2026 NPPES data Surgical Physician Assistant NPI 1407295025 PA-C
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JOHN DALTON, PA-C

Surgical Physician Assistant in EAST PATCHOGUE, New York. 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
170
Medicare Part D claims · 77 beneficiaries · Surgical Physician Assistant avg: 316
MIPS score
91.2532/100
▲ 8 pts above national avg 83.1 · [object Object]
Industry payments
$156.44
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOHN DALTON, PA-C reported a CMS MIPS final score of 91.2532/100 — above the 83.1 national average — and filed 170 Medicare Part D claims in 2023.

91.2532/100
MIPS score · +8 vs avg
170
Part D claims, 2023
$156.44
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.

JOHN DALTON, 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 JOHN DALTON, PA-C?

High performer (top quartile)

NPI registry status

Active

Issued 06/17/2013

NPI 1407295025

Primary specialty

Surgical Physician Assistant

Mid-sized

16,119 US NPIs in this specialty

Medicare Part D claims

170 46% vs specialty avg

2023 prescription claims

Specialty avg: 316

MIPS final score

91.2532/100 8.153200000000012% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New York

How Surgical Physician Assistant compares to other specialties among New York providers

New York providers

Surgical Physician Assistant share within New York

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

Medicare quality performance — MIPS

JOHN DALTON, PA-C's 2023 MIPS final score plotted against the Surgical Physician Assistant national average

High performer (top quartile)
MIPS Final Score
91.2532/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgical Physician Assistant) — 91.2532/100 vs national avg 83.1

0%100%National avg83%91.3%
MIPS final score (Surgical Physician Assistant) — 91.2532/100 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).

JOHN DALTON, PA-C appears in the CMS NPPES registry as a Surgical Physician Assistant provider holding PA-C credentials at 285 SILLS RD BLDG 18, EAST PATCHOGUE, NY, 11772, with a listed phone of (631) 475-1224. NPI 1407295025 was issued on 06/17/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DALTON 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 170 prescription claims written by this provider, covering 77 Medicare beneficiaries and totaling roughly $2K in drug spend, with an opioid prescribing rate of 23.5%. 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 91.2532/100 for the 2023 performance year (Quality 74.9203), 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

285 SILLS RD BLDG 18
EAST PATCHOGUE, NY 11772

Provider Details

NPI 1407295025
Specialty Surgical Physician Assistant
Credentials PA-C
Gender Male
NPI Issued 06/17/2013

CMS Quality Score (MIPS)

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

91.2532
Final Score
Avg: 83.1
74.9203
Quality
91.6794
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where JOHN DALTON, 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.

NORTH SHORE-LIJ MEDICAL PC
HUNTINGTON, NY

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 JOHN DALTON, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$156

Largest payer

DePuy Synthes Sales 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.

License & disciplinary context — New York NYSBPMC 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 ~100K New York medical licensees in 2023 — they are NOT specific to JOHN DALTON, PA-C. To verify JOHN DALTON, PA-C's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

170
Total Claims
$2K
Total Drug Cost
77
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
182
Total Day Supply
3,169
Generic Drug Cost
$2K
Opioid Claims
40 (23.5% rate)

Patient Demographics

Average Patient Age
69.6 years
Avg HCC Risk Score
0.93
Gender Split
71% female / 29% male

Top Prescribed Drugs (Medicare Part D)

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

What JOHN DALTON, 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
Celecoxib
31
Meloxicam
30
Oxycodone Hcl
21
Diclofenac Sodium
20
Tramadol Hcl
14

* 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 JOHN DALTON, 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

JOHN DALTON, PA-C's 170 claims are below the specialty average of 316.

Nearby Surgical Physician Assistant Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as DALTON.

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

Frequently Asked Questions

What is JOHN DALTON, PA-C's specialty?
JOHN DALTON, PA-C specializes in Surgical Physician Assistant and practices in EAST PATCHOGUE, New York. Credentials: PA-C.
How much does JOHN DALTON, PA-C prescribe under Medicare Part D?
In 2023, JOHN DALTON, PA-C wrote 170 Medicare Part D claims totaling $2K in drug costs for 77 beneficiaries.
What is JOHN DALTON, PA-C's Medicare quality score?
JOHN DALTON, PA-C has a CMS MIPS Final Score of 91.2532/100 (Quality: 74.9203). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN DALTON, PA-C located?
JOHN DALTON, PA-C is located at 285 SILLS RD BLDG 18, EAST PATCHOGUE, NY, 11772. Phone: (631) 475-1224.
What is JOHN DALTON, PA-C's NPI number?
JOHN DALTON, PA-C's National Provider Identifier (NPI) is 1407295025, issued on 06/17/2013.
Does JOHN DALTON, PA-C prescribe opioids?
Yes, JOHN DALTON, PA-C had 40 opioid claims in 2023 with an opioid prescribing rate of 23.5%.
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 JOHN DALTON, PA-C prescribe most often?
Based on 2023 Medicare Part D data, JOHN DALTON, PA-C's most frequently prescribed drugs include Celecoxib, Meloxicam, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN DALTON, PA-C accept Medicare?
JOHN DALTON, PA-C appears in CMS Medicare data with 170 Part D claims and 77 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN DALTON, PA-C's credentials?
JOHN DALTON, PA-C's NPI is 1407295025 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