2026 NPPES data Medical Physician Assistant NPI 1184866246 P.A.-C
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JOY BITTLE, P.A.-C

Medical Physician Assistant in FENTON, Missouri. 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
546
Medicare Part D claims · 140 beneficiaries · Medical Physician Assistant avg: 1K
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
What the federal data reveals: JOY BITTLE, P.A.-C is a Medical Physician Assistant ([object Object]) practicing in FENTON, Missouri with a Medicare Part D prescribing footprint of 546 claims across 140 beneficiaries . Their CMS MIPS Final Score of 75/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: JOY BITTLE, P.A.-C reported a CMS MIPS final score of 75 out of 100, below the 83.1 national average, and filed 546 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

JOY BITTLE, P.A.-C at a glance

Below national average

NPI registry status

Active

Issued 04/03/2009

NPI 1184866246

Primary specialty

Medical Physician Assistant

Mid-sized

40,527 US NPIs in this specialty

Medicare Part D claims

546 49% vs specialty avg

2023 prescription claims

Specialty avg: 1,077

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Missouri

How Medical Physician Assistant compares to other specialties among Missouri providers

Missouri providers

Medical Physician Assistant share within Missouri

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

Medicare quality performance — MIPS

JOY BITTLE, P.A.-C's 2023 MIPS final score plotted against the Medical Physician Assistant national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Medical Physician Assistant) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Medical Physician Assistant) — 75/100 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).

JOY BITTLE, P.A.-C is a Medical Physician Assistant provider practicing in FENTON, Missouri, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: P.A.-C. NPI: 1184866246. 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.

JOY BITTLE, P.A.-C appears in the CMS NPPES registry as a Medical Physician Assistant provider holding P.A.-C credentials at 714 GRAVOIS RD, FENTON, MO, 63026, with a listed phone of (314) 543-5230. NPI 1184866246 was issued on 04/03/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BITTLE 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 546 prescription claims written by this provider, covering 140 Medicare beneficiaries and totaling roughly $4K in drug spend, with an opioid prescribing rate of 37.5%. 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 75/100 for the 2023 performance year, 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

714 GRAVOIS RD
FENTON, MO 63026

Provider Details

NPI 1184866246
Specialty Medical Physician Assistant
Credentials P.A.-C
Gender Female
NPI Issued 04/03/2009

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Group practice

Hospital and facility affiliations

Facilities where JOY BITTLE, 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.

ST PETERS BONE AND JOINT SURGERY INC
O FALLON, MO

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

Medicare Part D Prescribing Data

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

546
Total Claims
$4K
Total Drug Cost
140
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
547
Total Day Supply
4,392
Generic Drug Cost
$3K
Opioid Claims
205 (37.5% rate)
Antibiotic Claims
105

Patient Demographics

Average Patient Age
72.2 years
Avg HCC Risk Score
1.00
Gender Split
64% female / 36% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
178
Meloxicam
100
Ondansetron Hcl
97
Cefadroxil
95
Tramadol Hcl
25
Gabapentin
12

* 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 JOY BITTLE, 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

JOY BITTLE, P.A.-C's 546 claims are below the specialty average of 1,077.

Nearby Medical Physician Assistant Providers in Missouri

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

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

Frequently Asked Questions

What is JOY BITTLE, P.A.-C's specialty?
JOY BITTLE, P.A.-C specializes in Medical Physician Assistant and practices in FENTON, Missouri. Credentials: P.A.-C.
How much does JOY BITTLE, P.A.-C prescribe under Medicare Part D?
In 2023, JOY BITTLE, P.A.-C wrote 546 Medicare Part D claims totaling $4K in drug costs for 140 beneficiaries.
What is JOY BITTLE, P.A.-C's Medicare quality score?
JOY BITTLE, P.A.-C has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOY BITTLE, P.A.-C located?
JOY BITTLE, P.A.-C is located at 714 GRAVOIS RD, FENTON, MO, 63026. Phone: (314) 543-5230.
What is JOY BITTLE, P.A.-C's NPI number?
JOY BITTLE, P.A.-C's National Provider Identifier (NPI) is 1184866246, issued on 04/03/2009.
Does JOY BITTLE, P.A.-C prescribe opioids?
Yes, JOY BITTLE, P.A.-C had 205 opioid claims in 2023 with an opioid prescribing rate of 37.5%.
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 JOY BITTLE, P.A.-C prescribe most often?
Based on 2023 Medicare Part D data, JOY BITTLE, P.A.-C's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Meloxicam, Ondansetron Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOY BITTLE, P.A.-C accept Medicare?
JOY BITTLE, P.A.-C appears in CMS Medicare data with 546 Part D claims and 140 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOY BITTLE, P.A.-C's credentials?
JOY BITTLE, P.A.-C's NPI is 1184866246 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.
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