NPI registry status
Active
2026 NPPES data Medical Physician Assistant NPI 1225104052 PAC
Verify on CMS → Libbie Lapp, PAC
Medical Physician Assistant in Kalispell, Montana.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 40,694 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
558
Medicare Part D claims · 183 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
84.3/100
▲ 1 pts above national avg 83.5 · Above neutral
Industry payments
$348.64
18 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Libbie Lapp, PAC reported a CMS MIPS final score of 84.3/100 - above the 83.5 national average - and filed 558 Medicare Part D claims in 2024.
- 84.3/100
- MIPS score · +1 vs avg
- 558
- Part D claims, 2024
- 90%
- generic prescribing
- $348.64
- 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.
Federal trust snapshot
What official records show about Libbie Lapp, PAC
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 1225104052), first enumerated 11/24/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 558 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 84.3/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Industry payment transparency
$348.64 in reported industry payments (18 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- 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 1225104052 · Medical Physician Assistant
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-INLINE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1225104052
- ENUM-LEGACY 2006
- TAX-MID 41K Medical Physician
- MIPS-INLINE 84.3/100
- RX-LIGHT 558
- BOOK-THIN 206 in Montana
- PHOTO-FINISH Mark Arrigenna, PA-C · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Lapp · this prov…
Lapp · this provider
84.3 MIPS pts
- Earnest Kepler, …
Earnest Kepler, PA-C
84.3 MIPS pts
- Caitlin Fryklund…
Caitlin Fryklund, PA-C
84.3 MIPS pts
- Kalina Skillings…
Kalina Skillingstad, PA-C
84.3 MIPS pts
- Mark Arrigenna, …
Mark Arrigenna, PA-C
84.3 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Libbie Lapp, PAC'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.
84 ≥ 42nd percentile 42% 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 Libbie Lapp, PAC sits
This provider among medical physician assistant peers
Across the 7,147 medical physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Libbie Lapp, PAC writes more Part D claims than 62% of them and scores higher on MIPS quality than 42% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one medical physician assistant peer from a representative sample of 60; the gold marker is Libbie Lapp, PAC. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Libbie Lapp, PAC?
Near national averagePrimary specialty
Medical Physician Assistant
Medicare Part D claims
558 51% vs specialty avg
MIPS final score
84.3/100 0.8 pts vs avg
Specialty distribution in Montana
How Medical Physician Assistant compares to other specialties among Montana providers
Medicare quality performance, MIPS
Libbie Lapp, PAC's 2023 MIPS final score plotted against the Medical Physician Assistant national average
- MIPS Final Score
- 84.3/100
- 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 | 1225104052 |
|---|---|
| Specialty | Medical Physician Assistant |
| Credentials | PAC |
| Gender | Female |
| NPI Issued | 11/24/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
84.3194
Final Score
Measured-score avg: 83.5
88.5718
Quality
62.969
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 Libbie Lapp, PAC. Source: openpaymentsdata.cms.gov.
Total received
$349
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
Libbie Lapp, PAC - brand share 10.0%
Medical Physician Assistant average
10% brand-name claims vs 90% generic, on 558 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.
558
Total Claims
$310K
Total Drug Cost
183
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 661.667
- Total Day Supply
- 18,176
- Brand vs Generic
- 10% brand / 90% generic
- Brand Drug Cost
- $299K
- Generic Drug Cost
- $11K
- Antibiotic Claims
- 54
Patient Demographics
- Average Patient Age
- 73.5 years
- Avg HCC Risk Score
- 0.94
- Gender Split
- 54% female / 46% male
- Age Distribution
- <65: 18, 65-74: 94, 75-84: 52, 85+: 19
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Libbie Lapp, PAC prescribes most
Top Medicare Part D drugs by claim count, 2024
- Triamcinolone Acet…
Triamcinolone Acetonide
86 claims
- Clobetasol Propion…
Clobetasol Propionate
80 claims
- Ketoconazole
Ketoconazole
73 claims
- Doxycycline Hyclate
Doxycycline Hyclate
37 claims
- Clindamycin Phosph… 30
Clindamycin Phosphate
30 claims
- Otezla 28
Otezla
28 claims
- Valacyclovir 20
Valacyclovir
20 claims
- Metronidazole 19
Metronidazole
19 claims
| Drug | Claims |
|---|---|
| Triamcinolone Acetonide | 86 |
| Clobetasol Propionate | 80 |
| Ketoconazole | 73 |
| Doxycycline Hyclate | 37 |
| Clindamycin Phosphate | 30 |
| Otezla Apremilast | 28 |
| Valacyclovir Valacyclovir Hcl | 20 |
| Metronidazole | 19 |
| Prednisone | 19 |
| Hydrocortisone | 18 |
* 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 Libbie Lapp, PAC fits within the Medical Physician Assistant landscape nationally.
40,694
Medical Physician Assistant Providers in US
55
States with Medical Physician Assistant
1,139
Avg Claims per Provider
Libbie Lapp, PAC's 558 claims are below the specialty average of 1,139.
Nationwide Medical Physician Assistant peers with similar MIPS or enrollment year
Two federal-record peer sets for Lapp, both outside Montana so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (84.3 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Medical Physician Assistant Providers in Montana
Other clinicians with the same primary specialty enrolled in Montana, drawn from the same CMS NPPES roster as Lapp.
One of 206 Medical Physician Assistant providers enrolled in Montana, 5 are shown here.
Sarah Adsit
PA-C
Bozeman, MT
Jamie Aleba
PA
Great Falls, MT
Robert Alexander
PA-C
Malmstrom Afb, MT
Sarah Alke
PA-C
Bozeman, MT
Keri Allmacher
PA-C
Missoula, MT
Compare Medical Physician Assistant nationally: see state-by-state distribution →
Frequently Asked Questions
What is Libbie Lapp, PAC's specialty? ▼
Libbie Lapp, PAC specializes in Medical Physician Assistant and practices in Kalispell, Montana. Credentials: PAC.
How much does Libbie Lapp, PAC prescribe under Medicare Part D? ▼
In 2024, Libbie Lapp, PAC wrote 558 Medicare Part D claims totaling $310K in drug costs for 183 beneficiaries.
What is Libbie Lapp, PAC's Medicare quality score? ▼
Libbie Lapp, PAC has a CMS MIPS Final Score of 84.3/100 (Quality: 88.6, Cost: 63). 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 Libbie Lapp, PAC located? ▼
Libbie Lapp, PAC is located at 175 COMMONS LOOP, Kalispell, MT, 59901. Phone: (406) 756-7555.
What is Libbie Lapp, PAC's NPI number? ▼
Libbie Lapp, PAC's National Provider Identifier (NPI) is 1225104052, issued on 11/24/2006.
Does Libbie Lapp, PAC prescribe more brand-name or generic drugs? ▼
Libbie Lapp, PAC's prescribing is 10% brand-name and 90% generic drugs by claim count, with $299K in brand drug costs.
How many Medical Physician Assistant providers are there in the US? ▼
There are 40,694 Medical Physician Assistant providers across 55 states in the US. The average Medical Physician Assistant provider writes 1,139 Medicare Part D claims per year.
What drugs does Libbie Lapp, PAC prescribe most often? ▼
Based on 2024 Medicare Part D data, Libbie Lapp, PAC's most frequently prescribed drugs include Triamcinolone Acetonide, Clobetasol Propionate, Ketoconazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Libbie Lapp, PAC accept Medicare? ▼
Libbie Lapp, PAC appears in CMS Medicare data with 558 Part D claims and 183 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Libbie Lapp, PAC's credentials? ▼
Libbie Lapp, PAC's NPI is 1225104052 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 (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.