2026 NPPES data Physician Assistant NPI 1609152776 PA-C
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MISTY FORTNER, PA-C

Physician Assistant in LUBBOCK, Texas. 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
232
Medicare Part D claims · 51 beneficiaries · Physician Assistant avg: 790
Generic prescribing
57%
generic claims · 43% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

MISTY FORTNER, PA-C filed 232 Medicare Part D claims in 2023 as a Physician Assistant in LUBBOCK, Texas, prescribing 57% generic.

232
Part D claims, 2023
57%
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.

MISTY FORTNER, PA-C's Medicare Part D volume vs every U.S. prescriber

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

232 49th percentile higher than 49% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 400–600: 90,619 prescribers (7%). Above this entry. 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 MISTY FORTNER, PA-C?

Quality data not reported

NPI registry status

Active

Issued 11/02/2011

NPI 1609152776

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

232 71% vs specialty avg

2023 prescription claims

Specialty avg: 790

Specialty distribution in Texas

How Physician Assistant compares to other specialties among Texas providers

Texas providers

Physician Assistant share within Texas

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

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).

MISTY FORTNER, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 5220 80TH ST, LUBBOCK, TX, 79424, with a listed phone of (806) 771-2400. NPI 1609152776 was issued on 11/02/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FORTNER 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 232 prescription claims written by this provider, covering 51 Medicare beneficiaries and totaling roughly $103K in drug spend, split 43% brand-name and 57% generic by claim count. 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

5220 80TH ST
LUBBOCK, TX 79424

Provider Details

NPI 1609152776
Specialty Physician Assistant
Credentials PA-C
Gender Female
NPI Issued 11/02/2011

Hospital and facility affiliations

Facilities where MISTY FORTNER, 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.

ARTHRITIS AND OSTEOPOROSIS ASSOCIATES, LLP
LUBBOCK, TX

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to MISTY FORTNER, PA-C. To verify MISTY FORTNER, PA-C's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

MISTY FORTNER, PA-C — brand share 43.0%
Specialty average (est.)

43% brand-name claims vs 57% generic, on 232 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.

232
Total Claims
$103K
Total Drug Cost
51
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
297
Total Day Supply
8,228
Brand vs Generic
43% brand / 57% generic
Brand Drug Cost
$98K
Generic Drug Cost
$5K

Patient Demographics

Average Patient Age
72.4 years
Avg HCC Risk Score
1.12
Gender Split
63% female / 37% male

Top Prescribed Drugs (Medicare Part D)

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

What MISTY FORTNER, PA-C 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
Levocetirizine Dihydrochloride
26
Fluticasone Propionate
25
Breo Ellipta
Fluticasone/Vilanterol
19
Azelastine Hcl
13
Albuterol Sulfate Hfa
Albuterol Sulfate
12
Flovent Hfa
Fluticasone Propionate
12
Nucala
Mepolizumab
12

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

Physician Assistant Overview

How MISTY FORTNER, 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

MISTY FORTNER, PA-C's 232 claims are below the specialty average of 790.

Nearby Physician Assistant Providers in Texas

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

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

Frequently Asked Questions

What is MISTY FORTNER, PA-C's specialty?
MISTY FORTNER, PA-C specializes in Physician Assistant and practices in LUBBOCK, Texas. Credentials: PA-C.
How much does MISTY FORTNER, PA-C prescribe under Medicare Part D?
In 2023, MISTY FORTNER, PA-C wrote 232 Medicare Part D claims totaling $103K in drug costs for 51 beneficiaries.
Where is MISTY FORTNER, PA-C located?
MISTY FORTNER, PA-C is located at 5220 80TH ST, LUBBOCK, TX, 79424. Phone: (806) 771-2400.
What is MISTY FORTNER, PA-C's NPI number?
MISTY FORTNER, PA-C's National Provider Identifier (NPI) is 1609152776, issued on 11/02/2011.
Does MISTY FORTNER, PA-C prescribe more brand-name or generic drugs?
MISTY FORTNER, PA-C's prescribing is 43% brand-name and 57% generic drugs by claim count, with $98K in brand drug costs.
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 MISTY FORTNER, PA-C prescribe most often?
Based on 2023 Medicare Part D data, MISTY FORTNER, PA-C's most frequently prescribed drugs include Levocetirizine Dihydrochloride, Fluticasone Propionate, Breo Ellipta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MISTY FORTNER, PA-C accept Medicare?
MISTY FORTNER, PA-C appears in CMS Medicare data with 232 Part D claims and 51 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MISTY FORTNER, PA-C's credentials?
MISTY FORTNER, PA-C's NPI is 1609152776 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.
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