2026 NPPES data Physician Assistant NPI 1932740529 PA
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KARMEN ELSEN, PA

Physician Assistant in AUGUSTA, Georgia. 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
615
Medicare Part D claims · 178 beneficiaries · Physician Assistant avg: 790
Generic prescribing
67%
generic claims · 33% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.8233/100
▼ 5 pts below national avg 83.1 · [object Object]
Industry payments
$695.7
21 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KARMEN ELSEN, PA reported a CMS MIPS final score of 77.8233/100 — below the 83.1 national average — and filed 615 Medicare Part D claims in 2023.

77.8233/100
MIPS score · -5 vs avg
615
Part D claims, 2023
67%
generic prescribing
$695.7
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.

KARMEN ELSEN, PA's MIPS score vs every scored U.S. clinician

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

78 24th percentile higher than 24% 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 KARMEN ELSEN, PA?

Below national average

NPI registry status

Active

Issued 10/04/2019

NPI 1932740529

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

615 22% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

77.8233/100 5.276699999999991% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Georgia

How Physician Assistant compares to other specialties among Georgia providers

Georgia providers

Physician Assistant share within Georgia

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

Medicare quality performance — MIPS

KARMEN ELSEN, PA's 2023 MIPS final score plotted against the Physician Assistant national average

Below national average
MIPS Final Score
77.8233/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 77.8233/100 vs national avg 83.1

0%100%National avg83%77.8%
MIPS final score (Physician Assistant) — 77.8233/100 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).

KARMEN ELSEN, PA appears in the CMS NPPES registry as a Physician Assistant provider holding PA credentials at 1120 15TH ST PROFESSIONAL BLD 1, AUGUSTA, GA, 30912, with a listed phone of (706) 446-4887. NPI 1932740529 was issued on 10/04/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ELSEN 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 615 prescription claims written by this provider, covering 178 Medicare beneficiaries and totaling roughly $555K in drug spend, split 33% brand-name and 67% 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 77.8233/100 for the 2023 performance year (Quality 72.0413, Cost 60.703), 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

1120 15TH ST PROFESSIONAL BLD 1
AUGUSTA, GA 30912

Provider Details

NPI 1932740529
Specialty Physician Assistant
Credentials PA
Gender Female
NPI Issued 10/04/2019

CMS Quality Score (MIPS)

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

77.8233
Final Score
Avg: 83.1
72.0413
Quality
60.703
Cost
92
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where KARMEN ELSEN, 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.

WELLSTAR MEDICAL GROUP LLC
AUGUSTA, GA

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 KARMEN ELSEN, PA. Source: openpaymentsdata.cms.gov.

Total received

$696

Largest payer

QOL Medical, LLC

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 · Above average

KARMEN ELSEN, PA — brand share 33.0%
Specialty average (est.)

33% brand-name claims vs 67% generic, on 615 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.

615
Total Claims
$555K
Total Drug Cost
178
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
942
Total Day Supply
25,104
Brand vs Generic
33% brand / 67% generic
Brand Drug Cost
$539K
Generic Drug Cost
$16K
Antibiotic Claims
38

Patient Demographics

Average Patient Age
66.2 years
Avg HCC Risk Score
2.08
Gender Split
62% female / 38% male
Age Distribution
<65: 66, 65-74: 79, 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 KARMEN ELSEN, 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
Pantoprazole Sodium
149
Omeprazole
76
Linzess
Linaclotide
60
Xifaxan
Rifaximin
33
Creon
Lipase/Protease/Amylase
26
Entecavir
16
Motegrity
Prucalopride Succinate
16
Furosemide
12
Spironolactone
12
Gavilyte-G
"Peg3350/Sod Sulf
N/A

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

Physician Assistant Overview

How KARMEN ELSEN, PA fits within the Physician Assistant landscape nationally.

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

KARMEN ELSEN, PA's 615 claims are below the specialty average of 790.

Nearby Physician Assistant Providers in Georgia

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

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

Frequently Asked Questions

What is KARMEN ELSEN, PA's specialty?
KARMEN ELSEN, PA specializes in Physician Assistant and practices in AUGUSTA, Georgia. Credentials: PA.
How much does KARMEN ELSEN, PA prescribe under Medicare Part D?
In 2023, KARMEN ELSEN, PA wrote 615 Medicare Part D claims totaling $555K in drug costs for 178 beneficiaries.
What is KARMEN ELSEN, PA's Medicare quality score?
KARMEN ELSEN, PA has a CMS MIPS Final Score of 77.8233/100 (Quality: 72.0413, Cost: 60.703). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KARMEN ELSEN, PA located?
KARMEN ELSEN, PA is located at 1120 15TH ST PROFESSIONAL BLD 1, AUGUSTA, GA, 30912. Phone: (706) 446-4887.
What is KARMEN ELSEN, PA's NPI number?
KARMEN ELSEN, PA's National Provider Identifier (NPI) is 1932740529, issued on 10/04/2019.
Does KARMEN ELSEN, PA prescribe more brand-name or generic drugs?
KARMEN ELSEN, PA's prescribing is 33% brand-name and 67% generic drugs by claim count, with $539K in brand drug costs.
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 KARMEN ELSEN, PA prescribe most often?
Based on 2023 Medicare Part D data, KARMEN ELSEN, PA's most frequently prescribed drugs include Pantoprazole Sodium, Omeprazole, Linzess. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KARMEN ELSEN, PA accept Medicare?
KARMEN ELSEN, PA appears in CMS Medicare data with 615 Part D claims and 178 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KARMEN ELSEN, PA's credentials?
KARMEN ELSEN, PA's NPI is 1932740529 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