NPI registry status
Active
2026 NPPES data Surgical Physician Assistant NPI 1376571885 PAC
Verify on CMS → Nicholas Settles, PAC
Surgical Physician Assistant in Owensboro, Kentucky.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,380 in Surgical 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
37
Medicare Part D claims · 29 beneficiaries · Surgical Physician Assistant avg: 341
MIPS score
21.4/100
▼ 62 pts below national avg 83.5 · Below average
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Nicholas Settles, PAC reported a CMS MIPS final score of 21.4/100 - below the 83.5 national average - and filed 37 Medicare Part D claims in 2024.
- 21.4/100
- MIPS score · -62 vs avg
- 37
- Part D claims, 2024
- ≥3rd
- pct among measured MIPS (lower-bound band)
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 Nicholas Settles, PAC
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 1376571885), first enumerated 06/30/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 37 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 21.4/100 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
- 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 1376571885 · Surgical Physician Assistant
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-LOW · RX-TRACE · BOOK-THIN · NEAR-MIPS
- NPI-10 1376571885
- ENUM-LEGACY 2006
- TAX-MID 16K Surgical Physician
- MIPS-LOW 21.4/100
- RX-TRACE 37
- BOOK-THIN 151 in Kentucky
- NEAR-MIPS Stacey Gerbrandt · 2.3
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Tyler Spivey · l…
Tyler Spivey
15 MIPS pts
- Settles · this p…
Settles · this provider
21.4 MIPS pts
- Stacey Gerbrandt…
Stacey Gerbrandt
23.7 MIPS pts
- Philip Zaharas ·…
Philip Zaharas
27 MIPS pts
- Paul McCoy · hig…
Paul McCoy
28.6 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Nicholas Settles, PAC'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.
21 ≥ 3rd percentile 3% of 454,083 measured providers are in lower value bands
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 Nicholas Settles, PAC sits
This provider among surgical physician assistant peers
Across the 3,657 surgical physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Nicholas Settles, PAC writes more Part D claims than 15% of them and scores higher on MIPS quality than 0% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one surgical physician assistant peer from a representative sample of 60; the gold marker is Nicholas Settles, PAC. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Nicholas Settles, PAC?
Below national averagePrimary specialty
Surgical Physician Assistant
Medicare Part D claims
37 89% vs specialty avg
MIPS final score
21.4/100 62.1 pts vs avg
Specialty distribution in Kentucky
How Surgical Physician Assistant compares to other specialties among Kentucky providers
Medicare quality performance, MIPS
Nicholas Settles, PAC's 2023 MIPS final score plotted against the Surgical Physician Assistant national average
- MIPS Final Score
- 21.4/100
- vs 83.5 national avg · 2023 performance year
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
Provider Details
| NPI | 1376571885 |
|---|---|
| Specialty | Surgical Physician Assistant |
| Credentials | PAC |
| Gender | Male |
| NPI Issued | 06/30/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
21.4071
Final Score
Measured-score avg: 83.5
12.538
Quality
44.6873
Cost
Reporting: Group practice
Hospital and facility affiliations
Facilities where Nicholas Settles, PAC 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.
Acute Care LLC
Owensboro, KY
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
37
Total Claims
$183
Total Drug Cost
29
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 37
- Total Day Supply
- 263
- Brand Drug Cost
- $0
- Generic Drug Cost
- $183
- Antibiotic Claims
- 27
Patient Demographics
- Average Patient Age
- 65.8 years
- Avg HCC Risk Score
- 1.48
- Gender Split
- 48% female / 52% male
- Age Distribution
- <65: 11, 65-74: 14, 75-84: N/A, 85+: N/A
Surgical Physician Assistant Overview
How Nicholas Settles, PAC fits within the Surgical Physician Assistant landscape nationally.
16,380
Surgical Physician Assistant Providers in US
54
States with Surgical Physician Assistant
341
Avg Claims per Provider
Nicholas Settles, PAC's 37 claims are below the specialty average of 341.
Nationwide Surgical Physician Assistant peers with similar MIPS or enrollment year
Two federal-record peer sets for Settles, both outside Kentucky so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (21.4 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Surgical Physician Assistant Providers in Kentucky
Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as Settles.
One of 151 Surgical Physician Assistant providers enrolled in Kentucky, 5 are shown here.
William Adkisson
PA-C
Lexington, KY
Ken Arthur
KCSA
Bowling Green, KY
Christopher Arvin
PA-C
Lexington, KY
Courtney Arza
PA-C
Louisville, KY
Richard Austin
PA-C
Lexington, KY
Compare Surgical Physician Assistant nationally: see state-by-state distribution →
Frequently Asked Questions
What is Nicholas Settles, PAC's specialty? ▼
Nicholas Settles, PAC specializes in Surgical Physician Assistant and practices in Owensboro, Kentucky. Credentials: PAC.
How much does Nicholas Settles, PAC prescribe under Medicare Part D? ▼
In 2024, Nicholas Settles, PAC wrote 37 Medicare Part D claims totaling $183 in drug costs for 29 beneficiaries.
What is Nicholas Settles, PAC's Medicare quality score? ▼
Nicholas Settles, PAC has a CMS MIPS Final Score of 21.4/100 (Quality: 12.5, Cost: 44.7). 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 Nicholas Settles, PAC located? ▼
Nicholas Settles, PAC is located at 1102 TRIPLETT ST, Owensboro, KY, 42303. Phone: (270) 926-7320.
What is Nicholas Settles, PAC's NPI number? ▼
Nicholas Settles, PAC's National Provider Identifier (NPI) is 1376571885, issued on 06/30/2006.
How many Surgical Physician Assistant providers are there in the US? ▼
There are 16,380 Surgical Physician Assistant providers across 54 states in the US. The average Surgical Physician Assistant provider writes 341 Medicare Part D claims per year.
Does Nicholas Settles, PAC accept Medicare? ▼
Nicholas Settles, PAC appears in CMS Medicare data with 37 Part D claims and 29 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Nicholas Settles, PAC's credentials? ▼
Nicholas Settles, PAC's NPI is 1376571885 with credentials PAC. 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 (2024). 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 August 2026 (NPPES) / 2024 (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 August 2026.