2026 NPPES data Physician Assistant NPI 1265953889 PA-C
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GRETCHEN ARNOLD, PA-C

Physician Assistant in WILLIAMSBURG, 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
960
Medicare Part D claims · 282 beneficiaries · Physician Assistant avg: 790
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.0775/100
▲ 11 pts above national avg 83.1 · [object Object]
Industry payments
$299.71
3 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: GRETCHEN ARNOLD, PA-C is a Physician Assistant ([object Object]) practicing in WILLIAMSBURG, Virginia with a Medicare Part D prescribing footprint of 960 claims across 282 beneficiaries — 11% brand-name prescribing . Their CMS MIPS Final Score of 94.0775/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $299.71 across 3 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: GRETCHEN ARNOLD, PA-C reported a CMS MIPS final score of 94.0775 out of 100, above the 83.1 national average, and filed 960 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

GRETCHEN ARNOLD, PA-C at a glance

High performer (top quartile)

NPI registry status

Active

Issued 07/05/2017

NPI 1265953889

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

960 22% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

94.0775/100 10.977500000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Virginia

How Physician Assistant compares to other specialties among Virginia providers

Virginia providers

Physician Assistant share within Virginia

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

Medicare quality performance — MIPS

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

High performer (top quartile)
MIPS Final Score
94.0775/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 94.0775/100 vs national avg 83.1

0%100%National avg83%94.1%
MIPS final score (Physician Assistant) — 94.0775/100 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).

GRETCHEN ARNOLD, PA-C is a Physician Assistant provider practicing in WILLIAMSBURG, Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: PA-C. NPI: 1265953889. 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.

GRETCHEN ARNOLD, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 120 KINGS WAY STE 3200, WILLIAMSBURG, VA, 23185, with a listed phone of (757) 253-0051. NPI 1265953889 was issued on 07/05/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ARNOLD 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 960 prescription claims written by this provider, covering 282 Medicare beneficiaries and totaling roughly $106K in drug spend, split 11% brand-name and 89% 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 94.0775/100 for the 2023 performance year (Quality 90.6515), 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

120 KINGS WAY STE 3200
WILLIAMSBURG, VA 23185

Provider Details

NPI 1265953889
Specialty Physician Assistant
Credentials PA-C
Gender Female
NPI Issued 07/05/2017

CMS Quality Score (MIPS)

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

94.0775
Final Score
Avg: 83.1
90.6515
Quality
95.8391
Promoting Interoperability

Reporting: Alternative Payment Model

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 GRETCHEN ARNOLD, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$300

Largest payer

Gilead Sciences, 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.

Brand vs generic prescribing mix · Typical

GRETCHEN ARNOLD, PA-C — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 960 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.

960
Total Claims
$106K
Total Drug Cost
282
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,304
Total Day Supply
68,153
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$78K
Generic Drug Cost
$27K
Antibiotic Claims
100

Patient Demographics

Average Patient Age
77.4 years
Avg HCC Risk Score
1.20
Gender Split
20% female / 80% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Tamsulosin Hcl
328
Finasteride
252
Myrbetriq
Mirabegron
50
Cephalexin
49
Gemtesa
Vibegron
46
Dutasteride
36
Alfuzosin Hcl Er
Alfuzosin Hcl
35
Estradiol
12
Oxybutynin Chloride Er
Oxybutynin Chloride
12
Doxazosin Mesylate
11

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

Physician Assistant Overview

How GRETCHEN ARNOLD, 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

GRETCHEN ARNOLD, PA-C's 960 claims are above the specialty average of 790.

Nearby Physician Assistant Providers in Virginia

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

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

Frequently Asked Questions

What is GRETCHEN ARNOLD, PA-C's specialty?
GRETCHEN ARNOLD, PA-C specializes in Physician Assistant and practices in WILLIAMSBURG, Virginia. Credentials: PA-C.
How much does GRETCHEN ARNOLD, PA-C prescribe under Medicare Part D?
In 2023, GRETCHEN ARNOLD, PA-C wrote 960 Medicare Part D claims totaling $106K in drug costs for 282 beneficiaries.
What is GRETCHEN ARNOLD, PA-C's Medicare quality score?
GRETCHEN ARNOLD, PA-C has a CMS MIPS Final Score of 94.0775/100 (Quality: 90.6515). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is GRETCHEN ARNOLD, PA-C located?
GRETCHEN ARNOLD, PA-C is located at 120 KINGS WAY STE 3200, WILLIAMSBURG, VA, 23185. Phone: (757) 253-0051.
What is GRETCHEN ARNOLD, PA-C's NPI number?
GRETCHEN ARNOLD, PA-C's National Provider Identifier (NPI) is 1265953889, issued on 07/05/2017.
Does GRETCHEN ARNOLD, PA-C prescribe more brand-name or generic drugs?
GRETCHEN ARNOLD, PA-C's prescribing is 11% brand-name and 89% generic drugs by claim count, with $78K 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 GRETCHEN ARNOLD, PA-C prescribe most often?
Based on 2023 Medicare Part D data, GRETCHEN ARNOLD, PA-C's most frequently prescribed drugs include Tamsulosin Hcl, Finasteride, Myrbetriq. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GRETCHEN ARNOLD, PA-C accept Medicare?
GRETCHEN ARNOLD, PA-C appears in CMS Medicare data with 960 Part D claims and 282 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GRETCHEN ARNOLD, PA-C's credentials?
GRETCHEN ARNOLD, PA-C's NPI is 1265953889 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