2026 NPPES data Physician Assistant NPI 1093107641
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NICOLE WHARTON

Physician Assistant in THE VILLAGES, Florida. 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
2K
Medicare Part D claims · 818 beneficiaries · Physician Assistant avg: 790
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.2548/100
▼ 6 pts below national avg 83.1 · [object Object]
Industry payments
$1.4K
59 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

NICOLE WHARTON reported a CMS MIPS final score of 77.2548/100 — below the 83.1 national average — and filed 2,094 Medicare Part D claims in 2023.

77.2548/100
MIPS score · -6 vs avg
2K
Part D claims, 2023
91%
generic prescribing
$1.4K
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 WHARTON's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

77 24th percentile higher than 24% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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 NICOLE WHARTON?

Below national average

NPI registry status

Active

Issued 02/19/2015

NPI 1093107641

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

2,094 165% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

77.2548/100 5.845199999999991% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Florida

How Physician Assistant compares to other specialties among Florida providers

Florida providers

Physician Assistant share within Florida

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

Medicare quality performance — MIPS

NICOLE WHARTON's 2023 MIPS final score plotted against the Physician Assistant national average

Below national average
MIPS Final Score
77.2548/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 77.2548/100 vs national avg 83.1

0%100%National avg83%77.3%
MIPS final score (Physician Assistant) — 77.2548/100 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).

NICOLE WHARTON appears in the CMS NPPES registry as a Physician Assistant provider at 1503 BUENOS AIRES BLVD, THE VILLAGES, FL, 32159, with a listed phone of (352) 753-2812. NPI 1093107641 was issued on 02/19/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WHARTON 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 2,094 prescription claims written by this provider, covering 818 Medicare beneficiaries and totaling roughly $779K in drug spend, split 9% brand-name and 91% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 77.2548/100 for the 2023 performance year (Quality 86.221, Cost 49.444), 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

1503 BUENOS AIRES BLVD
THE VILLAGES, FL 32159

Provider Details

NPI 1093107641
Specialty Physician Assistant
Gender Female
NPI Issued 02/19/2015

CMS Quality Score (MIPS)

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

77.2548
Final Score
Avg: 83.1
86.221
Quality
49.444
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where NICOLE WHARTON 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.

LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC
THE VILLAGES, FL

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 WHARTON. Source: openpaymentsdata.cms.gov.

Total received

$1.4K

Largest payer

PFIZER 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 — Florida FLDOH 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 ~75K Florida medical licensees in 2023 — they are NOT specific to NICOLE WHARTON. To verify NICOLE WHARTON's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

NICOLE WHARTON — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 2,094 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.

2,094
Total Claims
$779K
Total Drug Cost
818
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,430
Total Day Supply
65,229
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$702K
Generic Drug Cost
$77K
Antibiotic Claims
238

Patient Demographics

Average Patient Age
76.8 years
Avg HCC Risk Score
1.65
Gender Split
54% female / 46% male
Age Distribution
<65: 29, 65-74: 243, 75-84: 422, 85+: 124

Top Prescribed Drugs (Medicare Part D)

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

What NICOLE WHARTON 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
Ketoconazole
456
Clobetasol Propionate
228
Triamcinolone Acetonide
217
Doxycycline Monohydrate
186
Fluorouracil
136
Hydrocortisone
82
Metronidazole
68
Betamethasone Diprop Augmented
Betamethasone/Propylene Glyc
39
Hydroxyzine Hcl
39
Clindamycin Phosphate
38

* 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 WHARTON 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 WHARTON's 2,094 claims are above the specialty average of 790.

Nearby Physician Assistant Providers in Florida

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

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

Frequently Asked Questions

What is NICOLE WHARTON's specialty?
NICOLE WHARTON specializes in Physician Assistant and practices in THE VILLAGES, Florida.
How much does NICOLE WHARTON prescribe under Medicare Part D?
In 2023, NICOLE WHARTON wrote 2,094 Medicare Part D claims totaling $779K in drug costs for 818 beneficiaries.
What is NICOLE WHARTON's Medicare quality score?
NICOLE WHARTON has a CMS MIPS Final Score of 77.2548/100 (Quality: 86.221, Cost: 49.444). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NICOLE WHARTON located?
NICOLE WHARTON is located at 1503 BUENOS AIRES BLVD, THE VILLAGES, FL, 32159. Phone: (352) 753-2812.
What is NICOLE WHARTON's NPI number?
NICOLE WHARTON's National Provider Identifier (NPI) is 1093107641, issued on 02/19/2015.
Does NICOLE WHARTON prescribe more brand-name or generic drugs?
NICOLE WHARTON's prescribing is 9% brand-name and 91% generic drugs by claim count, with $702K 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 NICOLE WHARTON prescribe most often?
Based on 2023 Medicare Part D data, NICOLE WHARTON's most frequently prescribed drugs include Ketoconazole, Clobetasol Propionate, Triamcinolone Acetonide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NICOLE WHARTON accept Medicare?
NICOLE WHARTON appears in CMS Medicare data with 2,094 Part D claims and 818 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NICOLE WHARTON's credentials?
NICOLE WHARTON's NPI is 1093107641. 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