2026 NPPES data Medical Physician Assistant NPI 1417906645 P.A.C.
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JESSICA FISCH, P.A.C.

Medical Physician Assistant in PLAINFIELD, Vermont. 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
2K
Medicare Part D claims · 300 beneficiaries · Medical Physician Assistant avg: 1K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

JESSICA FISCH, P.A.C. filed 2,320 Medicare Part D claims in 2023 as a Medical Physician Assistant in PLAINFIELD, Vermont, prescribing 86% generic.

2K
Part D claims, 2023
86%
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.

JESSICA FISCH, P.A.C.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

2,320 Top 14% higher than 86% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about JESSICA FISCH, P.A.C.?

Quality data not reported

NPI registry status

Active

Issued 05/06/2006

NPI 1417906645

Primary specialty

Medical Physician Assistant

Mid-sized

40,527 US NPIs in this specialty

Medicare Part D claims

2,320 115% vs specialty avg

2023 prescription claims

Specialty avg: 1,077

Specialty distribution in Vermont

How Medical Physician Assistant compares to other specialties among Vermont providers

Vermont providers

Medical Physician Assistant share within Vermont

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

Specialty board-certification context

Estimated specialty board-certified rate — Medical Physician Assistant (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Medical Physician Assistant ABMS/AOA estimate

Est. board-certified rate (Medical Physician Assistant) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Medical Physician Assistant) — ABMS / AOA estimate

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).

JESSICA FISCH, P.A.C. appears in the CMS NPPES registry as a Medical Physician Assistant provider holding P.A.C. credentials at 157 TOWNE AVE, PLAINFIELD, VT, 05667, with a listed phone of (802) 454-8336. NPI 1417906645 was issued on 05/06/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FISCH 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 2,320 prescription claims written by this provider, covering 300 Medicare beneficiaries and totaling roughly $335K in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 2.6%. 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.

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

157 TOWNE AVE
PLAINFIELD, VT 05667

Provider Details

NPI 1417906645
Specialty Medical Physician Assistant
Credentials P.A.C.
Gender Female
NPI Issued 05/06/2006

Hospital and facility affiliations

Facilities where JESSICA FISCH, P.A.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.

NORTHEAST WASHINGTON COUNTY COMMUNITY HEALTH, INC.
PLAINFIELD, VT

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

Brand vs generic prescribing mix · Typical

JESSICA FISCH, P.A.C. — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 2,320 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.

2,320
Total Claims
$335K
Total Drug Cost
300
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,905
Total Day Supply
141,482
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$270K
Generic Drug Cost
$64K
Opioid Claims
60 (2.6% rate)
Antibiotic Claims
65

Patient Demographics

Average Patient Age
70.9 years
Avg HCC Risk Score
0.89
Gender Split
60% female / 40% male
Age Distribution
<65: 57, 65-74: 122, 75-84: 96, 85+: 25

Top Prescribed Drugs (Medicare Part D)

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

What JESSICA FISCH, P.A.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
Atorvastatin Calcium
131
Levothyroxine Sodium
96
Famotidine
80
Losartan Potassium
69
Rosuvastatin Calcium
59
Duloxetine Hcl
55
Metoprolol Succinate
55
Fluconazole
47
Gabapentin
47
Bisoprolol Fumarate
45

* 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 JESSICA FISCH, P.A.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

JESSICA FISCH, P.A.C.'s 2,320 claims are above the specialty average of 1,077.

Nearby Medical Physician Assistant Providers in Vermont

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

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

Frequently Asked Questions

What is JESSICA FISCH, P.A.C.'s specialty?
JESSICA FISCH, P.A.C. specializes in Medical Physician Assistant and practices in PLAINFIELD, Vermont. Credentials: P.A.C..
How much does JESSICA FISCH, P.A.C. prescribe under Medicare Part D?
In 2023, JESSICA FISCH, P.A.C. wrote 2,320 Medicare Part D claims totaling $335K in drug costs for 300 beneficiaries.
Where is JESSICA FISCH, P.A.C. located?
JESSICA FISCH, P.A.C. is located at 157 TOWNE AVE, PLAINFIELD, VT, 05667. Phone: (802) 454-8336.
What is JESSICA FISCH, P.A.C.'s NPI number?
JESSICA FISCH, P.A.C.'s National Provider Identifier (NPI) is 1417906645, issued on 05/06/2006.
Does JESSICA FISCH, P.A.C. prescribe more brand-name or generic drugs?
JESSICA FISCH, P.A.C.'s prescribing is 14% brand-name and 86% generic drugs by claim count, with $270K in brand drug costs.
Does JESSICA FISCH, P.A.C. prescribe opioids?
Yes, JESSICA FISCH, P.A.C. had 60 opioid claims in 2023 with an opioid prescribing rate of 2.6%.
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 JESSICA FISCH, P.A.C. prescribe most often?
Based on 2023 Medicare Part D data, JESSICA FISCH, P.A.C.'s most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Famotidine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JESSICA FISCH, P.A.C. accept Medicare?
JESSICA FISCH, P.A.C. appears in CMS Medicare data with 2,320 Part D claims and 300 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JESSICA FISCH, P.A.C.'s credentials?
JESSICA FISCH, P.A.C.'s NPI is 1417906645 with credentials P.A.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.
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