Matthew Ptack, PA-C
Physician Assistant in Skokie, Illinois.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 156,084 in 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.
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Matthew Ptack, PA-C reported a CMS MIPS final score of 93.1/100 - above the 83.5 national average - and filed 541 Medicare Part D claims in 2024.
- 93.1/100
- MIPS score · +10 vs avg
- 541
- Part D claims, 2024
- 96%
- generic prescribing
- ≥69th
- pct among measured MIPS (lower-bound band)
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 Matthew Ptack, PA-C
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 1356880470), first enumerated 02/22/2017.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 541 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 93.1/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- State context
State board disciplinary context
Illinois statewide board action statistics are published annually — these figures describe aggregate state activity, not Matthew Ptack, PA-C's individual license status. Verify directly with the state medical board.
Source: IDFPR annual report 2023
- 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 1356880470 · Physician Assistant
NPI-10 · ENUM-RECENT · TAX-MEGA · MIPS-ABOVE · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1356880470
- ENUM-RECENT 2017
- TAX-MEGA 156K Physician Assistant
- MIPS-ABOVE 93.1/100
- RX-LIGHT 541
- BOOK-LIGHT 4,550 in Illinois
- PHOTO-FINISH Marie Vee Albarillo · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Ptack · this pro…
Ptack · this provider
93.1 MIPS pts
- Bhakti Dudani · …
Bhakti Dudani
93.1 MIPS pts
- Marie Vee Albari…
Marie Vee Albarillo
93.1 MIPS pts
- Victoria Anicheb…
Victoria Anichebe
93.1 MIPS pts
- Logan Barnes · n…
Logan Barnes
93.1 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Matthew Ptack, PA-C'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.
93 ≥ 69th percentile 69% 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 Matthew Ptack, PA-C sits
This provider among physician assistant peers
Across the 26,497 physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Matthew Ptack, PA-C writes more Part D claims than 71% of them and scores higher on MIPS quality than 69% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one physician assistant peer from a representative sample of 60; the gold marker is Matthew Ptack, PA-C. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Matthew Ptack, PA-C?
High performer (top quartile)Primary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Illinois
How Physician Assistant compares to other specialties among Illinois providers
Physician Assistant ranks #16 among Illinois's specialties (1.9% of in-state providers)
Each bar is a specialty's share of the Illinois provider total, by primary NUCC taxonomy. The highlighted bar is Physician Assistant; the long tail of smaller specialties is omitted for legibility.
Medicare quality performance, MIPS
Matthew Ptack, PA-C's 2023 MIPS final score plotted against the Physician Assistant national average
- MIPS Final Score
- 93.1/100
- vs 83.5 national avg · 2023 performance year
Quality benchmarks
- National MIPS avg 2023 measured reporting year
- Quality dim CMS Quality category
- Specialty volume Physician Assistant US NPIs
93.1/100 MIPS final score - 9.6 pts above the 83.5 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Physician Assistant. Quality dim: 80.8.
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 | 1356880470 |
|---|---|
| Specialty | Physician Assistant |
| Credentials | PA-C |
| Gender | Male |
| NPI Issued | 02/22/2017 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Matthew Ptack, PA-C's current license status, disciplinary history, and board certifications with the Illinois Department of Financial and Professional Regulation in Illinois before relying on this page for a clinical or care decision.
How we sourced this profile
Profile fields combine the CMS NPPES monthly snapshot (provider directory, taxonomy, and address) with calendar-year 2023 Medicare Part D and MIPS public-use files when records are present. NPI 1356880470 is the unique 10-digit identifier CMS uses to link Ptack across every Medicare, Medicaid, and HIPAA-covered transaction. Read full methodology →
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Matthew Ptack, 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).
License & disciplinary context - Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 - they are NOT specific to Matthew Ptack, PA-C. To verify Matthew Ptack, PA-C's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
4% brand-name claims vs 96% generic, on 541 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.
Prescribing Breakdown
- 30-Day Fills
- 553
- Total Day Supply
- 7,249
- Brand vs Generic
- 4% brand / 96% generic
- Brand Drug Cost
- $7K
- Generic Drug Cost
- $8K
- Opioid Claims
- 150 (27.7% rate)
- Antibiotic Claims
- 23
Patient Demographics
- Average Patient Age
- 74.5 years
- Avg HCC Risk Score
- 0.98
- Gender Split
- 68% female / 32% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Matthew Ptack, PA-C prescribes most
Top Medicare Part D drugs by claim count, 2024
- Oxycodone Hcl
Oxycodone Hcl
80 claims
- Naloxone Hcl
Naloxone Hcl
72 claims
- Celecoxib
Celecoxib
56 claims
- Ondansetron Hcl
Ondansetron Hcl
56 claims
- Pantoprazole Sodium
Pantoprazole Sodium
54 claims
- Gabapentin
Gabapentin
43 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
37 claims
- Cefadroxil 16
Cefadroxil
16 claims
| Drug | Claims |
|---|---|
| Oxycodone Hcl | 80 |
| Naloxone Hcl | 72 |
| Celecoxib | 56 |
| Ondansetron Hcl | 56 |
| Pantoprazole Sodium | 54 |
| Gabapentin | 43 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 37 |
| Cefadroxil | 16 |
| Enoxaparin Sodium | 16 |
| Tramadol Hcl | 16 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Physician Assistant Overview
How Matthew Ptack, PA-C fits within the Physician Assistant landscape nationally.
Matthew Ptack, PA-C's 541 claims are below the specialty average of 832.
Nationwide Physician Assistant peers with similar MIPS or enrollment year
Two federal-record peer sets for Ptack, both outside Illinois so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (93.1 here).
Same NPPES enumeration year (2017)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Physician Assistant Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Ptack.
One of 4,550 Physician Assistant providers enrolled in Illinois, 5 are shown here.
Compare Physician Assistant nationally: see state-by-state distribution →
Frequently Asked Questions
What is Matthew Ptack, PA-C's specialty? ▼
How much does Matthew Ptack, PA-C prescribe under Medicare Part D? ▼
What is Matthew Ptack, PA-C's Medicare quality score? ▼
Where is Matthew Ptack, PA-C located? ▼
What is Matthew Ptack, PA-C's NPI number? ▼
Does Matthew Ptack, PA-C prescribe more brand-name or generic drugs? ▼
Does Matthew Ptack, PA-C prescribe opioids? ▼
How many Physician Assistant providers are there in the US? ▼
What drugs does Matthew Ptack, PA-C prescribe most often? ▼
Does Matthew Ptack, PA-C accept Medicare? ▼
How can I verify Matthew Ptack, PA-C's credentials? ▼
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.
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