2026 NPPES data Medical Physician Assistant NPI 1225104052 PAC
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LIBBIE LAPP, PAC

Medical Physician Assistant in KALISPELL, Montana. 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
588
Medicare Part D claims · 193 beneficiaries · Medical Physician Assistant avg: 1K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84.3194/100
▲ 1 pts above national avg 83.1 · [object Object]
Industry payments
$348.64
18 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: LIBBIE LAPP, PAC is a Medical Physician Assistant ([object Object]) practicing in KALISPELL, Montana with a Medicare Part D prescribing footprint of 588 claims across 193 beneficiaries — 12% brand-name prescribing . Their CMS MIPS Final Score of 84.3194/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $348.64 across 18 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: LIBBIE LAPP, PAC reported a CMS MIPS final score of 84.3194 out of 100, above the 83.1 national average, and filed 588 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

LIBBIE LAPP, PAC at a glance

Near national average

NPI registry status

Active

Issued 11/24/2006

NPI 1225104052

Primary specialty

Medical Physician Assistant

Mid-sized

40,527 US NPIs in this specialty

Medicare Part D claims

588 45% vs specialty avg

2023 prescription claims

Specialty avg: 1,077

MIPS final score

84.3194/100 1.2194000000000074% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Montana

How Medical Physician Assistant compares to other specialties among Montana providers

Montana providers

Medical Physician Assistant share within Montana

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

Medicare quality performance — MIPS

LIBBIE LAPP, PAC's 2023 MIPS final score plotted against the Medical Physician Assistant national average

Near national average
MIPS Final Score
84.3194/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Medical Physician Assistant) — 84.3194/100 vs national avg 83.1

0%100%National avg83%84.3%
MIPS final score (Medical Physician Assistant) — 84.3194/100 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).

LIBBIE LAPP, PAC is a Medical Physician Assistant provider practicing in KALISPELL, Montana, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: PAC. NPI: 1225104052. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

LIBBIE LAPP, PAC appears in the CMS NPPES registry as a Medical Physician Assistant provider holding PAC credentials at 175 COMMONS LOOP, KALISPELL, MT, 59901, with a listed phone of (406) 756-7555. NPI 1225104052 was issued on 11/24/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LAPP 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 588 prescription claims written by this provider, covering 193 Medicare beneficiaries and totaling roughly $405K in drug spend, split 12% brand-name and 88% generic by claim count. 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 84.3194/100 for the 2023 performance year (Quality 88.5718, Cost 62.969), 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

175 COMMONS LOOP
KALISPELL, MT 59901

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
Avg: 83.1
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 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 588 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.

588
Total Claims
$405K
Total Drug Cost
193
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
703
Total Day Supply
18,924
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$389K
Generic Drug Cost
$16K
Antibiotic Claims
56

Patient Demographics

Average Patient Age
72.2 years
Avg HCC Risk Score
0.89
Gender Split
52% female / 48% male
Age Distribution
<65: 22, 65-74: 108, 75-84: 45, 85+: 18

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Ketoconazole
92
Triamcinolone Acetonide
76
Clobetasol Propionate
66
Doxycycline Hyclate
31
Clindamycin Phosphate
29
Prednisone
19
Valacyclovir
Valacyclovir Hcl
19
Fluconazole
18
Metronidazole
17
Hydrocortisone
16

* 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.

40,527
Medical Physician Assistant Providers in US
55
States with Medical Physician Assistant
1,077
Avg Claims per Provider

LIBBIE LAPP, PAC's 588 claims are below the specialty average of 1,077.

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.

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 2023, LIBBIE LAPP, PAC wrote 588 Medicare Part D claims totaling $405K in drug costs for 193 beneficiaries.
What is LIBBIE LAPP, PAC's Medicare quality score?
LIBBIE LAPP, PAC has a CMS MIPS Final Score of 84.3194/100 (Quality: 88.5718, Cost: 62.969). The national average MIPS Final Score is 83.1. 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 12% brand-name and 88% generic drugs by claim count, with $389K 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 LIBBIE LAPP, PAC prescribe most often?
Based on 2023 Medicare Part D data, LIBBIE LAPP, PAC's most frequently prescribed drugs include Ketoconazole, Triamcinolone Acetonide, Clobetasol Propionate. 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 588 Part D claims and 193 Medicare beneficiaries in 2023. 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

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