2026 NPPES data Surgical Physician Assistant NPI 1174918809 PA-C
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JUSTIN DUFFY, PA-C

Surgical Physician Assistant in MCHENRY, Illinois. 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
141
Medicare Part D claims · 45 beneficiaries · Surgical Physician Assistant avg: 316
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

JUSTIN DUFFY, PA-C filed 141 Medicare Part D claims in 2023 as a Surgical Physician Assistant in MCHENRY, Illinois, prescribing 92% generic.

141
Part D claims, 2023
92%
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.

JUSTIN DUFFY, PA-C's Medicare Part D volume vs every U.S. prescriber

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

141 35th percentile higher than 35% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. 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 JUSTIN DUFFY, PA-C?

Quality data not reported

NPI registry status

Active

Issued 03/31/2015

NPI 1174918809

Primary specialty

Surgical Physician Assistant

Mid-sized

16,119 US NPIs in this specialty

Medicare Part D claims

141 55% vs specialty avg

2023 prescription claims

Specialty avg: 316

Specialty distribution in Illinois

How Surgical Physician Assistant compares to other specialties among Illinois providers

Illinois providers

Surgical Physician Assistant share within Illinois

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

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Surgical 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).

JUSTIN DUFFY, PA-C appears in the CMS NPPES registry as a Surgical Physician Assistant provider holding PA-C credentials at 4309 W MEDICAL CENTER DR STE A200, MCHENRY, IL, 60050, with a listed phone of (815) 759-8070. NPI 1174918809 was issued on 03/31/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DUFFY 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 141 prescription claims written by this provider, covering 45 Medicare beneficiaries and totaling roughly $10K in drug spend, split 8% brand-name and 92% generic by claim count, with an opioid prescribing rate of 9.9%. 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.

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

4309 W MEDICAL CENTER DR STE A200
MCHENRY, IL 60050

Provider Details

NPI 1174918809
Specialty Surgical Physician Assistant
Credentials PA-C
Gender Male
NPI Issued 03/31/2015

Hospital and facility affiliations

Facilities where JUSTIN DUFFY, 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.

BAYCARE MEDICAL GROUP, INC.
CLEARWATER, FL
FLORIDA HOSPITAL HEALTHCARE PARTNERS, INC
ORANGE CITY, FL

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 — Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 — they are NOT specific to JUSTIN DUFFY, PA-C. To verify JUSTIN DUFFY, PA-C's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

JUSTIN DUFFY, PA-C — brand share 8.0%
Specialty average (est.)

8% brand-name claims vs 92% generic, on 141 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.

141
Total Claims
$10K
Total Drug Cost
45
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
165
Total Day Supply
4,244
Brand vs Generic
8% brand / 92% generic
Brand Drug Cost
$9K
Generic Drug Cost
$1K
Opioid Claims
14 (9.9% rate)

Patient Demographics

Average Patient Age
71.0 years
Avg HCC Risk Score
2.62
Gender Split
49% female / 51% 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 DUFFY, 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
Metoprolol Tartrate
20
Carvedilol
18
Metoprolol Succinate
14
Oxycodone Hcl
12

* 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 JUSTIN DUFFY, 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

JUSTIN DUFFY, PA-C's 141 claims are below the specialty average of 316.

Nearby Surgical Physician Assistant Providers in Illinois

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

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

Frequently Asked Questions

What is JUSTIN DUFFY, PA-C's specialty?
JUSTIN DUFFY, PA-C specializes in Surgical Physician Assistant and practices in MCHENRY, Illinois. Credentials: PA-C.
How much does JUSTIN DUFFY, PA-C prescribe under Medicare Part D?
In 2023, JUSTIN DUFFY, PA-C wrote 141 Medicare Part D claims totaling $10K in drug costs for 45 beneficiaries.
Where is JUSTIN DUFFY, PA-C located?
JUSTIN DUFFY, PA-C is located at 4309 W MEDICAL CENTER DR STE A200, MCHENRY, IL, 60050. Phone: (815) 759-8070.
What is JUSTIN DUFFY, PA-C's NPI number?
JUSTIN DUFFY, PA-C's National Provider Identifier (NPI) is 1174918809, issued on 03/31/2015.
Does JUSTIN DUFFY, PA-C prescribe more brand-name or generic drugs?
JUSTIN DUFFY, PA-C's prescribing is 8% brand-name and 92% generic drugs by claim count, with $9K in brand drug costs.
Does JUSTIN DUFFY, PA-C prescribe opioids?
Yes, JUSTIN DUFFY, PA-C had 14 opioid claims in 2023 with an opioid prescribing rate of 9.9%.
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 JUSTIN DUFFY, PA-C prescribe most often?
Based on 2023 Medicare Part D data, JUSTIN DUFFY, PA-C's most frequently prescribed drugs include Metoprolol Tartrate, Carvedilol, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JUSTIN DUFFY, PA-C accept Medicare?
JUSTIN DUFFY, PA-C appears in CMS Medicare data with 141 Part D claims and 45 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JUSTIN DUFFY, PA-C's credentials?
JUSTIN DUFFY, PA-C's NPI is 1174918809 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.
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