2026 NPPES data Physician Assistant NPI 1922655653 PA
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NICOLE BALLADARES, PA

Physician Assistant in BAY SHORE, New York. 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
72
Medicare Part D claims · 27 beneficiaries · Physician Assistant avg: 790
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

NICOLE BALLADARES, PA filed 72 Medicare Part D claims in 2023 as a Physician Assistant in BAY SHORE, New York, prescribing 85% generic.

72
Part D claims, 2023
85%
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.

NICOLE BALLADARES, PA's Medicare Part D volume vs every U.S. prescriber

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

72 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 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 NICOLE BALLADARES, PA?

Quality data not reported

NPI registry status

Active

Issued 08/19/2019

NPI 1922655653

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

72 91% vs specialty avg

2023 prescription claims

Specialty avg: 790

Specialty distribution in New York

How Physician Assistant compares to other specialties among New York providers

New York providers

Physician Assistant share within New York

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

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).

NICOLE BALLADARES, PA appears in the CMS NPPES registry as a Physician Assistant provider holding PA credentials at 8 W SHORE RD, BAY SHORE, NY, 11706, with a listed phone of (631) 835-5667. NPI 1922655653 was issued on 08/19/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALLADARES 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 72 prescription claims written by this provider, covering 27 Medicare beneficiaries and totaling roughly $482 in drug spend, split 15% brand-name and 85% generic by claim count, with an opioid prescribing rate of 37.5%. 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

8 W SHORE RD
BAY SHORE, NY 11706

Provider Details

NPI 1922655653
Specialty Physician Assistant
Credentials PA
Gender Female
NPI Issued 08/19/2019

License & disciplinary context — New York NYSBPMC 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 ~100K New York medical licensees in 2023 — they are NOT specific to NICOLE BALLADARES, PA. To verify NICOLE BALLADARES, PA's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

NICOLE BALLADARES, PA — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 72 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.

72
Total Claims
$482
Total Drug Cost
27
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
72
Total Day Supply
436
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$222
Generic Drug Cost
$260
Opioid Claims
27 (37.5% rate)

Patient Demographics

Average Patient Age
63.8 years
Avg HCC Risk Score
1.01
Age Distribution
<65: 11, 65-74: 13, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
24
Ondansetron Odt
Ondansetron
16

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

Physician Assistant Overview

How NICOLE BALLADARES, 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

NICOLE BALLADARES, PA's 72 claims are below the specialty average of 790.

Nearby Physician Assistant Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as BALLADARES.

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

Frequently Asked Questions

What is NICOLE BALLADARES, PA's specialty?
NICOLE BALLADARES, PA specializes in Physician Assistant and practices in BAY SHORE, New York. Credentials: PA.
How much does NICOLE BALLADARES, PA prescribe under Medicare Part D?
In 2023, NICOLE BALLADARES, PA wrote 72 Medicare Part D claims totaling $482 in drug costs for 27 beneficiaries.
Where is NICOLE BALLADARES, PA located?
NICOLE BALLADARES, PA is located at 8 W SHORE RD, BAY SHORE, NY, 11706. Phone: (631) 835-5667.
What is NICOLE BALLADARES, PA's NPI number?
NICOLE BALLADARES, PA's National Provider Identifier (NPI) is 1922655653, issued on 08/19/2019.
Does NICOLE BALLADARES, PA prescribe more brand-name or generic drugs?
NICOLE BALLADARES, PA's prescribing is 15% brand-name and 85% generic drugs by claim count, with $222 in brand drug costs.
Does NICOLE BALLADARES, PA prescribe opioids?
Yes, NICOLE BALLADARES, PA had 27 opioid claims in 2023 with an opioid prescribing rate of 37.5%.
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 NICOLE BALLADARES, PA prescribe most often?
Based on 2023 Medicare Part D data, NICOLE BALLADARES, PA's most frequently prescribed drugs include Oxycodone-Acetaminophen, Ondansetron Odt. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NICOLE BALLADARES, PA accept Medicare?
NICOLE BALLADARES, PA appears in CMS Medicare data with 72 Part D claims and 27 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NICOLE BALLADARES, PA's credentials?
NICOLE BALLADARES, PA's NPI is 1922655653 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