2026 NPPES data Physician Assistant NPI 1619535366 PA-C
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Kyle Koelker, PA-C

Physician Assistant in Sunnyvale, Texas. 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
113
Medicare Part D claims · 44 beneficiaries · Physician Assistant avg: 790
MIPS score
7.8/100
▼ 75 pts below national avg 83.1 · [object Object]
Industry payments
$37.44
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Kyle Koelker, PA-C reported a CMS MIPS final score of 7.8/100 — below the 83.1 national average — and filed 113 Medicare Part D claims in 2023.

7.8/100
MIPS score · -75 vs avg
113
Part D claims, 2023
$37.44
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.

Kyle Koelker, PA-C's MIPS score vs every scored U.S. clinician

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

8 2nd percentile higher than 2% of 477,587 scored providers

0–10: 8,684 scored providers (2%). This entry sits in this band. 10–20: 3,008 scored providers (1%). Above this entry. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 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 Kyle Koelker, PA-C?

Below national average

NPI registry status

Active

Issued 05/29/2019

NPI 1619535366

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

113 86% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

7.8/100 75.3 pts vs avg

Penalty band band

vs 83.1 national avg

Specialty distribution in Texas

How Physician Assistant compares to other specialties among Texas providers

Texas providers

Physician Assistant share within Texas

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

Medicare quality performance — MIPS

Kyle Koelker, PA-C's 2023 MIPS final score plotted against the Physician Assistant national average

Below national average
MIPS Final Score
7.8/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 7.8/100 vs national avg 83.1

0%100%National avg83%7.8%
MIPS final score (Physician Assistant) — 7.8/100 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).

Kyle Koelker, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 222 S COLLINS RD STE 101, Sunnyvale, TX, 75182, with a listed phone of (512) 519-1254. NPI 1619535366 was issued on 05/29/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Koelker 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 113 prescription claims written by this provider, covering 44 Medicare beneficiaries and totaling roughly $1K in drug spend, with an opioid prescribing rate of 11.5%. 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 7.8/100 for the 2023 performance year (Quality 0, Cost 25.9), 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

222 S COLLINS RD STE 101
Sunnyvale, TX 75182

Provider Details

NPI 1619535366
Specialty Physician Assistant
Credentials PA-C
Gender Male
NPI Issued 05/29/2019

CMS Quality Score (MIPS)

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

7.7773
Final Score
Avg: 83.1
0
Quality
25.9243
Cost

Reporting: Group practice

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 Kyle Koelker, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$37

Largest payer

Bioventus 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.

License & disciplinary context — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to Kyle Koelker, PA-C. To verify Kyle Koelker, PA-C's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas 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.

113
Total Claims
$1K
Total Drug Cost
44
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
113
Total Day Supply
1,021
Generic Drug Cost
$923
Opioid Claims
13 (11.5% rate)
Antibiotic Claims
36

Patient Demographics

Average Patient Age
74.1 years
Avg HCC Risk Score
1.08
Gender Split
59% female / 41% male

Top Prescribed Drugs (Medicare Part D)

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

What Kyle Koelker, PA-C 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
Doxycycline Hyclate
24
Cyclobenzaprine Hcl
22
Gabapentin
17
Dexamethasone
11
Tramadol Hcl
11

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

Physician Assistant Overview

How Kyle Koelker, PA-C fits within the Physician Assistant landscape nationally.

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

Kyle Koelker, PA-C's 113 claims are below the specialty average of 790.

Nearby Physician Assistant Providers in Texas

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

Compare Physician 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 Texas medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Physician 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 Kyle Koelker, PA-C's specialty?
Kyle Koelker, PA-C specializes in Physician Assistant and practices in Sunnyvale, Texas. Credentials: PA-C.
How much does Kyle Koelker, PA-C prescribe under Medicare Part D?
In 2023, Kyle Koelker, PA-C wrote 113 Medicare Part D claims totaling $1K in drug costs for 44 beneficiaries.
What is Kyle Koelker, PA-C's Medicare quality score?
Kyle Koelker, PA-C has a CMS MIPS Final Score of 7.8/100 (Quality: 0, Cost: 25.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Kyle Koelker, PA-C located?
Kyle Koelker, PA-C is located at 222 S COLLINS RD STE 101, Sunnyvale, TX, 75182. Phone: (512) 519-1254.
What is Kyle Koelker, PA-C's NPI number?
Kyle Koelker, PA-C's National Provider Identifier (NPI) is 1619535366, issued on 05/29/2019.
Does Kyle Koelker, PA-C prescribe opioids?
Yes, Kyle Koelker, PA-C had 13 opioid claims in 2023 with an opioid prescribing rate of 11.5%.
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 Kyle Koelker, PA-C prescribe most often?
Based on 2023 Medicare Part D data, Kyle Koelker, PA-C's most frequently prescribed drugs include Doxycycline Hyclate, Cyclobenzaprine Hcl, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kyle Koelker, PA-C accept Medicare?
Kyle Koelker, PA-C appears in CMS Medicare data with 113 Part D claims and 44 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kyle Koelker, PA-C's credentials?
Kyle Koelker, PA-C's NPI is 1619535366 with credentials PA-C. 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