2026 NPPES data Physician Assistant NPI 1740511732 PA-C
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NATHAN KOTERA, PA-C

Physician Assistant in WAHOO, Nebraska. 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
7K
Medicare Part D claims · 456 beneficiaries · Physician Assistant avg: 790
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
92.3955/100
▲ 9 pts above national avg 83.1 · [object Object]
Industry payments
$368.33
24 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

NATHAN KOTERA, PA-C reported a CMS MIPS final score of 92.3955/100 — above the 83.1 national average — and filed 7,463 Medicare Part D claims in 2023.

92.3955/100
MIPS score · +9 vs avg
7K
Part D claims, 2023
89%
generic prescribing
$368.33
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.

NATHAN KOTERA, 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

92 Top 32% higher than 68% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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 NATHAN KOTERA, PA-C?

High performer (top quartile)

NPI registry status

Active

Issued 01/15/2010

NPI 1740511732

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

7,463 845% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

92.3955/100 9.295500000000004% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Nebraska

How Physician Assistant compares to other specialties among Nebraska providers

Nebraska providers

Physician Assistant share within Nebraska

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

Medicare quality performance — MIPS

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

High performer (top quartile)
MIPS Final Score
92.3955/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 92.3955/100 vs national avg 83.1

0%100%National avg83%92.4%
MIPS final score (Physician Assistant) — 92.3955/100 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).

NATHAN KOTERA, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 1760 COUNTY ROAD J, WAHOO, NE, 68066, with a listed phone of (402) 443-4191. NPI 1740511732 was issued on 01/15/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KOTERA 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 7,463 prescription claims written by this provider, covering 456 Medicare beneficiaries and totaling roughly $560K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 3.6%. 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 92.3955/100 for the 2023 performance year (Quality 84.7911), 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

1760 COUNTY ROAD J
WAHOO, NE 68066

Provider Details

NPI 1740511732
Specialty Physician Assistant
Credentials PA-C
Gender Male
NPI Issued 01/15/2010

CMS Quality Score (MIPS)

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

92.3955
Final Score
Avg: 83.1
84.7911
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where NATHAN KOTERA, 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.

SAUNDERS MEDICAL CENTER
WAHOO, NE
Critical Access Hospitals
CMS CCN: 281307

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 NATHAN KOTERA, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$368

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 · Typical

NATHAN KOTERA, PA-C — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 7,463 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.

7,463
Total Claims
$560K
Total Drug Cost
456
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
12,316
Total Day Supply
351,272
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$434K
Generic Drug Cost
$122K
Opioid Claims
267 (3.6% rate)
Antibiotic Claims
265

Patient Demographics

Average Patient Age
73.5 years
Avg HCC Risk Score
1.08
Gender Split
50% female / 50% male
Age Distribution
<65: 52, 65-74: 191, 75-84: 149, 85+: 64

Top Prescribed Drugs (Medicare Part D)

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

What NATHAN KOTERA, 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
Levothyroxine Sodium
400
Omeprazole
318
Amlodipine Besylate
296
Atorvastatin Calcium
244
Rosuvastatin Calcium
240
Lisinopril
210
Metoprolol Succinate
186
Losartan Potassium
178
Tramadol Hcl
170
Carvedilol
151

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

Physician Assistant Overview

How NATHAN KOTERA, 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

NATHAN KOTERA, PA-C's 7,463 claims are above the specialty average of 790.

Nearby Physician Assistant Providers in Nebraska

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

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

Frequently Asked Questions

What is NATHAN KOTERA, PA-C's specialty?
NATHAN KOTERA, PA-C specializes in Physician Assistant and practices in WAHOO, Nebraska. Credentials: PA-C.
How much does NATHAN KOTERA, PA-C prescribe under Medicare Part D?
In 2023, NATHAN KOTERA, PA-C wrote 7,463 Medicare Part D claims totaling $560K in drug costs for 456 beneficiaries.
What is NATHAN KOTERA, PA-C's Medicare quality score?
NATHAN KOTERA, PA-C has a CMS MIPS Final Score of 92.3955/100 (Quality: 84.7911). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NATHAN KOTERA, PA-C located?
NATHAN KOTERA, PA-C is located at 1760 COUNTY ROAD J, WAHOO, NE, 68066. Phone: (402) 443-4191.
What is NATHAN KOTERA, PA-C's NPI number?
NATHAN KOTERA, PA-C's National Provider Identifier (NPI) is 1740511732, issued on 01/15/2010.
Does NATHAN KOTERA, PA-C prescribe more brand-name or generic drugs?
NATHAN KOTERA, PA-C's prescribing is 11% brand-name and 89% generic drugs by claim count, with $434K in brand drug costs.
Does NATHAN KOTERA, PA-C prescribe opioids?
Yes, NATHAN KOTERA, PA-C had 267 opioid claims in 2023 with an opioid prescribing rate of 3.6%.
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 NATHAN KOTERA, PA-C prescribe most often?
Based on 2023 Medicare Part D data, NATHAN KOTERA, PA-C's most frequently prescribed drugs include Levothyroxine Sodium, Omeprazole, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NATHAN KOTERA, PA-C accept Medicare?
NATHAN KOTERA, PA-C appears in CMS Medicare data with 7,463 Part D claims and 456 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NATHAN KOTERA, PA-C's credentials?
NATHAN KOTERA, PA-C's NPI is 1740511732 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