NPI registry status
Active
2026 NPPES data Physician Assistant NPI 1093052532 PA-C
Verify on CMS → Justin Caplinger, PA-C
Physician Assistant in Arlington, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 150,974 in 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
348
Medicare Part D claims · 154 beneficiaries · Physician Assistant avg: 790
MIPS score
73.7/100
▼ 9 pts below national avg 83.1 · Mid-tier
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Justin Caplinger, PA-C reported a CMS MIPS final score of 73.7/100 - below the 83.1 national average - and filed 348 Medicare Part D claims in 2023.
- 73.7/100
- MIPS score · -9 vs avg
- 348
- Part D claims, 2023
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.
Justin Caplinger, 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
74 11th percentile higher than 11% 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 Justin Caplinger, PA-C sits
This provider among physician assistant peers
Across the 27,054 physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Justin Caplinger, PA-C writes more Part D claims than 60% of them and scores higher on MIPS quality than 10% - placing this provider in the high-volume, lower-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 physician assistant peer from a representative sample of 60; the gold marker is Justin Caplinger, 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 Justin Caplinger, PA-C?
Below national averagePrimary specialty
Physician Assistant
Medicare Part D claims
348 56% vs specialty avg
MIPS final score
73.7/100 9.4 pts vs avg
Specialty distribution in Texas
How Physician Assistant compares to other specialties among Texas providers
Medicare quality performance, MIPS
Justin Caplinger, PA-C's 2023 MIPS final score plotted against the Physician Assistant national average
- MIPS Final Score
- 73.7/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Physician Assistant) - 73.7/100 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).
Justin Caplinger, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 3533 MATLOCK ROAD, Arlington, TX, 76015, with a listed phone of (817) 419-0303. NPI 1093052532 was issued on 01/03/2013.
Medicare Part D records for calendar year 2023 show 348 prescription claims written by this provider, covering 154 Medicare beneficiaries and totaling roughly $7K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 73.7/100 for the 2023 performance year (Quality 69.5, Cost 57.9), compared with the national average of 83.1.
Physician Assistant is a high-volume specialty nationwide, with 150,974 enrolled providers across 56 states and an average of 790 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 | 1093052532 |
|---|---|
| Specialty | Physician Assistant |
| Credentials | PA-C |
| Gender | Male |
| NPI Issued | 01/03/2013 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
73.7123
Final Score
Avg: 83.1
69.5076
Quality
57.8668
Cost
97
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Justin Caplinger, 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.
Tmi Sports Medicine And Orthopedic Surgery PA
Arlington, TX
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Justin Caplinger, PA-C. To verify Justin Caplinger, PA-C's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB 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 Texas 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.
348
Total Claims
$7K
Total Drug Cost
154
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 385
- Total Day Supply
- 9,077
- Generic Drug Cost
- $4K
- Antibiotic Claims
- 17
Patient Demographics
- Average Patient Age
- 72.2 years
- Avg HCC Risk Score
- 1.00
- Gender Split
- 59% female / 41% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Justin Caplinger, PA-C prescribes most
Top Medicare Part D drugs by claim count, 2023
- Celecoxib
Celecoxib
121 claims
- Meloxicam
Meloxicam
73 claims
- Methylprednisolone 41
Methylprednisolone
41 claims
- Tizanidine Hcl 27
Tizanidine Hcl
27 claims
- Cyclobenzaprine Hcl 18
Cyclobenzaprine Hcl
18 claims
- Gabapentin 14
Gabapentin
14 claims
- Amoxicillin 13
Amoxicillin
13 claims
| Drug | Claims |
|---|---|
| Celecoxib | 121 |
| Meloxicam | 73 |
| Methylprednisolone | 41 |
| Tizanidine Hcl | 27 |
| Cyclobenzaprine Hcl | 18 |
| Gabapentin | 14 |
| Amoxicillin | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Physician Assistant Overview
How Justin Caplinger, PA-C fits within the Physician Assistant landscape nationally.
150,974
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider
Justin Caplinger, PA-C's 348 claims are below the specialty average of 790.
Nearby Physician Assistant Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Caplinger.
Dr. Neha Aamir
PA
Pearland, TX
Dr. Shaghayegh Ababaf
PA-C
Lewisville, TX
Dr. Linda Abad
PA-C
Houston, TX
Hansaa Abbasi
Dallas, TX
Dr. Alicia Abbey
MPAS, PA-C
San Antonio, TX
Compare 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 Texas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby 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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Medical Specialties Explained
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Understanding Medicare Claims Data
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How insurance networks affect your costs
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Frequently Asked Questions
What is Justin Caplinger, PA-C's specialty? ▼
Justin Caplinger, PA-C specializes in Physician Assistant and practices in Arlington, Texas. Credentials: PA-C.
How much does Justin Caplinger, PA-C prescribe under Medicare Part D? ▼
In 2023, Justin Caplinger, PA-C wrote 348 Medicare Part D claims totaling $7K in drug costs for 154 beneficiaries.
What is Justin Caplinger, PA-C's Medicare quality score? ▼
Justin Caplinger, PA-C has a CMS MIPS Final Score of 73.7/100 (Quality: 69.5, Cost: 57.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Justin Caplinger, PA-C located? ▼
Justin Caplinger, PA-C is located at 3533 MATLOCK ROAD, Arlington, TX, 76015. Phone: (817) 419-0303.
What is Justin Caplinger, PA-C's NPI number? ▼
Justin Caplinger, PA-C's National Provider Identifier (NPI) is 1093052532, issued on 01/03/2013.
How many Physician Assistant providers are there in the US? ▼
There are 150,974 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 790 Medicare Part D claims per year.
What drugs does Justin Caplinger, PA-C prescribe most often? ▼
Based on 2023 Medicare Part D data, Justin Caplinger, PA-C's most frequently prescribed drugs include Celecoxib, Meloxicam, Methylprednisolone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Justin Caplinger, PA-C accept Medicare? ▼
Justin Caplinger, PA-C appears in CMS Medicare data with 348 Part D claims and 154 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Justin Caplinger, PA-C's credentials? ▼
Justin Caplinger, PA-C's NPI is 1093052532 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.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.