NPI registry status
Active
2026 NPPES data Medical Physician Assistant NPI 1508010513 PAC
Verify on CMS → Kyra Downing, PAC
Medical Physician Assistant in Bear, Delaware.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 40,527 in Medical 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
951
Medicare Part D claims · 176 beneficiaries · Medical Physician Assistant avg: 1K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
62/100
▼ 21 pts below national avg 83.1 · Mid-tier
Industry payments
$31.28
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Kyra Downing, PAC reported a CMS MIPS final score of 62/100 - below the 83.1 national average - and filed 951 Medicare Part D claims in 2023.
- 62/100
- MIPS score · -21 vs avg
- 951
- Part D claims, 2023
- 90%
- generic prescribing
- $31.28
- 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.
Kyra Downing, PAC's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
62 6th percentile higher than 6% of 477,587 scored providers
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 Kyra Downing, PAC sits
This provider among medical physician assistant peers
Across the 7,339 medical physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Kyra Downing, PAC writes more Part D claims than 73% of them and scores higher on MIPS quality than 4% - placing this provider in the high-volume, lower-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
Each dot is one medical physician assistant peer from a representative sample of 60; the gold marker is Kyra Downing, PAC. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Kyra Downing, PAC?
Below national averagePrimary specialty
Medical Physician Assistant
Medicare Part D claims
951 12% vs specialty avg
MIPS final score
62/100 21.1 pts vs avg
Specialty distribution in Delaware
How Medical Physician Assistant compares to other specialties among Delaware providers
Medicare quality performance, MIPS
Kyra Downing, PAC's 2023 MIPS final score plotted against the Medical Physician Assistant national average
- MIPS Final Score
- 62/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Medical Physician Assistant) - 62/100 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).
Kyra Downing, PAC appears in the CMS NPPES registry as a Medical Physician Assistant provider holding PAC credentials at 121 BECKS WOODS DR, Bear, DE, 19701, with a listed phone of (302) 261-5600. NPI 1508010513 was issued on 11/05/2008.
Medicare Part D records for calendar year 2023 show 951 prescription claims written by this provider, covering 176 Medicare beneficiaries and totaling roughly $71K in drug spend, split 10% brand-name and 90% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 62/100 for the 2023 performance year (Quality 81), compared with the national average of 83.1.
Medical Physician Assistant is a mid-sized specialty nationwide, with 40,527 enrolled providers across 55 states and an average of 1,077 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
Provider Details
| NPI | 1508010513 |
|---|---|
| Specialty | Medical Physician Assistant |
| Credentials | PAC |
| Gender | Female |
| NPI Issued | 11/05/2008 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
62.0217
Final Score
Avg: 83.1
81.0323
Quality
0
Promoting Interoperability
Reporting: Alternative Payment Model
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 Kyra Downing, PAC. Source: openpaymentsdata.cms.gov.
Total received
$31
Largest payer
ABBVIE INC.
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 · Typical
Kyra Downing, PAC - brand share 10.0%
Medical Physician Assistant average
10% brand-name claims vs 90% generic, on 951 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.
951
Total Claims
$71K
Total Drug Cost
176
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,387
- Total Day Supply
- 70,375
- Brand vs Generic
- 10% brand / 90% generic
- Brand Drug Cost
- $53K
- Generic Drug Cost
- $18K
- Antibiotic Claims
- 14
Patient Demographics
- Average Patient Age
- 70.8 years
- Avg HCC Risk Score
- 1.08
- Gender Split
- 64% female / 36% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Kyra Downing, PAC prescribes most
Top Medicare Part D drugs by claim count, 2023
- Amlodipine Besylate
Amlodipine Besylate
69 claims
- Atorvastatin Calcium
Atorvastatin Calcium
64 claims
- Lisinopril
Lisinopril
48 claims
- Rosuvastatin Calcium
Rosuvastatin Calcium
43 claims
- Levothyroxine Sodium
Levothyroxine Sodium
39 claims
- Omeprazole
Omeprazole
36 claims
- Pravastatin Sodium
Pravastatin Sodium
35 claims
- Losartan Potassium
Losartan Potassium
31 claims
| Drug | Claims |
|---|---|
| Amlodipine Besylate | 69 |
| Atorvastatin Calcium | 64 |
| Lisinopril | 48 |
| Rosuvastatin Calcium | 43 |
| Levothyroxine Sodium | 39 |
| Omeprazole | 36 |
| Pravastatin Sodium | 35 |
| Losartan Potassium | 31 |
| Metformin Hcl | 28 |
| Hydrochlorothiazide | 23 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Medical Physician Assistant Overview
How Kyra Downing, PAC fits within the Medical Physician Assistant landscape nationally.
40,527
Medical Physician Assistant Providers in US
55
States with Medical Physician Assistant
1,077
Avg Claims per Provider
Kyra Downing, PAC's 951 claims are below the specialty average of 1,077.
Nearby Medical Physician Assistant Providers in Delaware
Other clinicians with the same primary specialty enrolled in Delaware, drawn from the same CMS NPPES roster as Downing.
Dr. Melissa Aiken
PA-C
Newark, DE
Dr. Justin Allen
PA-C
Seaford, DE
Dr. Victoria Atchison
PAC
Newark, DE
Jessica Badger
Wilmington, DE
Dr. Vidya Balkishun
PA-C
Rehoboth Beach, DE
Compare Medical 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 Delaware medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Medical 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.
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Frequently Asked Questions
What is Kyra Downing, PAC's specialty? ▼
Kyra Downing, PAC specializes in Medical Physician Assistant and practices in Bear, Delaware. Credentials: PAC.
How much does Kyra Downing, PAC prescribe under Medicare Part D? ▼
In 2023, Kyra Downing, PAC wrote 951 Medicare Part D claims totaling $71K in drug costs for 176 beneficiaries.
What is Kyra Downing, PAC's Medicare quality score? ▼
Kyra Downing, PAC has a CMS MIPS Final Score of 62/100 (Quality: 81). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Kyra Downing, PAC located? ▼
Kyra Downing, PAC is located at 121 BECKS WOODS DR, Bear, DE, 19701. Phone: (302) 261-5600.
What is Kyra Downing, PAC's NPI number? ▼
Kyra Downing, PAC's National Provider Identifier (NPI) is 1508010513, issued on 11/05/2008.
Does Kyra Downing, PAC prescribe more brand-name or generic drugs? ▼
Kyra Downing, PAC's prescribing is 10% brand-name and 90% generic drugs by claim count, with $53K in brand drug costs.
How many Medical Physician Assistant providers are there in the US? ▼
There are 40,527 Medical Physician Assistant providers across 55 states in the US. The average Medical Physician Assistant provider writes 1,077 Medicare Part D claims per year.
What drugs does Kyra Downing, PAC prescribe most often? ▼
Based on 2023 Medicare Part D data, Kyra Downing, PAC's most frequently prescribed drugs include Amlodipine Besylate, Atorvastatin Calcium, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kyra Downing, PAC accept Medicare? ▼
Kyra Downing, PAC appears in CMS Medicare data with 951 Part D claims and 176 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kyra Downing, PAC's credentials? ▼
Kyra Downing, PAC's NPI is 1508010513 with credentials PAC. 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.