2026 NPPES data Physician Assistant NPI 1639618663 P.A.
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HEATHER FESMIRE, P.A.

Physician Assistant in JACKSON, Tennessee. 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
364
Medicare Part D claims · 182 beneficiaries · Physician Assistant avg: 790
MIPS score
92.6985/100
▲ 10 pts above national avg 83.1 · [object Object]
Industry payments
$61.37
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

HEATHER FESMIRE, P.A. reported a CMS MIPS final score of 92.6985/100 — above the 83.1 national average — and filed 364 Medicare Part D claims in 2023.

92.6985/100
MIPS score · +10 vs avg
364
Part D claims, 2023
$61.37
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.

HEATHER FESMIRE, 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

93 Top 32% higher than 68% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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 HEATHER FESMIRE, P.A.?

High performer (top quartile)

NPI registry status

Active

Issued 02/23/2017

NPI 1639618663

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

364 54% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

92.6985/100 9.598500000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Tennessee

How Physician Assistant compares to other specialties among Tennessee providers

Tennessee providers

Physician Assistant share within Tennessee

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

Medicare quality performance — MIPS

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

High performer (top quartile)
MIPS Final Score
92.6985/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 92.6985/100 vs national avg 83.1

0%100%National avg83%92.7%
MIPS final score (Physician Assistant) — 92.6985/100 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).

HEATHER FESMIRE, P.A. appears in the CMS NPPES registry as a Physician Assistant provider holding P.A. credentials at 145 INNOVATION DR, JACKSON, TN, 38305, with a listed phone of (731) 422-0213. NPI 1639618663 was issued on 02/23/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FESMIRE 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 364 prescription claims written by this provider, covering 182 Medicare beneficiaries and totaling roughly $4K in drug spend, with an opioid prescribing rate of 10.4%. 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 92.6985/100 for the 2023 performance year (Quality 85.397), 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

145 INNOVATION DR
JACKSON, TN 38305

Provider Details

NPI 1639618663
Specialty Physician Assistant
Credentials P.A.
Gender Female
NPI Issued 02/23/2017

CMS Quality Score (MIPS)

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

92.6985
Final Score
Avg: 83.1
85.397
Quality
100
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 HEATHER FESMIRE, P.A.. Source: openpaymentsdata.cms.gov.

Total received

$61

Largest payer

Avita Medical Americas, Llc

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.

364
Total Claims
$4K
Total Drug Cost
182
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
395
Total Day Supply
7,299
Brand Drug Cost
$0
Generic Drug Cost
$4K
Opioid Claims
38 (10.4% rate)
Antibiotic Claims
101

Patient Demographics

Average Patient Age
67.3 years
Avg HCC Risk Score
1.82
Gender Split
62% female / 38% male
Age Distribution
<65: 55, 65-74: 81, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What HEATHER FESMIRE, 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
Meloxicam
72
Doxycycline Hyclate
69
Hydroxyzine Hcl
29
Oxycodone Hcl
24
Clotrimazole-Betamethasone
Clotrimazole/Betamethasone Dip
22
Prednisone
20
Terbinafine Hcl
19
Gabapentin
18
Ciprofloxacin Hcl
16
Ciclopirox
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 HEATHER FESMIRE, P.A. fits within the Physician Assistant landscape nationally.

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

HEATHER FESMIRE, P.A.'s 364 claims are below the specialty average of 790.

Nearby Physician Assistant Providers in Tennessee

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

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

Frequently Asked Questions

What is HEATHER FESMIRE, P.A.'s specialty?
HEATHER FESMIRE, P.A. specializes in Physician Assistant and practices in JACKSON, Tennessee. Credentials: P.A..
How much does HEATHER FESMIRE, P.A. prescribe under Medicare Part D?
In 2023, HEATHER FESMIRE, P.A. wrote 364 Medicare Part D claims totaling $4K in drug costs for 182 beneficiaries.
What is HEATHER FESMIRE, P.A.'s Medicare quality score?
HEATHER FESMIRE, P.A. has a CMS MIPS Final Score of 92.6985/100 (Quality: 85.397). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is HEATHER FESMIRE, P.A. located?
HEATHER FESMIRE, P.A. is located at 145 INNOVATION DR, JACKSON, TN, 38305. Phone: (731) 422-0213.
What is HEATHER FESMIRE, P.A.'s NPI number?
HEATHER FESMIRE, P.A.'s National Provider Identifier (NPI) is 1639618663, issued on 02/23/2017.
Does HEATHER FESMIRE, P.A. prescribe opioids?
Yes, HEATHER FESMIRE, P.A. had 38 opioid claims in 2023 with an opioid prescribing rate of 10.4%.
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 HEATHER FESMIRE, P.A. prescribe most often?
Based on 2023 Medicare Part D data, HEATHER FESMIRE, P.A.'s most frequently prescribed drugs include Meloxicam, Doxycycline Hyclate, Hydroxyzine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HEATHER FESMIRE, P.A. accept Medicare?
HEATHER FESMIRE, P.A. appears in CMS Medicare data with 364 Part D claims and 182 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HEATHER FESMIRE, P.A.'s credentials?
HEATHER FESMIRE, P.A.'s NPI is 1639618663 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

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