2026 NPPES data Physician Assistant NPI 1235651092 PA-C
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PATRICIA PIENAAR, PA-C

Physician Assistant in KETTERING, Ohio. 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
1K
Medicare Part D claims · 209 beneficiaries · Physician Assistant avg: 790
Generic prescribing
38%
generic claims · 62% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
78.9373/100
▼ 4 pts below national avg 83.1 · [object Object]
Industry payments
$109.96
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PATRICIA PIENAAR, PA-C reported a CMS MIPS final score of 78.9373/100 — below the 83.1 national average — and filed 1,142 Medicare Part D claims in 2023.

78.9373/100
MIPS score · -4 vs avg
1K
Part D claims, 2023
38%
generic prescribing
$109.96
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 PIENAAR, 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

79 27th percentile higher than 27% 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 PATRICIA PIENAAR, PA-C?

Near national average

NPI registry status

Active

Issued 07/13/2017

NPI 1235651092

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

1,142 45% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

78.9373/100 4.162700000000001% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Ohio

How Physician Assistant compares to other specialties among Ohio providers

Ohio providers

Physician Assistant share within Ohio

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

Medicare quality performance — MIPS

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

Near national average
MIPS Final Score
78.9373/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 78.9373/100 vs national avg 83.1

0%100%National avg83%78.9%
MIPS final score (Physician Assistant) — 78.9373/100 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 PIENAAR, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 3533 SOUTHERN BLVD STE 3750, KETTERING, OH, 45429, with a listed phone of (937) 610-3220. NPI 1235651092 was issued on 07/13/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PIENAAR 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 1,142 prescription claims written by this provider, covering 209 Medicare beneficiaries and totaling roughly $894K in drug spend, split 62% brand-name and 38% 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 78.9373/100 for the 2023 performance year (Quality 69.8099, Cost 59.9811), 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

3533 SOUTHERN BLVD STE 3750
KETTERING, OH 45429

Provider Details

NPI 1235651092
Specialty Physician Assistant
Credentials PA-C
Gender Female
NPI Issued 07/13/2017

CMS Quality Score (MIPS)

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

78.9373
Final Score
Avg: 83.1
69.8099
Quality
59.9811
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where PATRICIA PIENAAR, 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.

KETTERING INDEPENDENT MEDICAL GROUP INC
CENTERVILLE, OH

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 PIENAAR, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$110

Largest payer

Lilly USA, LLC

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 — Ohio OMB 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 ~48K Ohio medical licensees in 2023 — they are NOT specific to PATRICIA PIENAAR, PA-C. To verify PATRICIA PIENAAR, PA-C's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB 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 Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

PATRICIA PIENAAR, PA-C — brand share 62.0%
Specialty average (est.)

62% brand-name claims vs 38% generic, on 1,142 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.

1,142
Total Claims
$894K
Total Drug Cost
209
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,911
Total Day Supply
56,230
Brand vs Generic
62% brand / 38% generic
Brand Drug Cost
$799K
Generic Drug Cost
$4K

Patient Demographics

Average Patient Age
67.5 years
Avg HCC Risk Score
2.41
Gender Split
55% female / 45% male
Age Distribution
<65: 60, 65-74: 98, 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.

What PATRICIA PIENAAR, 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
Trulicity
Dulaglutide
113
Tresiba Flextouch U-200
Insulin Degludec
65
Metformin Hcl Er
Metformin Hcl
56
Jardiance
Empagliflozin
54
Metformin Hcl
53
Mounjaro
Tirzepatide
48
Humalog Kwikpen U-200
Insulin Lispro
37
Novolog Flexpen
Insulin Aspart
37
Farxiga
Dapagliflozin Propanediol
29
Glipizide
29

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

Physician Assistant Overview

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

149,975
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider

PATRICIA PIENAAR, PA-C's 1,142 claims are above the specialty average of 790.

Nearby Physician Assistant Providers in Ohio

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

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

Frequently Asked Questions

What is PATRICIA PIENAAR, PA-C's specialty?
PATRICIA PIENAAR, PA-C specializes in Physician Assistant and practices in KETTERING, Ohio. Credentials: PA-C.
How much does PATRICIA PIENAAR, PA-C prescribe under Medicare Part D?
In 2023, PATRICIA PIENAAR, PA-C wrote 1,142 Medicare Part D claims totaling $894K in drug costs for 209 beneficiaries.
What is PATRICIA PIENAAR, PA-C's Medicare quality score?
PATRICIA PIENAAR, PA-C has a CMS MIPS Final Score of 78.9373/100 (Quality: 69.8099, Cost: 59.9811). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PATRICIA PIENAAR, PA-C located?
PATRICIA PIENAAR, PA-C is located at 3533 SOUTHERN BLVD STE 3750, KETTERING, OH, 45429. Phone: (937) 610-3220.
What is PATRICIA PIENAAR, PA-C's NPI number?
PATRICIA PIENAAR, PA-C's National Provider Identifier (NPI) is 1235651092, issued on 07/13/2017.
Does PATRICIA PIENAAR, PA-C prescribe more brand-name or generic drugs?
PATRICIA PIENAAR, PA-C's prescribing is 62% brand-name and 38% generic drugs by claim count, with $799K 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 PATRICIA PIENAAR, PA-C prescribe most often?
Based on 2023 Medicare Part D data, PATRICIA PIENAAR, PA-C's most frequently prescribed drugs include Trulicity, Tresiba Flextouch U-200, Metformin Hcl Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PATRICIA PIENAAR, PA-C accept Medicare?
PATRICIA PIENAAR, PA-C appears in CMS Medicare data with 1,142 Part D claims and 209 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PATRICIA PIENAAR, PA-C's credentials?
PATRICIA PIENAAR, PA-C's NPI is 1235651092 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