2026 NPPES data Pediatric Adolescent Medicine Physician NPI 1437812500 PA-C
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KANDICE MCALPINE, PA-C

Pediatric Adolescent Medicine Physician in MASON, Ohio. 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
283
Medicare Part D claims · 212 beneficiaries · Pediatric Adolescent Medicine Physician avg: 249
Generic prescribing
58%
generic claims · 42% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
87.6639/100
▲ 5 pts above national avg 83.1 · [object Object]
Industry payments
$3.1K
168 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KANDICE MCALPINE, PA-C reported a CMS MIPS final score of 87.6639/100 — above the 83.1 national average — and filed 283 Medicare Part D claims in 2023.

87.6639/100
MIPS score · +5 vs avg
283
Part D claims, 2023
58%
generic prescribing
Likely
board-certified (heuristic)

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.

KANDICE MCALPINE, 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

88 Top 46% higher than 54% 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%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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

Board certification likely (heuristic — not verified)

KANDICE MCALPINE, PA-C practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about KANDICE MCALPINE, PA-C?

High performer (top quartile)

NPI registry status

Active

Issued 10/15/2021

NPI 1437812500

Primary specialty

Pediatric Adolescent Medicine Physician

Niche

2,592 US NPIs in this specialty

Medicare Part D claims

283 14% vs specialty avg

2023 prescription claims

Specialty avg: 249

MIPS final score

87.6639/100 4.563900000000004% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Ohio

How Pediatric Adolescent Medicine Physician compares to other specialties among Ohio providers

Ohio providers

Pediatric Adolescent Medicine Physician share within Ohio

1. Pediatric Adolescent Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Adolescent Medicine Physician share within Ohio

Medicare quality performance — MIPS

KANDICE MCALPINE, PA-C's 2023 MIPS final score plotted against the Pediatric Adolescent Medicine Physician national average

High performer (top quartile)
MIPS Final Score
87.6639/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Adolescent Medicine Physician) — 87.6639/100 vs national avg 83.1

0%100%National avg83%87.7%
MIPS final score (Pediatric Adolescent Medicine Physician) — 87.6639/100 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).

KANDICE MCALPINE, PA-C appears in the CMS NPPES registry as a Pediatric Adolescent Medicine Physician provider holding PA-C credentials at 4201 AERO DR, MASON, OH, 45040, with a listed phone of (513) 770-4122. NPI 1437812500 was issued on 10/15/2021. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MCALPINE 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 283 prescription claims written by this provider, covering 212 Medicare beneficiaries and totaling roughly $70K in drug spend, split 42% brand-name and 58% 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 87.6639/100 for the 2023 performance year (Quality 76.9053, Cost 89.6726), compared with the national average of 83.1.

Pediatric Adolescent Medicine Physician is a narrow specialty nationwide, with 2,592 enrolled providers across 52 states and an average of 249 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

4201 AERO DR
MASON, OH 45040

Provider Details

NPI 1437812500
Specialty Pediatric Adolescent Medicine Physician
Credentials PA-C
Gender Female
NPI Issued 10/15/2021

CMS Quality Score (MIPS)

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

87.6639
Final Score
Avg: 83.1
76.9053
Quality
89.6726
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where KANDICE MCALPINE, 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.

MID VALLEY GASTROENTEROLOGY ASSOCIATES, INC.
MIDDLETOWN, OH
OHIO MED LLC
WEST CHESTER, OH

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 KANDICE MCALPINE, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$3.1K

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.

License & disciplinary context — Ohio OMB 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 ~48K Ohio medical licensees in 2023 — they are NOT specific to KANDICE MCALPINE, PA-C. To verify KANDICE MCALPINE, PA-C's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB 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 Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

KANDICE MCALPINE, PA-C — brand share 42.0%
Specialty average (est.)

42% brand-name claims vs 58% generic, on 283 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.

283
Total Claims
$70K
Total Drug Cost
212
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
371
Total Day Supply
6,357
Brand vs Generic
42% brand / 58% generic
Brand Drug Cost
$59K
Generic Drug Cost
$11K
Antibiotic Claims
33

Patient Demographics

Average Patient Age
70.3 years
Avg HCC Risk Score
1.27
Gender Split
55% female / 45% male

Top Prescribed Drugs (Medicare Part D)

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

What KANDICE MCALPINE, 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
Sutab
Sod Sulf/Pot Chloride/Mag Sulf
70
Peg 3350-Electrolyte
Sodium Chloride/Nahco3/Kcl/Peg
20
Pantoprazole Sodium
17
Azithromycin
14
Sod Sulf-Potass Sulf-Mag Sulf
"Sodium
N/A

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Pediatric Adolescent Medicine Physician Overview

How KANDICE MCALPINE, PA-C fits within the Pediatric Adolescent Medicine Physician landscape nationally.

2,592
Pediatric Adolescent Medicine Physician Providers in US
52
States with Pediatric Adolescent Medicine Physician
249
Avg Claims per Provider

KANDICE MCALPINE, PA-C's 283 claims are above the specialty average of 249.

Nearby Pediatric Adolescent Medicine Physician Providers in Ohio

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

Compare Pediatric Adolescent Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KANDICE MCALPINE, PA-C's specialty?
KANDICE MCALPINE, PA-C specializes in Pediatric Adolescent Medicine Physician and practices in MASON, Ohio. Credentials: PA-C.
How much does KANDICE MCALPINE, PA-C prescribe under Medicare Part D?
In 2023, KANDICE MCALPINE, PA-C wrote 283 Medicare Part D claims totaling $70K in drug costs for 212 beneficiaries.
What is KANDICE MCALPINE, PA-C's Medicare quality score?
KANDICE MCALPINE, PA-C has a CMS MIPS Final Score of 87.6639/100 (Quality: 76.9053, Cost: 89.6726). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KANDICE MCALPINE, PA-C located?
KANDICE MCALPINE, PA-C is located at 4201 AERO DR, MASON, OH, 45040. Phone: (513) 770-4122.
What is KANDICE MCALPINE, PA-C's NPI number?
KANDICE MCALPINE, PA-C's National Provider Identifier (NPI) is 1437812500, issued on 10/15/2021.
Does KANDICE MCALPINE, PA-C prescribe more brand-name or generic drugs?
KANDICE MCALPINE, PA-C's prescribing is 42% brand-name and 58% generic drugs by claim count, with $59K in brand drug costs.
How many Pediatric Adolescent Medicine Physician providers are there in the US?
There are 2,592 Pediatric Adolescent Medicine Physician providers across 52 states in the US. The average Pediatric Adolescent Medicine Physician provider writes 249 Medicare Part D claims per year.
What drugs does KANDICE MCALPINE, PA-C prescribe most often?
Based on 2023 Medicare Part D data, KANDICE MCALPINE, PA-C's most frequently prescribed drugs include Sutab, Peg 3350-Electrolyte, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KANDICE MCALPINE, PA-C accept Medicare?
KANDICE MCALPINE, PA-C appears in CMS Medicare data with 283 Part D claims and 212 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KANDICE MCALPINE, PA-C's credentials?
KANDICE MCALPINE, PA-C's NPI is 1437812500 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