2026 NPPES data Physician Assistant NPI 1386130136 PA-C
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JUSTIN ELLINGSTAD, PA-C

Physician Assistant in EAU CLAIRE, Wisconsin. 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
3K
Medicare Part D claims · 335 beneficiaries · Physician Assistant avg: 790
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
78.8552/100
▼ 4 pts below national avg 83.1 · [object Object]
Industry payments
$105.87
5 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JUSTIN ELLINGSTAD, PA-C reported a CMS MIPS final score of 78.8552/100 — below the 83.1 national average — and filed 2,916 Medicare Part D claims in 2023.

78.8552/100
MIPS score · -4 vs avg
3K
Part D claims, 2023
89%
generic prescribing
$105.87
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.

JUSTIN ELLINGSTAD, 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

79 27th percentile higher than 27% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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 JUSTIN ELLINGSTAD, PA-C?

Near national average

NPI registry status

Active

Issued 07/05/2018

NPI 1386130136

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

2,916 269% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

78.8552/100 4.244799999999998% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Wisconsin

How Physician Assistant compares to other specialties among Wisconsin providers

Wisconsin providers

Physician Assistant share within Wisconsin

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

Medicare quality performance — MIPS

JUSTIN ELLINGSTAD, PA-C's 2023 MIPS final score plotted against the Physician Assistant national average

Near national average
MIPS Final Score
78.8552/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 78.8552/100 vs national avg 83.1

0%100%National avg83%78.9%
MIPS final score (Physician Assistant) — 78.8552/100 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).

JUSTIN ELLINGSTAD, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 617 W CLAIREMONT AVE, EAU CLAIRE, WI, 54701, with a listed phone of (715) 834-2788. NPI 1386130136 was issued on 07/05/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ELLINGSTAD 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 2,916 prescription claims written by this provider, covering 335 Medicare beneficiaries and totaling roughly $276K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 3.2%. 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 78.8552/100 for the 2023 performance year (Quality 66.6851, Cost 54.8733), compared with the national average of 83.1.

Physician Assistant is a high-volume specialty nationwide, with 149,975 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

617 W CLAIREMONT AVE
EAU CLAIRE, WI 54701

Provider Details

NPI 1386130136
Specialty Physician Assistant
Credentials PA-C
Gender Male
NPI Issued 07/05/2018

CMS Quality Score (MIPS)

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

78.8552
Final Score
Avg: 83.1
66.6851
Quality
54.8733
Cost
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JUSTIN ELLINGSTAD, 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.

OAKLEAF CLINICS INC
EAU CLAIRE, WI

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 JUSTIN ELLINGSTAD, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$106

Largest payer

ABBVIE 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.

Brand vs generic prescribing mix · Typical

JUSTIN ELLINGSTAD, PA-C — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 2,916 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.

2,916
Total Claims
$276K
Total Drug Cost
335
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,986
Total Day Supply
170,373
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$218K
Generic Drug Cost
$56K
Opioid Claims
93 (3.2% rate)
Antibiotic Claims
134

Patient Demographics

Average Patient Age
70.1 years
Avg HCC Risk Score
1.12
Gender Split
32% female / 68% male
Age Distribution
<65: 56, 65-74: 167, 75-84: 82, 85+: 30

Top Prescribed Drugs (Medicare Part D)

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

What JUSTIN ELLINGSTAD, 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
Atorvastatin Calcium
231
Lisinopril
115
Omeprazole
100
Metoprolol Succinate
93
Losartan Potassium
89
Tamsulosin Hcl
88
Amlodipine Besylate
86
Levothyroxine Sodium
68
Prednisone
68
Gabapentin
66

* 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 ELLINGSTAD, PA-C fits within the Physician Assistant landscape nationally.

149,975
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider

JUSTIN ELLINGSTAD, PA-C's 2,916 claims are above the specialty average of 790.

Nearby Physician Assistant Providers in Wisconsin

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

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

Frequently Asked Questions

What is JUSTIN ELLINGSTAD, PA-C's specialty?
JUSTIN ELLINGSTAD, PA-C specializes in Physician Assistant and practices in EAU CLAIRE, Wisconsin. Credentials: PA-C.
How much does JUSTIN ELLINGSTAD, PA-C prescribe under Medicare Part D?
In 2023, JUSTIN ELLINGSTAD, PA-C wrote 2,916 Medicare Part D claims totaling $276K in drug costs for 335 beneficiaries.
What is JUSTIN ELLINGSTAD, PA-C's Medicare quality score?
JUSTIN ELLINGSTAD, PA-C has a CMS MIPS Final Score of 78.8552/100 (Quality: 66.6851, Cost: 54.8733). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JUSTIN ELLINGSTAD, PA-C located?
JUSTIN ELLINGSTAD, PA-C is located at 617 W CLAIREMONT AVE, EAU CLAIRE, WI, 54701. Phone: (715) 834-2788.
What is JUSTIN ELLINGSTAD, PA-C's NPI number?
JUSTIN ELLINGSTAD, PA-C's National Provider Identifier (NPI) is 1386130136, issued on 07/05/2018.
Does JUSTIN ELLINGSTAD, PA-C prescribe more brand-name or generic drugs?
JUSTIN ELLINGSTAD, PA-C's prescribing is 11% brand-name and 89% generic drugs by claim count, with $218K in brand drug costs.
Does JUSTIN ELLINGSTAD, PA-C prescribe opioids?
Yes, JUSTIN ELLINGSTAD, PA-C had 93 opioid claims in 2023 with an opioid prescribing rate of 3.2%.
How many Physician Assistant providers are there in the US?
There are 149,975 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 ELLINGSTAD, PA-C prescribe most often?
Based on 2023 Medicare Part D data, JUSTIN ELLINGSTAD, PA-C's most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JUSTIN ELLINGSTAD, PA-C accept Medicare?
JUSTIN ELLINGSTAD, PA-C appears in CMS Medicare data with 2,916 Part D claims and 335 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JUSTIN ELLINGSTAD, PA-C's credentials?
JUSTIN ELLINGSTAD, PA-C's NPI is 1386130136 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