2026 NPPES data Medical Physician Assistant NPI 1720588155 PA-C
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PATRICIA CALDWELL, PA-C

Medical Physician Assistant in ROCKINGHAM, Virginia. 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
778
Medicare Part D claims · 272 beneficiaries · Medical Physician Assistant avg: 1K
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.1126/100
▲ 12 pts above national avg 83.1 · [object Object]
Industry payments
$188.81
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PATRICIA CALDWELL, PA-C reported a CMS MIPS final score of 95.1126/100 — above the 83.1 national average — and filed 778 Medicare Part D claims in 2023.

95.1126/100
MIPS score · +12 vs avg
778
Part D claims, 2023
83%
generic prescribing
$188.81
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.

PATRICIA CALDWELL, 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

95 Top 21% higher than 79% 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 PATRICIA CALDWELL, PA-C?

High performer (top quartile)

NPI registry status

Active

Issued 02/12/2018

NPI 1720588155

Primary specialty

Medical Physician Assistant

Mid-sized

40,527 US NPIs in this specialty

Medicare Part D claims

778 28% vs specialty avg

2023 prescription claims

Specialty avg: 1,077

MIPS final score

95.1126/100 12.012600000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Virginia

How Medical Physician Assistant compares to other specialties among Virginia providers

Virginia providers

Medical Physician Assistant share within Virginia

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

Medicare quality performance — MIPS

PATRICIA CALDWELL, PA-C's 2023 MIPS final score plotted against the Medical Physician Assistant national average

High performer (top quartile)
MIPS Final Score
95.1126/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Medical Physician Assistant) — 95.1126/100 vs national avg 83.1

0%100%National avg83%95.1%
MIPS final score (Medical Physician Assistant) — 95.1126/100 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).

PATRICIA CALDWELL, PA-C appears in the CMS NPPES registry as a Medical Physician Assistant provider holding PA-C credentials at 2006 HEALTH CAMPUS DR STE 300, ROCKINGHAM, VA, 22801, with a listed phone of (540) 689-7400. NPI 1720588155 was issued on 02/12/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CALDWELL 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 778 prescription claims written by this provider, covering 272 Medicare beneficiaries and totaling roughly $305K in drug spend, split 17% brand-name and 83% 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 95.1126/100 for the 2023 performance year (Quality 86.3184), compared with the national average of 83.1.

Medical Physician Assistant is a mid-sized specialty nationwide, with 40,527 enrolled providers across 55 states and an average of 1,077 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

2006 HEALTH CAMPUS DR STE 300
ROCKINGHAM, VA 22801

Provider Details

NPI 1720588155
Specialty Medical Physician Assistant
Credentials PA-C
Gender Female
NPI Issued 02/12/2018

CMS Quality Score (MIPS)

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

95.1126
Final Score
Avg: 83.1
86.3184
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where PATRICIA CALDWELL, 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.

RMH MEDICAL GROUP LLC
HARRISONBURG, VA

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 PATRICIA CALDWELL, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$189

Largest payer

Kiniksa Pharmaceuticals International, plc

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

PATRICIA CALDWELL, PA-C — brand share 17.0%
Specialty average (est.)

17% brand-name claims vs 83% generic, on 778 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.

778
Total Claims
$305K
Total Drug Cost
272
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,869
Total Day Supply
55,167
Brand vs Generic
17% brand / 83% generic
Brand Drug Cost
$283K
Generic Drug Cost
$21K
Antibiotic Claims
45

Patient Demographics

Average Patient Age
75.9 years
Avg HCC Risk Score
1.47
Gender Split
44% female / 56% male
Age Distribution
<65: 11, 65-74: 117, 75-84: 111, 85+: 33

Top Prescribed Drugs (Medicare Part D)

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

What PATRICIA CALDWELL, 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
Metoprolol Succinate
74
Tamsulosin Hcl
68
Finasteride
52
Furosemide
39
Eliquis
Apixaban
34
Losartan Potassium
30
Myrbetriq
Mirabegron
26
Rosuvastatin Calcium
26
Metoprolol Tartrate
23
Amlodipine Besylate
22

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

Medical Physician Assistant Overview

How PATRICIA CALDWELL, PA-C fits within the Medical Physician Assistant landscape nationally.

40,527
Medical Physician Assistant Providers in US
55
States with Medical Physician Assistant
1,077
Avg Claims per Provider

PATRICIA CALDWELL, PA-C's 778 claims are below the specialty average of 1,077.

Nearby Medical Physician Assistant Providers in Virginia

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

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

Frequently Asked Questions

What is PATRICIA CALDWELL, PA-C's specialty?
PATRICIA CALDWELL, PA-C specializes in Medical Physician Assistant and practices in ROCKINGHAM, Virginia. Credentials: PA-C.
How much does PATRICIA CALDWELL, PA-C prescribe under Medicare Part D?
In 2023, PATRICIA CALDWELL, PA-C wrote 778 Medicare Part D claims totaling $305K in drug costs for 272 beneficiaries.
What is PATRICIA CALDWELL, PA-C's Medicare quality score?
PATRICIA CALDWELL, PA-C has a CMS MIPS Final Score of 95.1126/100 (Quality: 86.3184). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PATRICIA CALDWELL, PA-C located?
PATRICIA CALDWELL, PA-C is located at 2006 HEALTH CAMPUS DR STE 300, ROCKINGHAM, VA, 22801. Phone: (540) 689-7400.
What is PATRICIA CALDWELL, PA-C's NPI number?
PATRICIA CALDWELL, PA-C's National Provider Identifier (NPI) is 1720588155, issued on 02/12/2018.
Does PATRICIA CALDWELL, PA-C prescribe more brand-name or generic drugs?
PATRICIA CALDWELL, PA-C's prescribing is 17% brand-name and 83% generic drugs by claim count, with $283K in brand drug costs.
How many Medical Physician Assistant providers are there in the US?
There are 40,527 Medical Physician Assistant providers across 55 states in the US. The average Medical Physician Assistant provider writes 1,077 Medicare Part D claims per year.
What drugs does PATRICIA CALDWELL, PA-C prescribe most often?
Based on 2023 Medicare Part D data, PATRICIA CALDWELL, PA-C's most frequently prescribed drugs include Metoprolol Succinate, Tamsulosin Hcl, Finasteride. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PATRICIA CALDWELL, PA-C accept Medicare?
PATRICIA CALDWELL, PA-C appears in CMS Medicare data with 778 Part D claims and 272 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PATRICIA CALDWELL, PA-C's credentials?
PATRICIA CALDWELL, PA-C's NPI is 1720588155 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