2026 NPPES data Physician Assistant NPI 1235781675 PA-C
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MICHAEL ANDERSON, PA-C

Physician Assistant in NEWNAN, 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
259
Medicare Part D claims · 192 beneficiaries · Physician Assistant avg: 790
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
89.8928/100
▲ 7 pts above national avg 83.1 · [object Object]

What the federal data shows

MICHAEL ANDERSON, PA-C reported a CMS MIPS final score of 89.8928/100 — above the 83.1 national average — and filed 259 Medicare Part D claims in 2023.

89.8928/100
MIPS score · +7 vs avg
259
Part D claims, 2023
90%
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.

MICHAEL ANDERSON, 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

90 Top 42% higher than 58% 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 MICHAEL ANDERSON, PA-C?

High performer (top quartile)

NPI registry status

Active

Issued 07/16/2019

NPI 1235781675

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

259 67% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

89.8928/100 6.7928% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Physician Assistant compares to other specialties among Georgia providers

Georgia providers

Physician Assistant share within Georgia

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

Medicare quality performance — MIPS

MICHAEL ANDERSON, PA-C's 2023 MIPS final score plotted against the Physician Assistant national average

High performer (top quartile)
MIPS Final Score
89.8928/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 89.8928/100 vs national avg 83.1

0%100%National avg83%89.9%
MIPS final score (Physician Assistant) — 89.8928/100 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).

MICHAEL ANDERSON, PA-C is a Physician Assistant provider practicing in NEWNAN, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: PA-C. NPI: 1235781675. 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.

MICHAEL ANDERSON, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 1825 HIGHWAY 34 E, NEWNAN, GA, 30265, with a listed phone of (770) 502-2121. NPI 1235781675 was issued on 07/16/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ANDERSON 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 259 prescription claims written by this provider, covering 192 Medicare beneficiaries and totaling roughly $6K in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 5.0%. 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 89.8928/100 for the 2023 performance year (Quality 79.7855), 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

1825 HIGHWAY 34 E
NEWNAN, GA 30265

Provider Details

NPI 1235781675
Specialty Physician Assistant
Credentials PA-C
Gender Male
NPI Issued 07/16/2019

CMS Quality Score (MIPS)

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

89.8928
Final Score
Avg: 83.1
79.7855
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where MICHAEL ANDERSON, 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.

WELLSTREET OF GEORGIA PC
LAGRANGE, 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).

Brand vs generic prescribing mix · Typical

MICHAEL ANDERSON, PA-C — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 259 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.

259
Total Claims
$6K
Total Drug Cost
192
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
262
Total Day Supply
2,986
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$1K
Generic Drug Cost
$2K
Opioid Claims
13 (5.0% rate)
Antibiotic Claims
102

Patient Demographics

Average Patient Age
69.9 years
Avg HCC Risk Score
1.21
Gender Split
67% female / 33% 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
Doxycycline Hyclate
29
Lagevrio (Eua)
Molnupiravir
23
Amoxicillin
20
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
19
Albuterol Sulfate Hfa
Albuterol Sulfate
14

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

Physician Assistant Overview

How MICHAEL ANDERSON, PA-C fits within the Physician Assistant landscape nationally.

149,975
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider

MICHAEL ANDERSON, PA-C's 259 claims are below the specialty average of 790.

Nearby Physician Assistant Providers in Georgia

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

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

Frequently Asked Questions

What is MICHAEL ANDERSON, PA-C's specialty?
MICHAEL ANDERSON, PA-C specializes in Physician Assistant and practices in NEWNAN, Georgia. Credentials: PA-C.
How much does MICHAEL ANDERSON, PA-C prescribe under Medicare Part D?
In 2023, MICHAEL ANDERSON, PA-C wrote 259 Medicare Part D claims totaling $6K in drug costs for 192 beneficiaries.
What is MICHAEL ANDERSON, PA-C's Medicare quality score?
MICHAEL ANDERSON, PA-C has a CMS MIPS Final Score of 89.8928/100 (Quality: 79.7855). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MICHAEL ANDERSON, PA-C located?
MICHAEL ANDERSON, PA-C is located at 1825 HIGHWAY 34 E, NEWNAN, GA, 30265. Phone: (770) 502-2121.
What is MICHAEL ANDERSON, PA-C's NPI number?
MICHAEL ANDERSON, PA-C's National Provider Identifier (NPI) is 1235781675, issued on 07/16/2019.
Does MICHAEL ANDERSON, PA-C prescribe more brand-name or generic drugs?
MICHAEL ANDERSON, PA-C's prescribing is 10% brand-name and 90% generic drugs by claim count, with $1K in brand drug costs.
Does MICHAEL ANDERSON, PA-C prescribe opioids?
Yes, MICHAEL ANDERSON, PA-C had 13 opioid claims in 2023 with an opioid prescribing rate of 5.0%.
How many Physician Assistant providers are there in the US?
There are 149,975 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 MICHAEL ANDERSON, PA-C prescribe most often?
Based on 2023 Medicare Part D data, MICHAEL ANDERSON, PA-C's most frequently prescribed drugs include Doxycycline Hyclate, Lagevrio (Eua), Amoxicillin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MICHAEL ANDERSON, PA-C accept Medicare?
MICHAEL ANDERSON, PA-C appears in CMS Medicare data with 259 Part D claims and 192 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MICHAEL ANDERSON, PA-C's credentials?
MICHAEL ANDERSON, PA-C's NPI is 1235781675 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