2026 NPPES data Medical Physician Assistant NPI 1467685982 PA-C
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KAREN FRESHWATER, PA-C

Medical Physician Assistant in KALAMAZOO, Michigan. 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 · 370 beneficiaries · Medical Physician Assistant avg: 1K
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
85.3331/100
▲ 2 pts above national avg 83.1 · [object Object]
Industry payments
$1.7K
57 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KAREN FRESHWATER, PA-C reported a CMS MIPS final score of 85.3331/100 — above the 83.1 national average — and filed 3,483 Medicare Part D claims in 2023.

85.3331/100
MIPS score · +2 vs avg
3K
Part D claims, 2023
83%
generic prescribing
$1.7K
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.

KAREN FRESHWATER, 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

85 49th percentile higher than 49% 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

What does the federal data show about KAREN FRESHWATER, PA-C?

High performer (top quartile)

NPI registry status

Active

Issued 09/01/2009

NPI 1467685982

Primary specialty

Medical Physician Assistant

Mid-sized

40,527 US NPIs in this specialty

Medicare Part D claims

3,483 223% vs specialty avg

2023 prescription claims

Specialty avg: 1,077

MIPS final score

85.3331/100 2.2331000000000074% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Michigan

How Medical Physician Assistant compares to other specialties among Michigan providers

Michigan providers

Medical Physician Assistant share within Michigan

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

Medicare quality performance — MIPS

KAREN FRESHWATER, PA-C's 2023 MIPS final score plotted against the Medical Physician Assistant national average

High performer (top quartile)
MIPS Final Score
85.3331/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Medical Physician Assistant) — 85.3331/100 vs national avg 83.1

0%100%National avg83%85.3%
MIPS final score (Medical Physician Assistant) — 85.3331/100 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).

KAREN FRESHWATER, PA-C appears in the CMS NPPES registry as a Medical Physician Assistant provider holding PA-C credentials at 601 JOHN ST, KALAMAZOO, MI, 49007, with a listed phone of (269) 341-7500. NPI 1467685982 was issued on 09/01/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FRESHWATER 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 3,483 prescription claims written by this provider, covering 370 Medicare beneficiaries and totaling roughly $2.8 million in drug spend, split 17% brand-name and 83% 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 85.3331/100 for the 2023 performance year (Quality 79.6644, Cost 71.4459), 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

601 JOHN ST
KALAMAZOO, MI 49007

Provider Details

NPI 1467685982
Specialty Medical Physician Assistant
Credentials PA-C
Gender Female
NPI Issued 09/01/2009

CMS Quality Score (MIPS)

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

85.3331
Final Score
Avg: 83.1
79.6644
Quality
71.4459
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where KAREN FRESHWATER, 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.

BRONSON METHODIST HOSPITAL
★★★★☆ 4/5
PORTAGE, MI
Acute Care Hospitals
CMS CCN: 230017

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 KAREN FRESHWATER, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$1.7K

Largest payer

GENZYME CORPORATION

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 — Michigan MI-BOM 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 ~41K Michigan medical licensees in 2023 — they are NOT specific to KAREN FRESHWATER, PA-C. To verify KAREN FRESHWATER, PA-C's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM 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 Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

KAREN FRESHWATER, PA-C — brand share 17.0%
Specialty average (est.)

17% brand-name claims vs 83% generic, on 3,483 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.

3,483
Total Claims
$2.8M
Total Drug Cost
370
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,033
Total Day Supply
148,421
Brand vs Generic
17% brand / 83% generic
Brand Drug Cost
$2.4M
Generic Drug Cost
$477K

Patient Demographics

Average Patient Age
69.9 years
Avg HCC Risk Score
1.50
Gender Split
49% female / 51% male
Age Distribution
<65: 86, 65-74: 141, 75-84: 119, 85+: 24

Top Prescribed Drugs (Medicare Part D)

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

What KAREN FRESHWATER, 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
Carbidopa-Levodopa
Carbidopa/Levodopa
648
Primidone
235
Gabapentin
193
Lamotrigine
190
Baclofen
152
Levetiracetam
127
Quetiapine Fumarate
98
Rytary
Carbidopa/Levodopa
89
Rivastigmine
Rivastigmine Tartrate
75
Nuplazid
Pimavanserin Tartrate
69

* 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 KAREN FRESHWATER, PA-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

KAREN FRESHWATER, PA-C's 3,483 claims are above the specialty average of 1,077.

Nearby Medical Physician Assistant Providers in Michigan

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

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

Frequently Asked Questions

What is KAREN FRESHWATER, PA-C's specialty?
KAREN FRESHWATER, PA-C specializes in Medical Physician Assistant and practices in KALAMAZOO, Michigan. Credentials: PA-C.
How much does KAREN FRESHWATER, PA-C prescribe under Medicare Part D?
In 2023, KAREN FRESHWATER, PA-C wrote 3,483 Medicare Part D claims totaling $2.8M in drug costs for 370 beneficiaries.
What is KAREN FRESHWATER, PA-C's Medicare quality score?
KAREN FRESHWATER, PA-C has a CMS MIPS Final Score of 85.3331/100 (Quality: 79.6644, Cost: 71.4459). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KAREN FRESHWATER, PA-C located?
KAREN FRESHWATER, PA-C is located at 601 JOHN ST, KALAMAZOO, MI, 49007. Phone: (269) 341-7500.
What is KAREN FRESHWATER, PA-C's NPI number?
KAREN FRESHWATER, PA-C's National Provider Identifier (NPI) is 1467685982, issued on 09/01/2009.
Does KAREN FRESHWATER, PA-C prescribe more brand-name or generic drugs?
KAREN FRESHWATER, PA-C's prescribing is 17% brand-name and 83% generic drugs by claim count, with $2.4M in brand drug costs.
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 KAREN FRESHWATER, PA-C prescribe most often?
Based on 2023 Medicare Part D data, KAREN FRESHWATER, PA-C's most frequently prescribed drugs include Carbidopa-Levodopa, Primidone, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KAREN FRESHWATER, PA-C accept Medicare?
KAREN FRESHWATER, PA-C appears in CMS Medicare data with 3,483 Part D claims and 370 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KAREN FRESHWATER, PA-C's credentials?
KAREN FRESHWATER, PA-C's NPI is 1467685982 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