMS Quality Score (MIPS)

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

100
Final Score
Measured-score avg: 83.5
100
Promoting Interoperability

Reporting: Group practice

Brand vs generic prescribing mix · Typical

Gloria Maldonado, PA-C - brand share 12.0%
Physician Assistant average

12% brand-name claims vs 88% generic, on 94 2024 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 2024.

94
Total Claims
$3K
Total Drug Cost
22
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
120.333
Total Day Supply
3,565
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$2K
Generic Drug Cost
$711

Patient Demographics

Average Patient Age
58.0 years
Avg HCC Risk Score
2.11

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

Drug Claims
Montelukast Sodium
 11

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

More Physician Assistant in KY → All providers in Kentucky → Compare specialties →

Physician Assistant Overview

How Gloria Maldonado, PA-C fits within the Physician Assistant landscape nationally.

156,084
Physician Assistant Providers in US
56
States with Physician Assistant
832
Avg Claims per Provider

Gloria Maldonado, PA-C's 94 claims are below the specialty average of 832.

Nationwide Physician Assistant peers with similar MIPS or enrollment year

Two federal-record peer sets for Maldonado, both outside Kentucky so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (100 here).

Kara Arnold 100 AL Maia Assaf 100 AZ Juddson Baldwin 100 AZ Megan Barber 100 AZ

Same NPPES enumeration year (2021)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Danielle Meeks Fort Collins, CO Temitope Adeyemi Salt Lake City, UT Christine Landgren Atlanta, GA Samantha Johns Tampa, FL

Nearby Physician Assistant Providers in Kentucky

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

One of 1,659 Physician Assistant providers enrolled in Kentucky, 5 are shown here.

Devin Abbott
Lexington, KY
Malinda Abbott
PA
Lexington, KY
Whitney Abbott
PA-C
Lexington, KY
Brian Abner
PA-C
Barbourville, KY
Hayley Absher
PA-C
Shelbyville, KY

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

Frequently Asked Questions

What is Gloria Maldonado, PA-C's specialty? ▼
Gloria Maldonado, PA-C specializes in Physician Assistant and practices in Lexington, Kentucky. Credentials: PA-C.
How much does Gloria Maldonado, PA-C prescribe under Medicare Part D? ▼
In 2024, Gloria Maldonado, PA-C wrote 94 Medicare Part D claims totaling $3K in drug costs for 22 beneficiaries.
What is Gloria Maldonado, PA-C's Medicare quality score? ▼
Gloria Maldonado, PA-C has a CMS MIPS Final Score of 100/100. The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Gloria Maldonado, PA-C located? ▼
Gloria Maldonado, PA-C is located at 740 S LIMESTONE, Lexington, KY, 40536. Phone: (859) 323-5544.
What is Gloria Maldonado, PA-C's NPI number? ▼
Gloria Maldonado, PA-C's National Provider Identifier (NPI) is 1881278224, issued on 05/11/2021.
Does Gloria Maldonado, PA-C prescribe more brand-name or generic drugs? ▼
Gloria Maldonado, PA-C's prescribing is 12% brand-name and 88% generic drugs by claim count, with $2K in brand drug costs.
How many Physician Assistant providers are there in the US? ▼
There are 156,084 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 832 Medicare Part D claims per year.
What drugs does Gloria Maldonado, PA-C prescribe most often? ▼
Based on 2024 Medicare Part D data, Gloria Maldonado, PA-C's most frequently prescribed drugs include Montelukast Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Gloria Maldonado, PA-C accept Medicare? ▼
Gloria Maldonado, PA-C appears in CMS Medicare data with 94 Part D claims and 22 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Gloria Maldonado, PA-C's credentials? ▼
Gloria Maldonado, PA-C's NPI is 1881278224 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

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 (2024). 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 August 2026 (NPPES) / 2024 (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 editorial process.

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 August 2026.