MARCELLA MCGUFFIN, PA-C
Medical Physician Assistant in ASHLAND, Kentucky. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
MARCELLA MCGUFFIN, PA-C reported a CMS MIPS final score of 82.9435/100 — below the 83.1 national average — and filed 3,302 Medicare Part D claims in 2023.
- 82.9435/100
- MIPS score · 0 vs avg
- 3K
- Part D claims, 2023
- 59%
- generic prescribing
- $1.4K
- 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.
MARCELLA MCGUFFIN, 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
83 39th percentile higher than 39% 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
What does the federal data show about MARCELLA MCGUFFIN, PA-C?
Near national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Kentucky
How Medical Physician Assistant compares to other specialties among Kentucky providers
Medical Physician Assistant share within Kentucky
Medical Physician Assistant is one of the more visible NUCC categories in Kentucky
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
MARCELLA MCGUFFIN, PA-C's 2023 MIPS final score plotted against the Medical Physician Assistant national average
- MIPS Final Score
- 82.9435/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Medical Physician Assistant) — 82.9435/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Medical Physician Assistant US NPIs
82.9435/100 MIPS final score — 0.2 pts below the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Medical Physician Assistant. Quality dim: 70.0105. Cost dim: 65.5754.
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).
MARCELLA MCGUFFIN, PA-C appears in the CMS NPPES registry as a Medical Physician Assistant provider holding PA-C credentials at 2930 CARTER AVE, ASHLAND, KY, 41101, with a listed phone of (606) 326-9441. NPI 1891747432 was issued on 05/16/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MCGUFFIN 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 3,302 prescription claims written by this provider, covering 513 Medicare beneficiaries and totaling roughly $1.5 million in drug spend, split 41% brand-name and 59% 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 82.9435/100 for the 2023 performance year (Quality 70.0105, Cost 65.5754), 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 | 1891747432 |
|---|---|
| Specialty | Medical Physician Assistant |
| Credentials | PA-C |
| Gender | Female |
| NPI Issued | 05/16/2006 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm MARCELLA MCGUFFIN, PA-C's current license status, disciplinary history, and board certifications with the Kentucky Board of Medical Licensure in Kentucky before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Group practice
Hospital and facility affiliations
Facilities where MARCELLA MCGUFFIN, PA-C 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.
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
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 MARCELLA MCGUFFIN, PA-C. Source: openpaymentsdata.cms.gov.
Total received
$1.4K
Largest payer
Novo Nordisk 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 · Above average
41% brand-name claims vs 59% generic, on 3,302 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.
Prescribing Breakdown
- 30-Day Fills
- 7,670
- Total Day Supply
- 227,613
- Brand vs Generic
- 41% brand / 59% generic
- Brand Drug Cost
- $1.5M
- Generic Drug Cost
- $47K
- Antibiotic Claims
- 12
Patient Demographics
- Average Patient Age
- 70.5 years
- Avg HCC Risk Score
- 1.56
- Gender Split
- 65% female / 35% male
- Age Distribution
- <65: 93, 65-74: 244, 75-84: 153, 85+: 23
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What MARCELLA MCGUFFIN, PA-C prescribes most
Top Medicare Part D drugs by claim count, 2023
- Levothyroxine Sodium
Levothyroxine Sodium
439 claims
- Pioglitazone Hcl
Pioglitazone Hcl
233 claims
- Ozempic 173
Ozempic
173 claims
- Metformin Hcl Er 166
Metformin Hcl Er
166 claims
- Synthroid 156
Synthroid
156 claims
- Atorvastatin Calcium 119
Atorvastatin Calcium
119 claims
- Rosuvastatin Calcium 114
Rosuvastatin Calcium
114 claims
- Lisinopril 95
Lisinopril
95 claims
| Drug | Claims |
|---|---|
| Levothyroxine Sodium | 439 |
| Pioglitazone Hcl | 233 |
| Ozempic Semaglutide | 173 |
| Metformin Hcl Er Metformin Hcl | 166 |
| Synthroid Levothyroxine Sodium | 156 |
| Atorvastatin Calcium | 119 |
| Rosuvastatin Calcium | 114 |
| Lisinopril | 95 |
| Trulicity Dulaglutide | 92 |
| Farxiga Dapagliflozin Propanediol | 81 |
* 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 MARCELLA MCGUFFIN, PA-C fits within the Medical Physician Assistant landscape nationally.
MARCELLA MCGUFFIN, PA-C's 3,302 claims are above the specialty average of 1,077.
Nearby Medical Physician Assistant Providers in Kentucky
Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as MCGUFFIN.
Compare Medical Physician Assistant nationally: see state-by-state distribution →
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Frequently Asked Questions
What is MARCELLA MCGUFFIN, PA-C's specialty? ▼
How much does MARCELLA MCGUFFIN, PA-C prescribe under Medicare Part D? ▼
What is MARCELLA MCGUFFIN, PA-C's Medicare quality score? ▼
Where is MARCELLA MCGUFFIN, PA-C located? ▼
What is MARCELLA MCGUFFIN, PA-C's NPI number? ▼
Does MARCELLA MCGUFFIN, PA-C prescribe more brand-name or generic drugs? ▼
How many Medical Physician Assistant providers are there in the US? ▼
What drugs does MARCELLA MCGUFFIN, PA-C prescribe most often? ▼
Does MARCELLA MCGUFFIN, PA-C accept Medicare? ▼
How can I verify MARCELLA MCGUFFIN, PA-C's credentials? ▼
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