MARIA GMEHLIN, PA-C
Physician Assistant in MEQUON, Wisconsin. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
MARIA GMEHLIN, PA-C reported a CMS MIPS final score of 81.4809/100 — below the 83.1 national average — and filed 425 Medicare Part D claims in 2023.
- 81.4809/100
- MIPS score · -2 vs avg
- 425
- Part D claims, 2023
- 79%
- generic prescribing
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.
MARIA GMEHLIN, 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
81 36th percentile higher than 36% 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 MARIA GMEHLIN, PA-C?
Near national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Wisconsin
How Physician Assistant compares to other specialties among Wisconsin providers
Physician Assistant share within Wisconsin
Physician Assistant is one of the more visible NUCC categories in Wisconsin
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
MARIA GMEHLIN, PA-C's 2023 MIPS final score plotted against the Physician Assistant national average
- MIPS Final Score
- 81.4809/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Physician Assistant) — 81.4809/100 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 Physician Assistant US NPIs
81.4809/100 MIPS final score — 1.6 pts below the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Physician Assistant. Quality dim: 88.3951. Cost dim: 49.8746.
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).
MARIA GMEHLIN, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 13133 N PORT WASHINGTON RD STE G16, MEQUON, WI, 53097, with a listed phone of (262) 243-2500. NPI 1457011249 was issued on 12/21/2021. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GMEHLIN 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 425 prescription claims written by this provider, covering 128 Medicare beneficiaries and totaling roughly $120K in drug spend, split 21% brand-name and 79% 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 81.4809/100 for the 2023 performance year (Quality 88.3951, Cost 49.8746), 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
Provider Details
| NPI | 1457011249 |
|---|---|
| Specialty | Physician Assistant |
| Credentials | PA-C |
| Gender | Female |
| NPI Issued | 12/21/2021 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm MARIA GMEHLIN, PA-C's current license status, disciplinary history, and board certifications with the Wisconsin Department of Safety and Professional Services in Wisconsin 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 MARIA GMEHLIN, 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).
Brand vs generic prescribing mix · Typical
21% brand-name claims vs 79% generic, on 425 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
- 905
- Total Day Supply
- 26,658
- Brand vs Generic
- 21% brand / 79% generic
- Brand Drug Cost
- $98K
- Generic Drug Cost
- $22K
Patient Demographics
- Average Patient Age
- 71.3 years
- Avg HCC Risk Score
- 1.70
- Gender Split
- 50% female / 50% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What MARIA GMEHLIN, PA-C prescribes most
Top Medicare Part D drugs by claim count, 2023
- Omeprazole
Omeprazole
90 claims
- Pantoprazole Sodium
Pantoprazole Sodium
81 claims
- Famotidine 32
Famotidine
32 claims
- Linzess 29
Linzess
29 claims
- Esomeprazole Magne… 20
Esomeprazole Magnesium
20 claims
- Creon 16
Creon
16 claims
- Cholestyramine 15
Cholestyramine
15 claims
- Zenpep 13
Zenpep
13 claims
| Drug | Claims |
|---|---|
| Omeprazole | 90 |
| Pantoprazole Sodium | 81 |
| Famotidine | 32 |
| Linzess Linaclotide | 29 |
| Esomeprazole Magnesium | 20 |
| Creon Lipase/Protease/Amylase | 16 |
| Cholestyramine Cholestyramine (With Sugar) | 15 |
| Zenpep Lipase/Protease/Amylase | 13 |
| Dexlansoprazole Dr Dexlansoprazole | 11 |
| Dicyclomine 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 MARIA GMEHLIN, PA-C fits within the Physician Assistant landscape nationally.
MARIA GMEHLIN, PA-C's 425 claims are below the specialty average of 790.
Nearby Physician Assistant Providers in Wisconsin
Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as GMEHLIN.
Compare Physician Assistant nationally: see state-by-state distribution →
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Frequently Asked Questions
What is MARIA GMEHLIN, PA-C's specialty? ▼
How much does MARIA GMEHLIN, PA-C prescribe under Medicare Part D? ▼
What is MARIA GMEHLIN, PA-C's Medicare quality score? ▼
Where is MARIA GMEHLIN, PA-C located? ▼
What is MARIA GMEHLIN, PA-C's NPI number? ▼
Does MARIA GMEHLIN, PA-C prescribe more brand-name or generic drugs? ▼
How many Physician Assistant providers are there in the US? ▼
What drugs does MARIA GMEHLIN, PA-C prescribe most often? ▼
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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