NPI registry status
Active
2026 NPPES data Physician Assistant NPI 1194343863 PA-C
Verify on CMS → Nicole Burden, PA-C
Physician Assistant in Saratoga Springs, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 150,974 in 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
308
Medicare Part D claims · 244 beneficiaries · Physician Assistant avg: 790
Generic prescribing
91%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
65.4/100
▼ 18 pts below national avg 83.1 · Mid-tier
Industry payments
$147.71
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Nicole Burden, PA-C reported a CMS MIPS final score of 65.4/100 - below the 83.1 national average - and filed 308 Medicare Part D claims in 2023.
- 65.4/100
- MIPS score · -18 vs avg
- 308
- Part D claims, 2023
- 91%
- generic prescribing
- $147.71
- 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.
Nicole Burden, 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
65 7th percentile higher than 7% of 477,587 scored providers
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
Where Nicole Burden, PA-C sits
This provider among physician assistant peers
Across the 27,054 physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Nicole Burden, PA-C writes more Part D claims than 56% of them and scores higher on MIPS quality than 4% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one physician assistant peer from a representative sample of 60; the gold marker is Nicole Burden, PA-C. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Nicole Burden, PA-C?
Below national averagePrimary specialty
Physician Assistant
Medicare Part D claims
308 61% vs specialty avg
MIPS final score
65.4/100 17.7 pts vs avg
Specialty distribution in New York
How Physician Assistant compares to other specialties among New York providers
Medicare quality performance, MIPS
Nicole Burden, PA-C's 2023 MIPS final score plotted against the Physician Assistant national average
- MIPS Final Score
- 65.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Physician Assistant) - 65.4/100 vs national avg 83.1
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).
Nicole Burden, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 211 CHURCH ST, Saratoga Springs, NY, 12866, with a listed phone of (518) 583-8313. NPI 1194343863 was issued on 07/09/2020.
Medicare Part D records for calendar year 2023 show 308 prescription claims written by this provider, covering 244 Medicare beneficiaries and totaling roughly $4K in drug spend, split 5% brand-name and 91% generic by claim count, with an opioid prescribing rate of 5.8%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 65.4/100 for the 2023 performance year (Quality 56.4, Cost 64.8), compared with the national average of 83.1.
Physician Assistant is a high-volume specialty nationwide, with 150,974 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
Provider Details
| NPI | 1194343863 |
|---|---|
| Specialty | Physician Assistant |
| Credentials | PA-C |
| Gender | Female |
| NPI Issued | 07/09/2020 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
65.4458
Final Score
Avg: 83.1
56.3706
Quality
64.8067
Cost
Reporting: Group practice
Hospital and facility affiliations
Facilities where Nicole Burden, 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.
Saratoga Hospital
★★★☆☆ 3/5
Saratoga Springs, NY
Acute Care Hospitals
CMS CCN: 330222
Healthcare Partners OF Saratoga Ltd
Malta, NY
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 Nicole Burden, PA-C. Source: openpaymentsdata.cms.gov.
Total received
$148
Largest payer
Janssen Pharmaceuticals, 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.
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 Burden, PA-C. To verify Nicole Burden, PA-C'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 · Generic-heavy
Nicole Burden, PA-C - brand share 5.0%
Physician Assistant average
5% brand-name claims vs 91% generic, on 308 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.
308
Total Claims
$4K
Total Drug Cost
244
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 308
- Total Day Supply
- 2,632
- Brand vs Generic
- 5% brand / 91% generic
- Brand Drug Cost
- $1K
- Generic Drug Cost
- $2K
- Opioid Claims
- 18 (5.8% rate)
- Antibiotic Claims
- 142
Patient Demographics
- Average Patient Age
- 70.4 years
- Avg HCC Risk Score
- 1.16
- Gender Split
- 63% female / 37% male
- Age Distribution
- <65: 47, 65-74: 106, 75-84: 73, 85+: 18
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Nicole Burden, PA-C prescribes most
Top Medicare Part D drugs by claim count, 2023
- Cephalexin
Cephalexin
55 claims
- Prednisone
Prednisone
37 claims
- Amoxicillin-Clavul…
Amoxicillin-Clavulanate Potass
23 claims
- Cyclobenzaprine Hcl 20
Cyclobenzaprine Hcl
20 claims
- Azithromycin 19
Azithromycin
19 claims
- Doxycycline Hyclate 17
Doxycycline Hyclate
17 claims
- Hydrocodone-Acetam… 12
Hydrocodone-Acetaminophen
12 claims
- Methylprednisolone 12
Methylprednisolone
12 claims
| Drug | Claims |
|---|---|
| Cephalexin | 55 |
| Prednisone | 37 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 23 |
| Cyclobenzaprine Hcl | 20 |
| Azithromycin | 19 |
| Doxycycline Hyclate | 17 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 12 |
| Methylprednisolone | 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 Nicole Burden, PA-C fits within the Physician Assistant landscape nationally.
150,974
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider
Nicole Burden, PA-C's 308 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 Burden.
Dr. Brynn Aakjar
P.A.
Yonkers, NY
Dr. Andrea Aaron
PA
Bronx, NY
Danielle Aarons
Smithtown, NY
John Abadeer
Brooklyn, NY
Dr. Zenebou Abalo-Toga
PA
New York, NY
Compare Physician Assistant nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the New York medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Physician Assistant peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Nicole Burden, PA-C's specialty? ▼
Nicole Burden, PA-C specializes in Physician Assistant and practices in Saratoga Springs, New York. Credentials: PA-C.
How much does Nicole Burden, PA-C prescribe under Medicare Part D? ▼
In 2023, Nicole Burden, PA-C wrote 308 Medicare Part D claims totaling $4K in drug costs for 244 beneficiaries.
What is Nicole Burden, PA-C's Medicare quality score? ▼
Nicole Burden, PA-C has a CMS MIPS Final Score of 65.4/100 (Quality: 56.4, Cost: 64.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Nicole Burden, PA-C located? ▼
Nicole Burden, PA-C is located at 211 CHURCH ST, Saratoga Springs, NY, 12866. Phone: (518) 583-8313.
What is Nicole Burden, PA-C's NPI number? ▼
Nicole Burden, PA-C's National Provider Identifier (NPI) is 1194343863, issued on 07/09/2020.
Does Nicole Burden, PA-C prescribe more brand-name or generic drugs? ▼
Nicole Burden, PA-C's prescribing is 5% brand-name and 91% generic drugs by claim count, with $1K in brand drug costs.
Does Nicole Burden, PA-C prescribe opioids? ▼
Yes, Nicole Burden, PA-C had 18 opioid claims in 2023 with an opioid prescribing rate of 5.8%.
How many Physician Assistant providers are there in the US? ▼
There are 150,974 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 Burden, PA-C prescribe most often? ▼
Based on 2023 Medicare Part D data, Nicole Burden, PA-C's most frequently prescribed drugs include Cephalexin, Prednisone, Amoxicillin-Clavulanate Potass. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Nicole Burden, PA-C accept Medicare? ▼
Nicole Burden, PA-C appears in CMS Medicare data with 308 Part D claims and 244 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Nicole Burden, PA-C's credentials? ▼
Nicole Burden, PA-C's NPI is 1194343863 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
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 (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
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 May 2026.