2026 NPPES data Medical Physician Assistant NPI 1477655223 PA
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Michael Roos, PA

Medical Physician Assistant in Pahrump, Nevada.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 40,580 in Medical 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
2K
Medicare Part D claims · 723 beneficiaries · Medical Physician Assistant avg: 1K
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.9/100
▲ 12 pts above national avg 83.5 · Exceptional
Industry payments
$636.77
28 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Michael Roos, PA reported a CMS MIPS final score of 95.9/100 - above the 83.5 national average - and filed 1,780 Medicare Part D claims in 2023.

95.9/100
MIPS score · +12 vs avg
2K
Part D claims, 2023
95%
generic prescribing
$636.77
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.

Federal trust snapshot

What official records show about Michael Roos, PA

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 1477655223), first enumerated 09/02/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 1,780 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 95.9/100 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

  • Reported

    Industry payment transparency

    $636.77 in reported industry payments (28 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • 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 1477655223 · Medical Physician Assistant

NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-ELITE · RX-MID · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1477655223
  • ENUM-LEGACY 2006
  • TAX-MID 41K Medical Physician
  • MIPS-ELITE 95.9/100
  • RX-MID 1,780
  • BOOK-THIN 327 in Nevada
  • PHOTO-FINISH Adam Moscicki · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Michael Roos, PA'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.

96 ≥ 78th percentile 78% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. This provider 0 100 every measured MIPS clinician, bucketed by value

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 Michael Roos, PA sits

This provider among medical physician assistant peers

Across the 7,147 medical physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Michael Roos, PA writes more Part D claims than 84% of them and scores higher on MIPS quality than 83% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 57Michael Roos, PA, Part D claim volume, percentile in specialty: 84 · MIPS quality, percentile: 83
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one medical physician assistant peer from a representative sample of 60; the gold marker is Michael Roos, PA. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Michael Roos, PA?

High performer (top quartile)

NPI registry status

Active

Issued 09/02/2006

NPI 1477655223

Primary specialty

Medical Physician Assistant

Mid-sized

40,580 US NPIs in this specialty

Medicare Part D claims

1,780 65% vs specialty avg

2023 prescription claims

Specialty avg: 1,077

MIPS final score

95.9/100 12.4 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in Nevada

How Medical Physician Assistant compares to other specialties among Nevada providers

Nevada providers
Personal Care Attendant25.1%Behavior Technician6.3%Rehabilitation Practitioner5.6%Behavior Analyst4.7%Chore Provider4.5%Mental Health Counselor2.6%Medical Physician Assistant0.3%
Largest specialties in Nevada (% of in-state providers)

Medicare quality performance, MIPS

Michael Roos, PA's 2023 MIPS final score plotted against the Medical Physician Assistant national average

High performer (top quartile)
MIPS Final Score
95.9/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%95.9%
MIPS final score (Medical Physician Assistant) - 95.9/100 vs national avg 83.5
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

1420 E CALVADA BLVD STE 100
Pahrump, NV 89048

Provider Details

NPI 1477655223
Specialty Medical Physician Assistant
Credentials PA
Gender Male
NPI Issued 09/02/2006

CMS Quality Score (MIPS)

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

95.8507
Final Score
Measured-score avg: 83.5
98.1316
Quality
88.6603
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where Michael Roos, PA 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.

J H Daulat DO PC
Pahrump, NV

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 Michael Roos, PA. Source: openpaymentsdata.cms.gov.

Total received

$637

Largest payer

ABBVIE INC.

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 · Generic-heavy

Michael Roos, PA - brand share 5.0%
Medical Physician Assistant average

5% brand-name claims vs 95% generic, on 1,780 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.

1,780
Total Claims
$1.0M
Total Drug Cost
723
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,971
Total Day Supply
48,056
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$962K
Generic Drug Cost
$56K
Antibiotic Claims
185

Patient Demographics

Average Patient Age
74.0 years
Avg HCC Risk Score
1.34
Gender Split
49% female / 51% male
Age Distribution
<65: 57, 65-74: 316, 75-84: 279, 85+: 71

Top Prescribed Drugs (Medicare Part D)

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

What Michael Roos, PA prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Triamcinolone Acetonide
214
Ketoconazole
206
Mupirocin
198
Clobetasol Propionate
143
Betamethasone Dipropionate
127
Hydroxyzine Hcl
84
Ciclopirox
70
Cephalexin
62
Metronidazole
62
Doxycycline Hyclate
56

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

Medical Physician Assistant Overview

How Michael Roos, PA fits within the Medical Physician Assistant landscape nationally.

40,580
Medical Physician Assistant Providers in US
55
States with Medical Physician Assistant
1,077
Avg Claims per Provider

Michael Roos, PA's 1,780 claims are above the specialty average of 1,077.

Nationwide Medical Physician Assistant peers with similar MIPS or enrollment year

Two federal-record peer sets for Roos, both outside Nevada so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (95.9 here).

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Medical Physician Assistant Providers in Nevada

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

One of 327 Medical Physician Assistant providers enrolled in Nevada, 5 are shown here.

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

Frequently Asked Questions

What is Michael Roos, PA's specialty?
Michael Roos, PA specializes in Medical Physician Assistant and practices in Pahrump, Nevada. Credentials: PA.
How much does Michael Roos, PA prescribe under Medicare Part D?
In 2023, Michael Roos, PA wrote 1,780 Medicare Part D claims totaling $1.0M in drug costs for 723 beneficiaries.
What is Michael Roos, PA's Medicare quality score?
Michael Roos, PA has a CMS MIPS Final Score of 95.9/100 (Quality: 98.1, Cost: 88.7). 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 Michael Roos, PA located?
Michael Roos, PA is located at 1420 E CALVADA BLVD STE 100, Pahrump, NV, 89048. Phone: (775) 727-0900.
What is Michael Roos, PA's NPI number?
Michael Roos, PA's National Provider Identifier (NPI) is 1477655223, issued on 09/02/2006.
Does Michael Roos, PA prescribe more brand-name or generic drugs?
Michael Roos, PA's prescribing is 5% brand-name and 95% generic drugs by claim count, with $962K in brand drug costs.
How many Medical Physician Assistant providers are there in the US?
There are 40,580 Medical Physician Assistant providers across 55 states in the US. The average Medical Physician Assistant provider writes 1,077 Medicare Part D claims per year.
What drugs does Michael Roos, PA prescribe most often?
Based on 2023 Medicare Part D data, Michael Roos, PA's most frequently prescribed drugs include Triamcinolone Acetonide, Ketoconazole, Mupirocin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Michael Roos, PA accept Medicare?
Michael Roos, PA appears in CMS Medicare data with 1,780 Part D claims and 723 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Michael Roos, PA's credentials?
Michael Roos, PA's NPI is 1477655223 with credentials PA. 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.