2026 NPPES data Surgical Physician Assistant NPI 1235856899 PA-C
Verify on CMS →

MEGAN CAUDELL, PA-C

Surgical Physician Assistant in DECATUR, Georgia. 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
185
Medicare Part D claims · 100 beneficiaries · Surgical Physician Assistant avg: 316
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$92.2
3 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MEGAN CAUDELL, PA-C is a Surgical Physician Assistant ([object Object]) practicing in DECATUR, Georgia with a Medicare Part D prescribing footprint of 185 claims across 100 beneficiaries — 15% brand-name prescribing . Industry payments of $92.2 across 3 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MEGAN CAUDELL, PA-C filed 185 Medicare Part D claims in 2023 across DECATUR, Georgia. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

MEGAN CAUDELL, PA-C at a glance

Quality data not reported

NPI registry status

Active

Issued 10/25/2022

NPI 1235856899

Primary specialty

Surgical Physician Assistant

Mid-sized

16,119 US NPIs in this specialty

Medicare Part D claims

185 41% vs specialty avg

2023 prescription claims

Specialty avg: 316

Specialty distribution in Georgia

How Surgical Physician Assistant compares to other specialties among Georgia providers

Georgia providers

Surgical Physician Assistant share within Georgia

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

Specialty board-certification context

Estimated specialty board-certified rate — Surgical Physician Assistant (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Surgical Physician Assistant ABMS/AOA estimate

Est. board-certified rate (Surgical Physician Assistant) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Surgical Physician Assistant) — ABMS / AOA estimate

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).

MEGAN CAUDELL, PA-C is a Surgical Physician Assistant provider practicing in DECATUR, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: PA-C. NPI: 1235856899. 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.

MEGAN CAUDELL, PA-C appears in the CMS NPPES registry as a Surgical Physician Assistant provider holding PA-C credentials at 2675 N DECATUR RD STE 512, DECATUR, GA, 30033, with a listed phone of (404) 501-2930. NPI 1235856899 was issued on 10/25/2022. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CAUDELL 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 185 prescription claims written by this provider, covering 100 Medicare beneficiaries and totaling roughly $26K in drug spend, split 15% brand-name and 85% generic by claim count, with an opioid prescribing rate of 35.1%. 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.

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

2675 N DECATUR RD STE 512
DECATUR, GA 30033

Provider Details

NPI 1235856899
Specialty Surgical Physician Assistant
Credentials PA-C
Gender Female
NPI Issued 10/25/2022

Hospital and facility affiliations

Facilities where MEGAN CAUDELL, 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 EMORY CLINIC INC
ATLANTA, GA

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 MEGAN CAUDELL, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$92

Largest payer

Aroa Biosurgery Incorporated

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

MEGAN CAUDELL, PA-C — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 185 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.

185
Total Claims
$26K
Total Drug Cost
100
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
247
Total Day Supply
5,049
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$24K
Generic Drug Cost
$2K
Opioid Claims
65 (35.1% rate)
Antibiotic Claims
29

Patient Demographics

Average Patient Age
69.3 years
Avg HCC Risk Score
4.85
Gender Split
55% female / 45% 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
Acetaminophen-Codeine
Acetaminophen With Codeine
53
Clopidogrel
Clopidogrel Bisulfate
27
Clindamycin Hcl
21
Cilostazol
18
Eliquis
Apixaban
13
Xarelto
Rivaroxaban
13
Tramadol Hcl
12

* 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 MEGAN CAUDELL, 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

MEGAN CAUDELL, PA-C's 185 claims are below the specialty average of 316.

Nearby Surgical Physician Assistant Providers in Georgia

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

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

Frequently Asked Questions

What is MEGAN CAUDELL, PA-C's specialty?
MEGAN CAUDELL, PA-C specializes in Surgical Physician Assistant and practices in DECATUR, Georgia. Credentials: PA-C.
How much does MEGAN CAUDELL, PA-C prescribe under Medicare Part D?
In 2023, MEGAN CAUDELL, PA-C wrote 185 Medicare Part D claims totaling $26K in drug costs for 100 beneficiaries.
Where is MEGAN CAUDELL, PA-C located?
MEGAN CAUDELL, PA-C is located at 2675 N DECATUR RD STE 512, DECATUR, GA, 30033. Phone: (404) 501-2930.
What is MEGAN CAUDELL, PA-C's NPI number?
MEGAN CAUDELL, PA-C's National Provider Identifier (NPI) is 1235856899, issued on 10/25/2022.
Does MEGAN CAUDELL, PA-C prescribe more brand-name or generic drugs?
MEGAN CAUDELL, PA-C's prescribing is 15% brand-name and 85% generic drugs by claim count, with $24K in brand drug costs.
Does MEGAN CAUDELL, PA-C prescribe opioids?
Yes, MEGAN CAUDELL, PA-C had 65 opioid claims in 2023 with an opioid prescribing rate of 35.1%.
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 MEGAN CAUDELL, PA-C prescribe most often?
Based on 2023 Medicare Part D data, MEGAN CAUDELL, PA-C's most frequently prescribed drugs include Acetaminophen-Codeine, Clopidogrel, Clindamycin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MEGAN CAUDELL, PA-C accept Medicare?
MEGAN CAUDELL, PA-C appears in CMS Medicare data with 185 Part D claims and 100 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MEGAN CAUDELL, PA-C's credentials?
MEGAN CAUDELL, PA-C's NPI is 1235856899 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.
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