2026 NPPES data Surgical Physician Assistant NPI 1265493803 PA-C
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MARY POWELL, PA-C

Surgical Physician Assistant in CINCINNATI, Ohio. 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
416
Medicare Part D claims · 127 beneficiaries · Surgical Physician Assistant avg: 316
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
81.2532/100
▼ 2 pts below national avg 83.1 · [object Object]
Industry payments
$33.15
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MARY POWELL, PA-C reported a CMS MIPS final score of 81.2532/100 — below the 83.1 national average — and filed 416 Medicare Part D claims in 2023.

81.2532/100
MIPS score · -2 vs avg
416
Part D claims, 2023
81%
generic prescribing
$33.15
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.

MARY POWELL, 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

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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 MARY POWELL, PA-C?

Near national average

NPI registry status

Active

Issued 03/31/2006

NPI 1265493803

Primary specialty

Surgical Physician Assistant

Mid-sized

16,119 US NPIs in this specialty

Medicare Part D claims

416 32% vs specialty avg

2023 prescription claims

Specialty avg: 316

MIPS final score

81.2532/100 1.8467999999999876% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Ohio

How Surgical Physician Assistant compares to other specialties among Ohio providers

Ohio providers

Surgical Physician Assistant share within Ohio

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

Medicare quality performance — MIPS

MARY POWELL, PA-C's 2023 MIPS final score plotted against the Surgical Physician Assistant national average

Near national average
MIPS Final Score
81.2532/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgical Physician Assistant) — 81.2532/100 vs national avg 83.1

0%100%National avg83%81.3%
MIPS final score (Surgical Physician Assistant) — 81.2532/100 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).

MARY POWELL, PA-C is a Surgical Physician Assistant provider practicing in CINCINNATI, Ohio, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: PA-C. NPI: 1265493803. 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.

MARY POWELL, PA-C appears in the CMS NPPES registry as a Surgical Physician Assistant provider holding PA-C credentials at 222 PIEDMONT AVE, CINCINNATI, OH, 45219, with a listed phone of (513) 475-8787. NPI 1265493803 was issued on 03/31/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what POWELL 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 416 prescription claims written by this provider, covering 127 Medicare beneficiaries and totaling roughly $46K in drug spend, split 19% brand-name and 81% 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 81.2532/100 for the 2023 performance year (Quality 79.9314, Cost 57.5791), compared with the national average of 83.1.

Surgical Physician Assistant is a mid-sized specialty nationwide, with 16,119 enrolled providers across 54 states and an average of 316 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

222 PIEDMONT AVE
CINCINNATI, OH 45219

Provider Details

NPI 1265493803
Specialty Surgical Physician Assistant
Credentials PA-C
Gender Female
NPI Issued 03/31/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

81.2532
Final Score
Avg: 83.1
79.9314
Quality
57.5791
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MARY POWELL, 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.

THE CHRIST HOSPITAL CARDIOVASCULAR ASSOCIATES LLC
CINCINNATI, OH

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 MARY POWELL, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$33

Largest payer

AstraZeneca Pharmaceuticals LP

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.

License & disciplinary context — Ohio OMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~48K Ohio medical licensees in 2023 — they are NOT specific to MARY POWELL, PA-C. To verify MARY POWELL, PA-C's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

MARY POWELL, PA-C — brand share 19.0%
Specialty average (est.)

19% brand-name claims vs 81% generic, on 416 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.

416
Total Claims
$46K
Total Drug Cost
127
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
531
Total Day Supply
14,891
Brand vs Generic
19% brand / 81% generic
Brand Drug Cost
$41K
Generic Drug Cost
$5K

Patient Demographics

Average Patient Age
73.4 years
Avg HCC Risk Score
2.10
Gender Split
47% female / 53% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Metoprolol Succinate
39
Clopidogrel
Clopidogrel Bisulfate
28
Furosemide
20
Pantoprazole Sodium
20
Amiodarone Hcl
18
Amlodipine Besylate
18
Eliquis
Apixaban
18
Atorvastatin Calcium
17
Ranolazine Er
Ranolazine
16
Entresto
Sacubitril/Valsartan
15

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Surgical Physician Assistant Overview

How MARY POWELL, PA-C fits within the Surgical Physician Assistant landscape nationally.

16,119
Surgical Physician Assistant Providers in US
54
States with Surgical Physician Assistant
316
Avg Claims per Provider

MARY POWELL, PA-C's 416 claims are above the specialty average of 316.

Nearby Surgical Physician Assistant Providers in Ohio

Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as POWELL.

Compare Surgical Physician Assistant nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARY POWELL, PA-C's specialty?
MARY POWELL, PA-C specializes in Surgical Physician Assistant and practices in CINCINNATI, Ohio. Credentials: PA-C.
How much does MARY POWELL, PA-C prescribe under Medicare Part D?
In 2023, MARY POWELL, PA-C wrote 416 Medicare Part D claims totaling $46K in drug costs for 127 beneficiaries.
What is MARY POWELL, PA-C's Medicare quality score?
MARY POWELL, PA-C has a CMS MIPS Final Score of 81.2532/100 (Quality: 79.9314, Cost: 57.5791). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARY POWELL, PA-C located?
MARY POWELL, PA-C is located at 222 PIEDMONT AVE, CINCINNATI, OH, 45219. Phone: (513) 475-8787.
What is MARY POWELL, PA-C's NPI number?
MARY POWELL, PA-C's National Provider Identifier (NPI) is 1265493803, issued on 03/31/2006.
Does MARY POWELL, PA-C prescribe more brand-name or generic drugs?
MARY POWELL, PA-C's prescribing is 19% brand-name and 81% generic drugs by claim count, with $41K in brand drug costs.
How many Surgical Physician Assistant providers are there in the US?
There are 16,119 Surgical Physician Assistant providers across 54 states in the US. The average Surgical Physician Assistant provider writes 316 Medicare Part D claims per year.
What drugs does MARY POWELL, PA-C prescribe most often?
Based on 2023 Medicare Part D data, MARY POWELL, PA-C's most frequently prescribed drugs include Metoprolol Succinate, Clopidogrel, Furosemide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARY POWELL, PA-C accept Medicare?
MARY POWELL, PA-C appears in CMS Medicare data with 416 Part D claims and 127 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARY POWELL, PA-C's credentials?
MARY POWELL, PA-C's NPI is 1265493803 with credentials PA-C. 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