2026 NPPES data Surgical Physician Assistant NPI 1295259117 PA-C
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JOSEE ZYDONIK, PA-C

Surgical Physician Assistant in MORGANTOWN, West Virginia. 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
59
Medicare Part D claims · 18 beneficiaries · Surgical Physician Assistant avg: 316
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
64.468/100
▼ 19 pts below national avg 83.1 · [object Object]
What the federal data reveals: JOSEE ZYDONIK, PA-C is a Surgical Physician Assistant ([object Object]) practicing in MORGANTOWN, West Virginia with a Medicare Part D prescribing footprint of 59 claims across 18 beneficiaries — 20% brand-name prescribing . Their CMS MIPS Final Score of 64.468/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: JOSEE ZYDONIK, PA-C reported a CMS MIPS final score of 64.468 out of 100, below the 83.1 national average, and filed 59 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

JOSEE ZYDONIK, PA-C at a glance

Below national average

NPI registry status

Active

Issued 08/02/2017

NPI 1295259117

Primary specialty

Surgical Physician Assistant

Mid-sized

16,119 US NPIs in this specialty

Medicare Part D claims

59 81% vs specialty avg

2023 prescription claims

Specialty avg: 316

MIPS final score

64.468/100 18.63199999999999% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in West Virginia

How Surgical Physician Assistant compares to other specialties among West Virginia providers

West Virginia providers

Surgical Physician Assistant share within West Virginia

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

Medicare quality performance — MIPS

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

Below national average
MIPS Final Score
64.468/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgical Physician Assistant) — 64.468/100 vs national avg 83.1

0%100%National avg83%64.5%
MIPS final score (Surgical Physician Assistant) — 64.468/100 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).

JOSEE ZYDONIK, PA-C is a Surgical Physician Assistant provider practicing in MORGANTOWN, West Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: PA-C. NPI: 1295259117. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JOSEE ZYDONIK, PA-C appears in the CMS NPPES registry as a Surgical Physician Assistant provider holding PA-C credentials at 1 MEDICAL CENTER DR, MORGANTOWN, WV, 26506, with a listed phone of (304) 598-4800. NPI 1295259117 was issued on 08/02/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ZYDONIK 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 59 prescription claims written by this provider, covering 18 Medicare beneficiaries and totaling roughly $4K in drug spend, split 20% brand-name and 80% 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 64.468/100 for the 2023 performance year (Quality 52.3726, Cost 68.877), 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

1 MEDICAL CENTER DR
MORGANTOWN, WV 26506

Provider Details

NPI 1295259117
Specialty Surgical Physician Assistant
Credentials PA-C
Gender Female
NPI Issued 08/02/2017

CMS Quality Score (MIPS)

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

64.468
Final Score
Avg: 83.1
52.3726
Quality
68.877
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where JOSEE ZYDONIK, 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.

EAST CAROLINA ANESTHESIA ASSOCIATES PLLC
GREENVILLE, NC

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

JOSEE ZYDONIK, PA-C — brand share 20.0%
Specialty average (est.)

20% brand-name claims vs 80% generic, on 59 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.

59
Total Claims
$4K
Total Drug Cost
18
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
62
Total Day Supply
1,487
Brand vs Generic
20% brand / 80% generic
Brand Drug Cost
$4K
Generic Drug Cost
$635

Patient Demographics

Average Patient Age
70.5 years
Avg HCC Risk Score
2.43

Surgical Physician Assistant Overview

How JOSEE ZYDONIK, 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

JOSEE ZYDONIK, PA-C's 59 claims are below the specialty average of 316.

Nearby Surgical Physician Assistant Providers in West Virginia

Other clinicians with the same primary specialty enrolled in West Virginia, drawn from the same CMS NPPES roster as ZYDONIK.

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

Frequently Asked Questions

What is JOSEE ZYDONIK, PA-C's specialty?
JOSEE ZYDONIK, PA-C specializes in Surgical Physician Assistant and practices in MORGANTOWN, West Virginia. Credentials: PA-C.
How much does JOSEE ZYDONIK, PA-C prescribe under Medicare Part D?
In 2023, JOSEE ZYDONIK, PA-C wrote 59 Medicare Part D claims totaling $4K in drug costs for 18 beneficiaries.
What is JOSEE ZYDONIK, PA-C's Medicare quality score?
JOSEE ZYDONIK, PA-C has a CMS MIPS Final Score of 64.468/100 (Quality: 52.3726, Cost: 68.877). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOSEE ZYDONIK, PA-C located?
JOSEE ZYDONIK, PA-C is located at 1 MEDICAL CENTER DR, MORGANTOWN, WV, 26506. Phone: (304) 598-4800.
What is JOSEE ZYDONIK, PA-C's NPI number?
JOSEE ZYDONIK, PA-C's National Provider Identifier (NPI) is 1295259117, issued on 08/02/2017.
Does JOSEE ZYDONIK, PA-C prescribe more brand-name or generic drugs?
JOSEE ZYDONIK, PA-C's prescribing is 20% brand-name and 80% generic drugs by claim count, with $4K in brand drug costs.
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.
Does JOSEE ZYDONIK, PA-C accept Medicare?
JOSEE ZYDONIK, PA-C appears in CMS Medicare data with 59 Part D claims and 18 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSEE ZYDONIK, PA-C's credentials?
JOSEE ZYDONIK, PA-C's NPI is 1295259117 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