2026 NPPES data Orthopaedic Surgery Physician NPI 1528381647 PA
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Kathryn Fischer, PA

Orthopaedic Surgery Physician in Saint Louis, Missouri.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 25,775 in Orthopaedic Surgery Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
150
Medicare Part D claims · 76 beneficiaries · Orthopaedic Surgery Physician avg: 324
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
93.3/100
▲ 10 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Kathryn Fischer, PA reported a CMS MIPS final score of 93.3/100 - above the 83.1 national average - and filed 150 Medicare Part D claims in 2023.

93.3/100
MIPS score · +10 vs avg
150
Part D claims, 2023
83%
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.

Kathryn Fischer, PA's MIPS score vs every scored U.S. clinician

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

93 Top 29% higher than 71% 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%). Below this entry. 90+: 189,403 scored providers (40%). This entry sits in this band. 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

Where Kathryn Fischer, PA sits

This provider among orthopaedic surgery physician peers

Across the 8,194 orthopaedic surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Kathryn Fischer, PA writes more Part D claims than 35% of them and scores higher on MIPS quality than 82% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 37Kathryn Fischer, PA-Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 82
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one orthopaedic surgery physician peer from a representative sample of 60; the gold marker is Kathryn Fischer, PA. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Kathryn Fischer, PA practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - 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 Kathryn Fischer, PA?

High performer (top quartile)

NPI registry status

Active

Issued 03/03/2010

NPI 1528381647

Primary specialty

Orthopaedic Surgery Physician

Mid-sized

25,775 US NPIs in this specialty

Medicare Part D claims

150 54% vs specialty avg

2023 prescription claims

Specialty avg: 324

MIPS final score

93.3/100 10.2 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Missouri

How Orthopaedic Surgery Physician compares to other specialties among Missouri providers

Missouri providers
Pharmacist - 4.8%Pharmacist4.8%Professional Counselor - 4.8%Professional Counselor4.8%Speech-Language Pathologist - 4.5%Speech-Language Pathologist4.5%Clinical Social Worker - 4.5%Clinical Social Worker4.5%Family Nurse Practitioner - 4.3%Family Nurse Practitioner4.3%Physical Therapist - 4%Physical Therapist4%Orthopaedic Surgery Physician - 0.5%Orthopaedic Surgery Physician0.5%
Largest specialties in Missouri (% of in-state providers)

Medicare quality performance, MIPS

Kathryn Fischer, PA's 2023 MIPS final score plotted against the Orthopaedic Surgery Physician national average

High performer (top quartile)
MIPS Final Score
93.3/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Surgery Physician) - 93.3/100 vs national avg 83.1

0%100%National avg83%93.3%
MIPS final score (Orthopaedic Surgery Physician) - 93.3/100 vs national avg 83.1
How MIPS and board certification work

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).

Kathryn Fischer, PA appears in the CMS NPPES registry as an Orthopaedic Surgery Physician provider holding PA credentials at 4921 PARKVIEW PL, Saint Louis, MO, 63110, with a listed phone of (314) 747-2500. NPI 1528381647 was issued on 03/03/2010.

Medicare Part D records for calendar year 2023 show 150 prescription claims written by this provider, covering 76 Medicare beneficiaries and totaling roughly $10K in drug spend, split 17% brand-name and 83% generic by claim count, with an opioid prescribing rate of 36.7%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 93.3/100 for the 2023 performance year (Quality 81.7), compared with the national average of 83.1.

Orthopaedic Surgery Physician is a mid-sized specialty nationwide, with 25,775 enrolled providers across 56 states and an average of 324 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

4921 PARKVIEW PL
Saint Louis, MO 63110

Provider Details

NPI 1528381647
Specialty Orthopaedic Surgery Physician
Credentials PA
Gender Female
NPI Issued 03/03/2010

CMS Quality Score (MIPS)

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

93.2757
Final Score
Avg: 83.1
81.7219
Quality
78.0315
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Kathryn Fischer, 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.

Northeast Medical Group Inc
Milford, CT

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Typical

Kathryn Fischer, PA - brand share 17.0%
Orthopaedic Surgery Physician average

17% brand-name claims vs 83% generic, on 150 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.

150
Total Claims
$10K
Total Drug Cost
76
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
150
Total Day Supply
1,452
Brand vs Generic
17% brand / 83% generic
Brand Drug Cost
$8K
Generic Drug Cost
$2K
Opioid Claims
55 (36.7% rate)
Antibiotic Claims
31

Patient Demographics

Average Patient Age
74.0 years
Avg HCC Risk Score
0.93
Gender Split
67% female / 33% male

Top Prescribed Drugs (Medicare Part D)

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

What Kathryn Fischer, 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
Oxycodone Hcl
43
Celecoxib
31
Cefadroxil
17
Eliquis
Apixaban
15

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

Orthopaedic Surgery Physician Overview

How Kathryn Fischer, PA fits within the Orthopaedic Surgery Physician landscape nationally.

25,775
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
324
Avg Claims per Provider

Kathryn Fischer, PA's 150 claims are below the specialty average of 324.

Nearby Orthopaedic Surgery Physician Providers in Missouri

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

Compare Orthopaedic Surgery Physician 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 Missouri medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Orthopaedic Surgery Physician 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 Kathryn Fischer, PA's specialty?
Kathryn Fischer, PA specializes in Orthopaedic Surgery Physician and practices in Saint Louis, Missouri. Credentials: PA.
How much does Kathryn Fischer, PA prescribe under Medicare Part D?
In 2023, Kathryn Fischer, PA wrote 150 Medicare Part D claims totaling $10K in drug costs for 76 beneficiaries.
What is Kathryn Fischer, PA's Medicare quality score?
Kathryn Fischer, PA has a CMS MIPS Final Score of 93.3/100 (Quality: 81.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Kathryn Fischer, PA located?
Kathryn Fischer, PA is located at 4921 PARKVIEW PL, Saint Louis, MO, 63110. Phone: (314) 747-2500.
What is Kathryn Fischer, PA's NPI number?
Kathryn Fischer, PA's National Provider Identifier (NPI) is 1528381647, issued on 03/03/2010.
Does Kathryn Fischer, PA prescribe more brand-name or generic drugs?
Kathryn Fischer, PA's prescribing is 17% brand-name and 83% generic drugs by claim count, with $8K in brand drug costs.
Does Kathryn Fischer, PA prescribe opioids?
Yes, Kathryn Fischer, PA had 55 opioid claims in 2023 with an opioid prescribing rate of 36.7%.
How many Orthopaedic Surgery Physician providers are there in the US?
There are 25,775 Orthopaedic Surgery Physician providers across 56 states in the US. The average Orthopaedic Surgery Physician provider writes 324 Medicare Part D claims per year.
What drugs does Kathryn Fischer, PA prescribe most often?
Based on 2023 Medicare Part D data, Kathryn Fischer, PA's most frequently prescribed drugs include Oxycodone Hcl, Celecoxib, Cefadroxil. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kathryn Fischer, PA accept Medicare?
Kathryn Fischer, PA appears in CMS Medicare data with 150 Part D claims and 76 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kathryn Fischer, PA's credentials?
Kathryn Fischer, PA's NPI is 1528381647 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

View source datasets and methodology notes
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

Compiled from official public sources by the PlainDoctor editorial team.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.