2026 NPPES data Physician Assistant NPI 1104563204 PA
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MIRANDA NYGAARD, PA

Physician Assistant in WATERTOWN, South Dakota. 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
469
Medicare Part D claims · 246 beneficiaries · Physician Assistant avg: 790
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$540.61
32 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MIRANDA NYGAARD, PA filed 469 Medicare Part D claims in 2023 as a Physician Assistant in WATERTOWN, South Dakota, prescribing 94% generic.

469
Part D claims, 2023
94%
generic prescribing
$540.61
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.

MIRANDA NYGAARD, PA's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

469 Top 38% higher than 62% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). This entry sits in this band. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about MIRANDA NYGAARD, PA?

Quality data not reported

NPI registry status

Active

Issued 05/19/2022

NPI 1104563204

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

469 41% vs specialty avg

2023 prescription claims

Specialty avg: 790

Specialty distribution in South Dakota

How Physician Assistant compares to other specialties among South Dakota providers

South Dakota providers

Physician Assistant share within South Dakota

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

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (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).

MIRANDA NYGAARD, PA appears in the CMS NPPES registry as a Physician Assistant provider holding PA credentials at 511 14TH AVE NE, WATERTOWN, SD, 57201, with a listed phone of (605) 886-8482. NPI 1104563204 was issued on 05/19/2022. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what NYGAARD 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 469 prescription claims written by this provider, covering 246 Medicare beneficiaries and totaling roughly $10K in drug spend, split 6% brand-name and 94% generic by claim count, with an opioid prescribing rate of 3.0%. 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.

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

511 14TH AVE NE
WATERTOWN, SD 57201

Provider Details

NPI 1104563204
Specialty Physician Assistant
Credentials PA
Gender Female
NPI Issued 05/19/2022

Hospital and facility affiliations

Facilities where MIRANDA NYGAARD, 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.

PRAIRIE LAKES HEALTH CARE SYSTEM INC
WATERTOWN, SD
RURAL HEALTH CARE INC
WORTHINGTON, MN

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 MIRANDA NYGAARD, PA. Source: openpaymentsdata.cms.gov.

Total received

$541

Largest payer

Lilly USA, 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.

Brand vs generic prescribing mix · Generic-heavy

MIRANDA NYGAARD, PA — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 469 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.

469
Total Claims
$10K
Total Drug Cost
246
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
563
Total Day Supply
10,058
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$5K
Generic Drug Cost
$5K
Opioid Claims
14 (3.0% rate)
Antibiotic Claims
162

Patient Demographics

Average Patient Age
73.3 years
Avg HCC Risk Score
1.01
Gender Split
57% female / 43% male
Age Distribution
<65: 27, 65-74: 109, 75-84: 74, 85+: 36

Top Prescribed Drugs (Medicare Part D)

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

What MIRANDA NYGAARD, 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
Doxycycline Hyclate
37
Prednisone
34
Ciprofloxacin Hcl
30
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
26
Fluticasone Propionate
21
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
17
Cephalexin
14
Paxlovid (Eua)
Nirmatrelvir/Ritonavir
13
Azithromycin
11
Cyclobenzaprine Hcl
11

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

Physician Assistant Overview

How MIRANDA NYGAARD, PA fits within the Physician Assistant landscape nationally.

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

MIRANDA NYGAARD, PA's 469 claims are below the specialty average of 790.

Nearby Physician Assistant Providers in South Dakota

Other clinicians with the same primary specialty enrolled in South Dakota, drawn from the same CMS NPPES roster as NYGAARD.

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

Frequently Asked Questions

What is MIRANDA NYGAARD, PA's specialty?
MIRANDA NYGAARD, PA specializes in Physician Assistant and practices in WATERTOWN, South Dakota. Credentials: PA.
How much does MIRANDA NYGAARD, PA prescribe under Medicare Part D?
In 2023, MIRANDA NYGAARD, PA wrote 469 Medicare Part D claims totaling $10K in drug costs for 246 beneficiaries.
Where is MIRANDA NYGAARD, PA located?
MIRANDA NYGAARD, PA is located at 511 14TH AVE NE, WATERTOWN, SD, 57201. Phone: (605) 886-8482.
What is MIRANDA NYGAARD, PA's NPI number?
MIRANDA NYGAARD, PA's National Provider Identifier (NPI) is 1104563204, issued on 05/19/2022.
Does MIRANDA NYGAARD, PA prescribe more brand-name or generic drugs?
MIRANDA NYGAARD, PA's prescribing is 6% brand-name and 94% generic drugs by claim count, with $5K in brand drug costs.
Does MIRANDA NYGAARD, PA prescribe opioids?
Yes, MIRANDA NYGAARD, PA had 14 opioid claims in 2023 with an opioid prescribing rate of 3.0%.
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 MIRANDA NYGAARD, PA prescribe most often?
Based on 2023 Medicare Part D data, MIRANDA NYGAARD, PA's most frequently prescribed drugs include Doxycycline Hyclate, Prednisone, Ciprofloxacin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MIRANDA NYGAARD, PA accept Medicare?
MIRANDA NYGAARD, PA appears in CMS Medicare data with 469 Part D claims and 246 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MIRANDA NYGAARD, PA's credentials?
MIRANDA NYGAARD, PA's NPI is 1104563204 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

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