NPI registry status
Active
2026 NPPES data Surgical Physician Assistant NPI 1275113235
Verify on CMS → Kelsey Marshall
Surgical Physician Assistant in Madison, Wisconsin.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,380 in Surgical Physician Assistant, 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
124
Medicare Part D claims · 63 beneficiaries · Surgical Physician Assistant avg: 341
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.4/100
▼ 6 pts below national avg 83.5 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Kelsey Marshall reported a CMS MIPS final score of 77.4/100 - below the 83.5 national average - and filed 124 Medicare Part D claims in 2024.
- 77.4/100
- MIPS score · -6 vs avg
- 124
- Part D claims, 2024
- 85%
- generic prescribing
- ≥20th
- pct among measured MIPS (lower-bound band)
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.
Federal trust snapshot
What official records show about Kelsey Marshall
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1275113235), first enumerated 04/13/2021.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 124 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 77.4/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1275113235 · Surgical Physician Assistant
NPI-10 · ENUM-RECENT · TAX-MID · MIPS-BELOW · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1275113235
- ENUM-RECENT 2021
- TAX-MID 16K Surgical Physician
- MIPS-BELOW 77.4/100
- RX-LIGHT 124
- BOOK-THIN 288 in Wisconsin
- PHOTO-FINISH Mahgen Kruse, PA-C · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Marshall · this …
Marshall · this provider
77.4 MIPS pts
- Mahgen Kruse, PA…
Mahgen Kruse, PA-C
77.4 MIPS pts
- Edward Leblanc, …
Edward Leblanc, PA-C
77.4 MIPS pts
- Dena Mahre, PAC …
Dena Mahre, PAC
77.5 MIPS pts
- Josephine Parker…
Josephine Parker, PA
77.5 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Kelsey Marshall's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
77 ≥ 20th percentile 20% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Kelsey Marshall sits
This provider among surgical physician assistant peers
Across the 3,657 surgical physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Kelsey Marshall writes more Part D claims than 46% of them and scores higher on MIPS quality than 19% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one surgical physician assistant peer from a representative sample of 60; the gold marker is Kelsey Marshall. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Kelsey Marshall?
Below national averagePrimary specialty
Surgical Physician Assistant
Medicare Part D claims
124 64% vs specialty avg
MIPS final score
77.4/100 6.1 pts vs avg
Specialty distribution in Wisconsin
How Surgical Physician Assistant compares to other specialties among Wisconsin providers
Medicare quality performance, MIPS
Kelsey Marshall's 2023 MIPS final score plotted against the Surgical Physician Assistant national average
- MIPS Final Score
- 77.4/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
Provider Details
| NPI | 1275113235 |
|---|---|
| Specialty | Surgical Physician Assistant |
| Gender | Female |
| NPI Issued | 04/13/2021 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
77.4384
Final Score
Measured-score avg: 83.5
81.8371
Quality
62.1241
Cost
77
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Kelsey Marshall 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.
University OF Wisconsin Medical Foundation Inc
Madison, WI
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
Kelsey Marshall - brand share 15.0%
Surgical Physician Assistant average
15% brand-name claims vs 85% generic, on 124 2024 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 2024.
124
Total Claims
$1K
Total Drug Cost
63
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 131
- Total Day Supply
- 2,759
- Brand vs Generic
- 15% brand / 85% generic
- Brand Drug Cost
- $177
- Generic Drug Cost
- $1K
- Opioid Claims
- 12 (9.7% rate)
Patient Demographics
- Average Patient Age
- 68.7 years
- Avg HCC Risk Score
- 3.25
- Gender Split
- 51% female / 49% male
- Age Distribution
- <65: 18, 65-74: 23, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Kelsey Marshall prescribes most
Top Medicare Part D drugs by claim count, 2024
- Gabapentin
Gabapentin
21 claims
- Mupirocin
Mupirocin
21 claims
- Triamcinolone Acet…
Triamcinolone Acetonide
15 claims
- Oxycodone Hcl
Oxycodone Hcl
11 claims
| Drug | Claims |
|---|---|
| Gabapentin | 21 |
| Mupirocin | 21 |
| Triamcinolone Acetonide | 15 |
| Oxycodone Hcl | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Surgical Physician Assistant Overview
How Kelsey Marshall fits within the Surgical Physician Assistant landscape nationally.
16,380
Surgical Physician Assistant Providers in US
54
States with Surgical Physician Assistant
341
Avg Claims per Provider
Kelsey Marshall's 124 claims are below the specialty average of 341.
Nationwide Surgical Physician Assistant peers with similar MIPS or enrollment year
Two federal-record peer sets for Marshall, both outside Wisconsin so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (77.4 here).
Same NPPES enumeration year (2021)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Surgical Physician Assistant Providers in Wisconsin
Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as Marshall.
One of 288 Surgical Physician Assistant providers enrolled in Wisconsin, 5 are shown here.
Brad Allar
PA
Eau Claire, WI
Alexis Austin
PAC
Madison, WI
Leah Baldwin
PA
La Crosse, WI
Elani Balis
PA-C
Madison, WI
Elyssa Barrow
PA-C
Green Bay, WI
Compare Surgical Physician Assistant nationally: see state-by-state distribution →
Frequently Asked Questions
What is Kelsey Marshall's specialty? ▼
Kelsey Marshall specializes in Surgical Physician Assistant and practices in Madison, Wisconsin.
How much does Kelsey Marshall prescribe under Medicare Part D? ▼
In 2024, Kelsey Marshall wrote 124 Medicare Part D claims totaling $1K in drug costs for 63 beneficiaries.
What is Kelsey Marshall's Medicare quality score? ▼
Kelsey Marshall has a CMS MIPS Final Score of 77.4/100 (Quality: 81.8, Cost: 62.1). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Kelsey Marshall located? ▼
Kelsey Marshall is located at 600 HIGHLAND AVE, Madison, WI, 53792. Phone: (608) 264-8040.
What is Kelsey Marshall's NPI number? ▼
Kelsey Marshall's National Provider Identifier (NPI) is 1275113235, issued on 04/13/2021.
Does Kelsey Marshall prescribe more brand-name or generic drugs? ▼
Kelsey Marshall's prescribing is 15% brand-name and 85% generic drugs by claim count, with $177 in brand drug costs.
Does Kelsey Marshall prescribe opioids? ▼
Yes, Kelsey Marshall had 12 opioid claims in 2024 with an opioid prescribing rate of 9.7%.
How many Surgical Physician Assistant providers are there in the US? ▼
There are 16,380 Surgical Physician Assistant providers across 54 states in the US. The average Surgical Physician Assistant provider writes 341 Medicare Part D claims per year.
What drugs does Kelsey Marshall prescribe most often? ▼
Based on 2024 Medicare Part D data, Kelsey Marshall's most frequently prescribed drugs include Gabapentin, Mupirocin, Triamcinolone Acetonide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kelsey Marshall accept Medicare? ▼
Kelsey Marshall appears in CMS Medicare data with 124 Part D claims and 63 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kelsey Marshall's credentials? ▼
Kelsey Marshall's NPI is 1275113235. 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 (2024). 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 August 2026 (NPPES) / 2024 (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
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 August 2026.