NPPES file of Aug 9, 2026

Karyn Regina Sande, PA-C

Physician Assistant · Missoula, MT

Karyn Regina Sande, PA-C is a physician assistant with a practice address in Missoula, Montana, and NPI 1841613932, issued on Jan 27, 2014. Check the license (Montana MED-PAC-LIC-35994, as entered in NPPES) with the Montana board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1841613932
Name
Karyn Regina Sande
Credential
PA-C
Primary taxonomy
Physician Assistant 363A00000X
License number
MED-PAC-LIC-35994 MT
Self-reported in NPPES; status is on the state search
Practice location
500 W Broadway St Ste 320, Missoula, MT 59802
Phone
(406) 329-5615
Enumerated
Jan 27, 2014
Record last updated
Sep 20, 2017 (not updated in 9 years: call before relying on the address or phone)
Fax
(406) 329-2791
Medicare enrollment
Enrolled (PECOS I20150207000448); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 500 W Broadway St Ste 320

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Rachel Ashbrook, PA-CPhysician Assistant1730521477
  2. George Bandow, MDCardiovascular Disease Physician1003865171
  3. Puneet Bansal, M.D.Cardiovascular Disease Physician1417230855
  4. Matthew Barton, PA-CPhysician Assistant1306394226
  5. Megan Boswell, FNP-CFamily Nurse Practitioner1164178349
  6. Mallory Buck, APRNGerontology Nurse Practitioner1881145050

Verify Karyn Regina Sande in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Montana board licenses this profession
    Search for license MED-PAC-LIC-35994
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Montana license search

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81% more Medicare Part D claims than the average physician assistant in 2024

1,506 Medicare Part D claims for 258 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. Brand-name drugs were 12% of claims.

  1. Karyn Sande1,506
  2. Specialty average830

Most prescribed

  1. Atorvastatin Calcium177 claims
  2. Metoprolol Succinate131 claims
  3. Rosuvastatin Calcium117 claims
  4. Valsartan101 claims
  5. Carvedilol97 claims
  6. Amlodipine Besylate88 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 85.4 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score86.0
  2. Costout of 100 · 30%65.5
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

2 hospitals and group practices

  1. Providence Health And Services MtMissoula, MT
  2. Providence St Joseph Medical CenterPolson, MT · Critical Access Hospitals

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov).

119 physician assistant records list a practice address in Missoula

They are 119 of the 3,567 NPPES records with a practice address in Missoula, and 698 physician assistant records in Montana.

Other physician assistant records in Montana

  1. Jessika Abbrescia, PACKalispell, MT1740959915
  2. Cynthia Alarcon, PA-CHelena, MT1386981686
  3. Patrick Alduenda, PA-CHelena, MT1710967724
  4. Sheryl Alexander, D.C., P.A.Missoula, MT1326199951
  5. Jesse Alfiero, PA-CRonan, MT1396491155
  6. Robert Alfiero, PA-CRonan, MT1417029059
  7. Janel Allison-Shamblin, PA-CBozeman, MT1437626751
  8. Luke Altenhofen, PA-CLame Deer, MT1407221708
  9. Alexandra AlthofBillings, MT1487338034
  10. Brenda Anderson, PA-CKalispell, MT1912145467

Common questions

What is Karyn Regina Sande, PA-C's NPI number?

Karyn Regina Sande, PA-C's National Provider Identifier (NPI) is 1841613932, issued on Jan 27, 2014. An NPI identifies a provider in billing; it is not a license.

Where is Karyn Regina Sande, PA-C located?

The NPPES record lists a practice address at 500 W Broadway St Ste 320, Missoula, MT, 59802. Phone: (406) 329-5615. Providers update this record themselves, so call before visiting.

How can I verify Karyn Regina Sande, PA-C's license?

NPPES lists Montana license number MED-PAC-LIC-35994, as entered by the provider. Search the Montana board that licenses this profession; the NPPES record confirms identity only.

How much does Karyn Regina Sande, PA-C prescribe under Medicare Part D?

In 2024, Karyn Regina Sande, PA-C had 1,506 Medicare Part D claims for 258 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.

What is Karyn Regina Sande, PA-C's MIPS final score?

The 2023 MIPS final score is 85.4 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.