NPI registry status
Active
2026 NPPES data Surgical Physician Assistant NPI 1235622523 PA-C
Verify on CMS → Jacqueline Caelwarts, PA-C
Surgical Physician Assistant in Sheboygan, Wisconsin.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,119 in Surgical 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
183
Medicare Part D claims · 93 beneficiaries · Surgical Physician Assistant avg: 316
MIPS score
94.6/100
▲ 12 pts above national avg 83.1 · Exceptional
Industry payments
$15.94
1 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Jacqueline Caelwarts, PA-C reported a CMS MIPS final score of 94.6/100 - above the 83.1 national average - and filed 183 Medicare Part D claims in 2023.
- 94.6/100
- MIPS score · +12 vs avg
- 183
- Part D claims, 2023
- $15.94
- 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.
Jacqueline Caelwarts, 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
95 Top 25% higher than 75% of 477,587 scored providers
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 Jacqueline Caelwarts, PA-C sits
This provider among surgical physician assistant peers
Across the 3,708 surgical physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Jacqueline Caelwarts, PA-C writes more Part D claims than 58% of them and scores higher on MIPS quality than 79% - placing this provider in the high-volume, high-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
Each dot is one surgical physician assistant peer from a representative sample of 60; the gold marker is Jacqueline Caelwarts, 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 Jacqueline Caelwarts, PA-C?
High performer (top quartile)Primary specialty
Surgical Physician Assistant
Medicare Part D claims
183 42% vs specialty avg
MIPS final score
94.6/100 11.5 pts vs avg
Specialty distribution in Wisconsin
How Surgical Physician Assistant compares to other specialties among Wisconsin providers
Medicare quality performance, MIPS
Jacqueline Caelwarts, PA-C's 2023 MIPS final score plotted against the Surgical Physician Assistant national average
- MIPS Final Score
- 94.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Surgical Physician Assistant) - 94.6/100 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).
Jacqueline Caelwarts, PA-C appears in the CMS NPPES registry as a Surgical Physician Assistant provider holding PA-C credentials at 2920 SUPERIOR AVE, Sheboygan, WI, 53081, with a listed phone of (920) 458-3791. NPI 1235622523 was issued on 06/11/2018.
Medicare Part D records for calendar year 2023 show 183 prescription claims written by this provider, covering 93 Medicare beneficiaries and totaling roughly $2K in drug spend, with an opioid prescribing rate of 52.5%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.6/100 for the 2023 performance year (Quality 85.2), compared with the national average of 83.1.
Surgical Physician Assistant is a mid-sized specialty nationwide, with 16,119 enrolled providers across 54 states and an average of 316 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
Provider Details
| NPI | 1235622523 |
|---|---|
| Specialty | Surgical Physician Assistant |
| Credentials | PA-C |
| Gender | Female |
| NPI Issued | 06/11/2018 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
94.6154
Final Score
Avg: 83.1
85.1795
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Jacqueline Caelwarts, 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.
St Vincent Hospital-Hospital Sisters-Third Order OF St Francis
Green Bay, WI
St. Nicholas Hospital-Sisters OF The Third Order OF St Francis
Sheboygan, WI
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
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 Jacqueline Caelwarts, PA-C. Source: openpaymentsdata.cms.gov.
Total received
$16
Largest payer
Medtronic, 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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
183
Total Claims
$2K
Total Drug Cost
93
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 198
- Total Day Supply
- 2,496
- Generic Drug Cost
- $2K
- Opioid Claims
- 96 (52.5% rate)
Patient Demographics
- Average Patient Age
- 71.5 years
- Avg HCC Risk Score
- 1.22
- Gender Split
- 66% female / 34% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Jacqueline Caelwarts, PA-C prescribes most
Top Medicare Part D drugs by claim count, 2023
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
39 claims
- Oxycodone Hcl
Oxycodone Hcl
32 claims
- Gabapentin 15
Gabapentin
15 claims
- Tizanidine Hcl 15
Tizanidine Hcl
15 claims
- Cyclobenzaprine Hcl 12
Cyclobenzaprine Hcl
12 claims
- Oxycodone-Acetamin… 11
Oxycodone-Acetaminophen
11 claims
- Tramadol Hcl 11
Tramadol Hcl
11 claims
| Drug | Claims |
|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 39 |
| Oxycodone Hcl | 32 |
| Gabapentin | 15 |
| Tizanidine Hcl | 15 |
| Cyclobenzaprine Hcl | 12 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 11 |
| Tramadol Hcl | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Surgical Physician Assistant Overview
How Jacqueline Caelwarts, PA-C fits within the Surgical Physician Assistant landscape nationally.
16,119
Surgical Physician Assistant Providers in US
54
States with Surgical Physician Assistant
316
Avg Claims per Provider
Jacqueline Caelwarts, PA-C's 183 claims are below the specialty average of 316.
Nearby Surgical Physician Assistant Providers in Wisconsin
Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as Caelwarts.
Dr. Brad Allar
PA
Eau Claire, WI
Dr. Isabelle Anderson
PA-C
Madison, WI
Dr. Alexis Austin
PAC
Madison, WI
Dr. Leah Baldwin
PA
La Crosse, WI
Dr. Elani Balis
PA-C
Madison, WI
Compare Surgical 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 Wisconsin medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Surgical 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.
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Frequently Asked Questions
What is Jacqueline Caelwarts, PA-C's specialty? ▼
Jacqueline Caelwarts, PA-C specializes in Surgical Physician Assistant and practices in Sheboygan, Wisconsin. Credentials: PA-C.
How much does Jacqueline Caelwarts, PA-C prescribe under Medicare Part D? ▼
In 2023, Jacqueline Caelwarts, PA-C wrote 183 Medicare Part D claims totaling $2K in drug costs for 93 beneficiaries.
What is Jacqueline Caelwarts, PA-C's Medicare quality score? ▼
Jacqueline Caelwarts, PA-C has a CMS MIPS Final Score of 94.6/100 (Quality: 85.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Jacqueline Caelwarts, PA-C located? ▼
Jacqueline Caelwarts, PA-C is located at 2920 SUPERIOR AVE, Sheboygan, WI, 53081. Phone: (920) 458-3791.
What is Jacqueline Caelwarts, PA-C's NPI number? ▼
Jacqueline Caelwarts, PA-C's National Provider Identifier (NPI) is 1235622523, issued on 06/11/2018.
Does Jacqueline Caelwarts, PA-C prescribe opioids? ▼
Yes, Jacqueline Caelwarts, PA-C had 96 opioid claims in 2023 with an opioid prescribing rate of 52.5%.
How many Surgical Physician Assistant providers are there in the US? ▼
There are 16,119 Surgical Physician Assistant providers across 54 states in the US. The average Surgical Physician Assistant provider writes 316 Medicare Part D claims per year.
What drugs does Jacqueline Caelwarts, PA-C prescribe most often? ▼
Based on 2023 Medicare Part D data, Jacqueline Caelwarts, PA-C's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Oxycodone Hcl, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Jacqueline Caelwarts, PA-C accept Medicare? ▼
Jacqueline Caelwarts, PA-C appears in CMS Medicare data with 183 Part D claims and 93 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Jacqueline Caelwarts, PA-C's credentials? ▼
Jacqueline Caelwarts, PA-C's NPI is 1235622523 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 (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.