Mirian Couch, PA-C appears in the CMS NPPES registry as a Medical Physician Assistant provider holding PA-C credentials at 6555 CHESTER AVE STE 1, Jacksonville, FL, 32217, with a listed phone of (904) 309-6504. NPI 1881938991 was issued on 11/15/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Couch 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 524 prescription claims written by this provider, covering 55 Medicare beneficiaries and totaling roughly $16K in drug spend, split 6% brand-name and 92% generic by claim count, with an opioid prescribing rate of 7.3%. 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

Medical Physician Assistant is a mid-sized specialty nationwide, with 40,527 enrolled providers across 55 states and an average of 1,077 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.