NPI registry status
Active
2026 NPPES data Physician Assistant NPI 1316533128 PA-C
Verify on CMS → Megan Zimmer, PA-C
Physician Assistant in Erie, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 150,974 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.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
382
Medicare Part D claims · 233 beneficiaries · Physician Assistant avg: 790
MIPS score
96.6/100
▲ 13 pts above national avg 83.5 · Exceptional
Industry payments
$391.57
5 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Megan Zimmer, PA-C reported a CMS MIPS final score of 96.6/100 - above the 83.5 national average - and filed 382 Medicare Part D claims in 2023.
- 96.6/100
- MIPS score · +13 vs avg
- 382
- Part D claims, 2023
- $391.57
- industry payments (Sunshine Act)
- ≥82nd
- 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.
CMS NPPES provider registry desk
NPI 1316533128 · Physician Assistant
NPI-10 · ENUM-RECENT · TAX-MEGA · MIPS-ELITE · RX-LIGHT · BOOK-MID · PHOTO-FINISH
- NPI-10 1316533128
- ENUM-RECENT 2020
- TAX-MEGA 151K Physician Assistant
- MIPS-ELITE 96.6/100
- RX-LIGHT 382
- BOOK-MID 7,614 in Pennsylvania
- PHOTO-FINISH Rachel Beebe · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Zimmer · this pr…
Zimmer · this provider
96.6 MIPS pts
- Savannah Clark ·…
Savannah Clark
96.6 MIPS pts
- Jessica Watson ·…
Jessica Watson
96.6 MIPS pts
- Rachel Beebe · n…
Rachel Beebe
96.6 MIPS pts
- Kelsey Bell · near
Kelsey Bell
96.6 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Megan Zimmer, 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.
97 ≥ 82nd percentile 82% 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 Megan Zimmer, 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, Megan Zimmer, PA-C writes more Part D claims than 63% of them and scores higher on MIPS quality than 85% - 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 Megan Zimmer, 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 Megan Zimmer, PA-C?
High performer (top quartile)Primary specialty
Physician Assistant
Medicare Part D claims
382 52% vs specialty avg
MIPS final score
96.6/100 13.1 pts vs avg
Specialty distribution in Pennsylvania
How Physician Assistant compares to other specialties among Pennsylvania providers
Medicare quality performance, MIPS
Megan Zimmer, PA-C's 2023 MIPS final score plotted against the Physician Assistant national average
- MIPS Final Score
- 96.6/100
- vs 83.5 national avg · 2023 performance year
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 | 1316533128 |
|---|---|
| Specialty | Physician Assistant |
| Credentials | PA-C |
| Gender | Female |
| NPI Issued | 12/15/2020 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
96.566
Final Score
Measured-score avg: 83.5
95.96
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Megan Zimmer, 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.
Keystone Rehabilitation Systems Inc
Erie, PA
St Vincent Medical Education And Research Institute Inc
Albion, PA
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 Zimmer, PA-C. Source: openpaymentsdata.cms.gov.
Total received
$392
Largest payer
Bioventus LLC
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 - Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Megan Zimmer, PA-C. To verify Megan Zimmer, PA-C's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
382
Total Claims
$8K
Total Drug Cost
233
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 400
- Total Day Supply
- 6,294
- Generic Drug Cost
- $3K
- Opioid Claims
- 83 (21.7% rate)
- Antibiotic Claims
- 63
Patient Demographics
- Average Patient Age
- 71.2 years
- Avg HCC Risk Score
- 1.13
- Gender Split
- 63% female / 37% male
- Age Distribution
- <65: 30, 65-74: 127, 75-84: 64, 85+: 12
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Megan Zimmer, PA-C prescribes most
Top Medicare Part D drugs by claim count, 2023
- Mupirocin
Mupirocin
64 claims
- Meloxicam
Meloxicam
61 claims
- Amoxicillin
Amoxicillin
36 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
31 claims
- Celecoxib
Celecoxib
28 claims
- Oxycodone Hcl 25
Oxycodone Hcl
25 claims
- Tramadol Hcl 25
Tramadol Hcl
25 claims
- Tamsulosin Hcl 23
Tamsulosin Hcl
23 claims
| Drug | Claims |
|---|---|
| Mupirocin | 64 |
| Meloxicam | 61 |
| Amoxicillin | 36 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 31 |
| Celecoxib | 28 |
| Oxycodone Hcl | 25 |
| Tramadol Hcl | 25 |
| Tamsulosin Hcl | 23 |
| Prednisone | 16 |
| Cephalexin | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Physician Assistant Overview
How Megan Zimmer, PA-C fits within the Physician Assistant landscape nationally.
150,974
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider
Megan Zimmer, PA-C's 382 claims are below the specialty average of 790.
Nationwide Physician Assistant peers with similar MIPS or enrollment year
Two federal-record peer sets for Zimmer, both outside Pennsylvania so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (96.6 here).
Same NPPES enumeration year (2020)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Physician Assistant Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Zimmer.
One of 7,614 Physician Assistant providers enrolled in Pennsylvania, 5 are shown here.
Matthew Abad
Lansdowne, PA
Dr. Ariane Abadi
PA-C
Philadelphia, PA
Dr. Rama Abbireddy
PA
Bethlehem, PA
Dr. Marianne Abdalah
PA
Sewickley, PA
Dr. Safiyya Abdul-Ghani
PA
Oaks, PA
Compare Physician Assistant nationally: see state-by-state distribution →
Frequently Asked Questions
What is Megan Zimmer, PA-C's specialty? ▼
Megan Zimmer, PA-C specializes in Physician Assistant and practices in Erie, Pennsylvania. Credentials: PA-C.
How much does Megan Zimmer, PA-C prescribe under Medicare Part D? ▼
In 2023, Megan Zimmer, PA-C wrote 382 Medicare Part D claims totaling $8K in drug costs for 233 beneficiaries.
What is Megan Zimmer, PA-C's Medicare quality score? ▼
Megan Zimmer, PA-C has a CMS MIPS Final Score of 96.6/100. The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Megan Zimmer, PA-C located? ▼
Megan Zimmer, PA-C is located at 2315 MYRTLE ST STE L10, Erie, PA, 16502. Phone: (148) 454-2401.
What is Megan Zimmer, PA-C's NPI number? ▼
Megan Zimmer, PA-C's National Provider Identifier (NPI) is 1316533128, issued on 12/15/2020.
Does Megan Zimmer, PA-C prescribe opioids? ▼
Yes, Megan Zimmer, PA-C had 83 opioid claims in 2023 with an opioid prescribing rate of 21.7%.
How many Physician Assistant providers are there in the US? ▼
There are 150,974 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 790 Medicare Part D claims per year.
What drugs does Megan Zimmer, PA-C prescribe most often? ▼
Based on 2023 Medicare Part D data, Megan Zimmer, PA-C's most frequently prescribed drugs include Mupirocin, Meloxicam, Amoxicillin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Megan Zimmer, PA-C accept Medicare? ▼
Megan Zimmer, PA-C appears in CMS Medicare data with 382 Part D claims and 233 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Megan Zimmer, PA-C's credentials? ▼
Megan Zimmer, PA-C's NPI is 1316533128 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
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 (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
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 May 2026.