2026 NPPES data Medical Physician Assistant NPI 1851620868 PA-C
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HEATHER HIMES, PA-C

Medical Physician Assistant in HINSDALE, Illinois. 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
129
Medicare Part D claims · 30 beneficiaries · Medical Physician Assistant avg: 1K
Generic prescribing
78%
generic claims · 22% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.3557/100
▲ 8 pts above national avg 83.1 · [object Object]

What the federal data shows

HEATHER HIMES, PA-C reported a CMS MIPS final score of 91.3557/100 — above the 83.1 national average — and filed 129 Medicare Part D claims in 2023.

91.3557/100
MIPS score · +8 vs avg
129
Part D claims, 2023
78%
generic prescribing

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 HIMES, 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

91 Top 37% higher than 63% 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 HIMES, PA-C?

High performer (top quartile)

NPI registry status

Active

Issued 12/22/2009

NPI 1851620868

Primary specialty

Medical Physician Assistant

Mid-sized

40,527 US NPIs in this specialty

Medicare Part D claims

129 88% vs specialty avg

2023 prescription claims

Specialty avg: 1,077

MIPS final score

91.3557/100 8.255700000000004% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Illinois

How Medical Physician Assistant compares to other specialties among Illinois providers

Illinois providers

Medical Physician Assistant share within Illinois

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

Medicare quality performance — MIPS

HEATHER HIMES, PA-C's 2023 MIPS final score plotted against the Medical Physician Assistant national average

High performer (top quartile)
MIPS Final Score
91.3557/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Medical Physician Assistant) — 91.3557/100 vs national avg 83.1

0%100%National avg83%91.4%
MIPS final score (Medical Physician Assistant) — 91.3557/100 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 HIMES, PA-C appears in the CMS NPPES registry as a Medical Physician Assistant provider holding PA-C credentials at 8 SALT CREEK LN STE 302, HINSDALE, IL, 60521, with a listed phone of (331) 221-6135. NPI 1851620868 was issued on 12/22/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HIMES 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 129 prescription claims written by this provider, covering 30 Medicare beneficiaries and totaling roughly $5K in drug spend, split 22% brand-name and 78% 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 91.3557/100 for the 2023 performance year (Quality 82.7114), compared with the national average of 83.1.

Medical Physician Assistant is a mid-sized specialty nationwide, with 40,527 enrolled providers across 55 states and an average of 1,077 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

8 SALT CREEK LN STE 302
HINSDALE, IL 60521

Provider Details

NPI 1851620868
Specialty Medical Physician Assistant
Credentials PA-C
Gender Female
NPI Issued 12/22/2009

CMS Quality Score (MIPS)

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

91.3557
Final Score
Avg: 83.1
82.7114
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where HEATHER HIMES, 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.

ENDEAVOR HEALTH MEDICAL GROUP
EVANSTON, IL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Illinois IDFPR 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 — they are NOT specific to HEATHER HIMES, PA-C. To verify HEATHER HIMES, PA-C's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

HEATHER HIMES, PA-C — brand share 22.0%
Specialty average (est.)

22% brand-name claims vs 78% generic, on 129 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.

129
Total Claims
$5K
Total Drug Cost
30
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
290
Total Day Supply
8,594
Brand vs Generic
22% brand / 78% generic
Brand Drug Cost
$4K
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
68.5 years
Avg HCC Risk Score
0.77

Top Prescribed Drugs (Medicare Part D)

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

What HEATHER HIMES, PA-C 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
Levothyroxine Sodium
25
Atorvastatin Calcium
13
Losartan Potassium
11

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

Medical Physician Assistant Overview

How HEATHER HIMES, PA-C fits within the Medical Physician Assistant landscape nationally.

40,527
Medical Physician Assistant Providers in US
55
States with Medical Physician Assistant
1,077
Avg Claims per Provider

HEATHER HIMES, PA-C's 129 claims are below the specialty average of 1,077.

Nearby Medical Physician Assistant Providers in Illinois

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

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

Frequently Asked Questions

What is HEATHER HIMES, PA-C's specialty?
HEATHER HIMES, PA-C specializes in Medical Physician Assistant and practices in HINSDALE, Illinois. Credentials: PA-C.
How much does HEATHER HIMES, PA-C prescribe under Medicare Part D?
In 2023, HEATHER HIMES, PA-C wrote 129 Medicare Part D claims totaling $5K in drug costs for 30 beneficiaries.
What is HEATHER HIMES, PA-C's Medicare quality score?
HEATHER HIMES, PA-C has a CMS MIPS Final Score of 91.3557/100 (Quality: 82.7114). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is HEATHER HIMES, PA-C located?
HEATHER HIMES, PA-C is located at 8 SALT CREEK LN STE 302, HINSDALE, IL, 60521. Phone: (331) 221-6135.
What is HEATHER HIMES, PA-C's NPI number?
HEATHER HIMES, PA-C's National Provider Identifier (NPI) is 1851620868, issued on 12/22/2009.
Does HEATHER HIMES, PA-C prescribe more brand-name or generic drugs?
HEATHER HIMES, PA-C's prescribing is 22% brand-name and 78% generic drugs by claim count, with $4K in brand drug costs.
How many Medical Physician Assistant providers are there in the US?
There are 40,527 Medical Physician Assistant providers across 55 states in the US. The average Medical Physician Assistant provider writes 1,077 Medicare Part D claims per year.
What drugs does HEATHER HIMES, PA-C prescribe most often?
Based on 2023 Medicare Part D data, HEATHER HIMES, PA-C's most frequently prescribed drugs include Levothyroxine Sodium, Atorvastatin Calcium, Losartan Potassium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HEATHER HIMES, PA-C accept Medicare?
HEATHER HIMES, PA-C appears in CMS Medicare data with 129 Part D claims and 30 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HEATHER HIMES, PA-C's credentials?
HEATHER HIMES, PA-C's NPI is 1851620868 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