2026 NPPES data Surgical Physician Assistant NPI 1093223760 PA
Verify on CMS →

PAUL GRUBNER, PA

Surgical Physician Assistant in UTICA, 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
327
Medicare Part D claims · 170 beneficiaries · Surgical Physician Assistant avg: 316
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
78.7056/100
▼ 4 pts below national avg 83.1 · [object Object]
Industry payments
$46.88
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PAUL GRUBNER, PA reported a CMS MIPS final score of 78.7056/100 — below the 83.1 national average — and filed 327 Medicare Part D claims in 2023.

78.7056/100
MIPS score · -4 vs avg
327
Part D claims, 2023
89%
generic prescribing
$46.88
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.

PAUL GRUBNER, PA'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 PAUL GRUBNER, PA?

Near national average

NPI registry status

Active

Issued 01/16/2018

NPI 1093223760

Primary specialty

Surgical Physician Assistant

Mid-sized

16,119 US NPIs in this specialty

Medicare Part D claims

327 3% vs specialty avg

2023 prescription claims

Specialty avg: 316

MIPS final score

78.7056/100 4.39439999999999% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New York

How Surgical Physician Assistant compares to other specialties among New York providers

New York providers

Surgical Physician Assistant share within New York

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

Medicare quality performance — MIPS

PAUL GRUBNER, PA's 2023 MIPS final score plotted against the Surgical Physician Assistant national average

Near national average
MIPS Final Score
78.7056/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgical Physician Assistant) — 78.7056/100 vs national avg 83.1

0%100%National avg83%78.7%
MIPS final score (Surgical Physician Assistant) — 78.7056/100 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).

PAUL GRUBNER, PA appears in the CMS NPPES registry as a Surgical Physician Assistant provider holding PA credentials at 1656 CHAMPLIN AVE, UTICA, NY, 13502, with a listed phone of (315) 624-6000. NPI 1093223760 was issued on 01/16/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GRUBNER 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 327 prescription claims written by this provider, covering 170 Medicare beneficiaries and totaling roughly $20K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 4.9%. 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 78.7056/100 for the 2023 performance year (Quality 81.739, Cost 42.3807), compared with the national average of 83.1.

Surgical Physician Assistant is a mid-sized specialty nationwide, with 16,119 enrolled providers across 54 states and an average of 316 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

1656 CHAMPLIN AVE
UTICA, NY 13502

Provider Details

NPI 1093223760
Specialty Surgical Physician Assistant
Credentials PA
Gender Male
NPI Issued 01/16/2018

CMS Quality Score (MIPS)

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

78.7056
Final Score
Avg: 83.1
81.739
Quality
42.3807
Cost
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where PAUL GRUBNER, PA 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.

MVHS INC
UTICA, NY
NEW YORK MEDICAL PHYSICIAN ASSOCIATES PC
UTICA, 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 PAUL GRUBNER, PA. Source: openpaymentsdata.cms.gov.

Total received

$47

Largest payer

Edwards Lifesciences Corporation

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 PAUL GRUBNER, PA. To verify PAUL GRUBNER, 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

PAUL GRUBNER, PA — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 327 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.

327
Total Claims
$20K
Total Drug Cost
170
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
334
Total Day Supply
6,550
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$15K
Generic Drug Cost
$5K
Opioid Claims
16 (4.9% rate)
Antibiotic Claims
77

Patient Demographics

Average Patient Age
75.0 years
Avg HCC Risk Score
2.29
Gender Split
48% female / 52% male
Age Distribution
<65: 23, 65-74: 57, 75-84: 57, 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 PAUL GRUBNER, PA 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
Cefpodoxime Proxetil
27
Pantoprazole Sodium
25
Atorvastatin Calcium
21
Clopidogrel
Clopidogrel Bisulfate
17
Prednisone
14

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

Surgical Physician Assistant Overview

How PAUL GRUBNER, PA fits within the Surgical Physician Assistant landscape nationally.

16,119
Surgical Physician Assistant Providers in US
54
States with Surgical Physician Assistant
316
Avg Claims per Provider

PAUL GRUBNER, PA's 327 claims are above the specialty average of 316.

Nearby Surgical 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 GRUBNER.

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

Frequently Asked Questions

What is PAUL GRUBNER, PA's specialty?
PAUL GRUBNER, PA specializes in Surgical Physician Assistant and practices in UTICA, New York. Credentials: PA.
How much does PAUL GRUBNER, PA prescribe under Medicare Part D?
In 2023, PAUL GRUBNER, PA wrote 327 Medicare Part D claims totaling $20K in drug costs for 170 beneficiaries.
What is PAUL GRUBNER, PA's Medicare quality score?
PAUL GRUBNER, PA has a CMS MIPS Final Score of 78.7056/100 (Quality: 81.739, Cost: 42.3807). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PAUL GRUBNER, PA located?
PAUL GRUBNER, PA is located at 1656 CHAMPLIN AVE, UTICA, NY, 13502. Phone: (315) 624-6000.
What is PAUL GRUBNER, PA's NPI number?
PAUL GRUBNER, PA's National Provider Identifier (NPI) is 1093223760, issued on 01/16/2018.
Does PAUL GRUBNER, PA prescribe more brand-name or generic drugs?
PAUL GRUBNER, PA's prescribing is 11% brand-name and 89% generic drugs by claim count, with $15K in brand drug costs.
Does PAUL GRUBNER, PA prescribe opioids?
Yes, PAUL GRUBNER, PA had 16 opioid claims in 2023 with an opioid prescribing rate of 4.9%.
How many Surgical Physician Assistant providers are there in the US?
There are 16,119 Surgical Physician Assistant providers across 54 states in the US. The average Surgical Physician Assistant provider writes 316 Medicare Part D claims per year.
What drugs does PAUL GRUBNER, PA prescribe most often?
Based on 2023 Medicare Part D data, PAUL GRUBNER, PA's most frequently prescribed drugs include Cefpodoxime Proxetil, Pantoprazole Sodium, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PAUL GRUBNER, PA accept Medicare?
PAUL GRUBNER, PA appears in CMS Medicare data with 327 Part D claims and 170 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PAUL GRUBNER, PA's credentials?
PAUL GRUBNER, PA's NPI is 1093223760 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.
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