2026 NPPES data Physical Therapy Assistant NPI 1437154887 PA
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Karen Mayes, PA

Physical Therapy Assistant in Jacksonville, Florida. 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
1K
Medicare Part D claims · 237 beneficiaries · Physical Therapy Assistant avg: 704
MIPS score
76.2/100
▼ 7 pts below national avg 83.1 · [object Object]

What the federal data shows

Karen Mayes, PA reported a CMS MIPS final score of 76.2/100 — below the 83.1 national average — and filed 1,099 Medicare Part D claims in 2023.

76.2/100
MIPS score · -7 vs avg
1K
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.

Karen Mayes, PA's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

76 21st percentile higher than 21% 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 Karen Mayes, PA?

Below national average

NPI registry status

Active

Issued 06/14/2005

NPI 1437154887

Primary specialty

Physical Therapy Assistant

High-volume

60,025 US NPIs in this specialty

Medicare Part D claims

1,099 56% vs specialty avg

2023 prescription claims

Specialty avg: 704

MIPS final score

76.2/100 6.9 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Florida

How Physical Therapy Assistant compares to other specialties among Florida providers

Florida providers

Physical Therapy Assistant share within Florida

1. Physical Therapy Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physical Therapy Assistant share within Florida

Medicare quality performance — MIPS

Karen Mayes, PA's 2023 MIPS final score plotted against the Physical Therapy Assistant national average

Below national average
MIPS Final Score
76.2/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physical Therapy Assistant) — 76.2/100 vs national avg 83.1

0%100%National avg83%76.2%
MIPS final score (Physical Therapy Assistant) — 76.2/100 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 Mayes, PA appears in the CMS NPPES registry as a Physical Therapy Assistant provider holding PA credentials at 4500 SAN PABLO RD S, Jacksonville, FL, 32224, with a listed phone of (904) 953-2000. NPI 1437154887 was issued on 06/14/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Mayes 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 1,099 prescription claims written by this provider, covering 237 Medicare beneficiaries and totaling roughly $249K in drug spend. 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 76.2/100 for the 2023 performance year (Quality 69.3, Cost 51.3), compared with the national average of 83.1.

Physical Therapy Assistant is a high-volume specialty nationwide, with 60,025 enrolled providers across 55 states and an average of 704 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

4500 SAN PABLO RD S
Jacksonville, FL 32224

Provider Details

NPI 1437154887
Specialty Physical Therapy Assistant
Credentials PA
Gender Female
NPI Issued 06/14/2005

CMS Quality Score (MIPS)

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

76.2008
Final Score
Avg: 83.1
69.3395
Quality
51.3298
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Karen Mayes, PA 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.

Mayo Clinic Jacksonville
Jacksonville, 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 — Florida FLDOH 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 ~75K Florida medical licensees in 2023 — they are NOT specific to Karen Mayes, PA. To verify Karen Mayes, PA's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida 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.

1,099
Total Claims
$249K
Total Drug Cost
237
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,475
Total Day Supply
73,079
Generic Drug Cost
$39K
Antibiotic Claims
29

Patient Demographics

Average Patient Age
65.5 years
Avg HCC Risk Score
3.04
Gender Split
30% female / 70% male
Age Distribution
<65: 84, 65-74: 98, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What Karen Mayes, PA 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
Bumetanide
80
Entresto
Sacubitril/Valsartan
79
Spironolactone
78
Atorvastatin Calcium
44
Metoprolol Succinate
44
Carvedilol
43
Lisinopril
43
Potassium Chloride
43
Pantoprazole Sodium
42
Farxiga
Dapagliflozin Propanediol
35

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

Physical Therapy Assistant Overview

How Karen Mayes, PA fits within the Physical Therapy Assistant landscape nationally.

60,025
Physical Therapy Assistant Providers in US
55
States with Physical Therapy Assistant
704
Avg Claims per Provider

Karen Mayes, PA's 1,099 claims are above the specialty average of 704.

Nearby Physical Therapy Assistant Providers in Florida

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

Compare Physical Therapy 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 Florida medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Physical Therapy 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.

Frequently Asked Questions

What is Karen Mayes, PA's specialty?
Karen Mayes, PA specializes in Physical Therapy Assistant and practices in Jacksonville, Florida. Credentials: PA.
How much does Karen Mayes, PA prescribe under Medicare Part D?
In 2023, Karen Mayes, PA wrote 1,099 Medicare Part D claims totaling $249K in drug costs for 237 beneficiaries.
What is Karen Mayes, PA's Medicare quality score?
Karen Mayes, PA has a CMS MIPS Final Score of 76.2/100 (Quality: 69.3, Cost: 51.3). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Karen Mayes, PA located?
Karen Mayes, PA is located at 4500 SAN PABLO RD S, Jacksonville, FL, 32224. Phone: (904) 953-2000.
What is Karen Mayes, PA's NPI number?
Karen Mayes, PA's National Provider Identifier (NPI) is 1437154887, issued on 06/14/2005.
How many Physical Therapy Assistant providers are there in the US?
There are 60,025 Physical Therapy Assistant providers across 55 states in the US. The average Physical Therapy Assistant provider writes 704 Medicare Part D claims per year.
What drugs does Karen Mayes, PA prescribe most often?
Based on 2023 Medicare Part D data, Karen Mayes, PA's most frequently prescribed drugs include Bumetanide, Entresto, Spironolactone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Karen Mayes, PA accept Medicare?
Karen Mayes, PA appears in CMS Medicare data with 1,099 Part D claims and 237 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Karen Mayes, PA's credentials?
Karen Mayes, PA's NPI is 1437154887 with credentials PA. 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