NPI registry status
Active
2026 NPPES data Medical Physician Assistant NPI 1811931520 PA
Verify on CMS → Paul Ouellette, PA
Medical Physician Assistant in Bangor, Maine.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 40,694 in Medical 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
230
Medicare Part D claims · 170 beneficiaries · Medical Physician Assistant avg: 1K
MIPS score
98.4/100
▲ 15 pts above national avg 83.5 · Exceptional
What the federal data shows
Paul Ouellette, PA reported a CMS MIPS final score of 98.4/100 - above the 83.5 national average - and filed 230 Medicare Part D claims in 2024.
- 98.4/100
- MIPS score · +15 vs avg
- 230
- Part D claims, 2024
- ≥89th
- pct among measured MIPS (lower-bound band)
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.
Federal trust snapshot
What official records show about Paul Ouellette, PA
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1811931520), first enumerated 06/15/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 230 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 98.4/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1811931520 · Medical Physician Assistant
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-ELITE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1811931520
- ENUM-LEGACY 2006
- TAX-MID 41K Medical Physician
- MIPS-ELITE 98.4/100
- RX-LIGHT 230
- BOOK-THIN 240 in Maine
- PHOTO-FINISH Scott Helms, PA-C · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Ouellette · this…
Ouellette · this provider
98.4 MIPS pts
- Therese Casas, P…
Therese Casas, PAC
98.4 MIPS pts
- Scott Helms, PA-…
Scott Helms, PA-C
98.4 MIPS pts
- Jordan Greiner, …
Jordan Greiner, PA-C
98.5 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Paul Ouellette, PA's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
98 ≥ 89th percentile 89% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Paul Ouellette, PA sits
This provider among medical physician assistant peers
Across the 7,147 medical physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Paul Ouellette, PA writes more Part D claims than 40% of them and scores higher on MIPS quality than 91% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one medical physician assistant peer from a representative sample of 60; the gold marker is Paul Ouellette, PA. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Paul Ouellette, PA?
High performer (top quartile)Primary specialty
Medical Physician Assistant
Medicare Part D claims
230 80% vs specialty avg
MIPS final score
98.4/100 14.9 pts vs avg
Specialty distribution in Maine
How Medical Physician Assistant compares to other specialties among Maine providers
Medicare quality performance, MIPS
Paul Ouellette, PA's 2023 MIPS final score plotted against the Medical Physician Assistant national average
- MIPS Final Score
- 98.4/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
Provider Details
| NPI | 1811931520 |
|---|---|
| Specialty | Medical Physician Assistant |
| Credentials | PA |
| Gender | Male |
| NPI Issued | 06/15/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
98.4436
Final Score
Measured-score avg: 83.5
86.8872
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Paul Ouellette, 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.
St Joseph Hospital
★★★☆☆ 3/5
Bangor, ME
Acute Care Hospitals
CMS CCN: 200001
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
230
Total Claims
$5K
Total Drug Cost
170
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 232.967
- Total Day Supply
- 2,223
- Generic Drug Cost
- $1K
- Opioid Claims
- 25 (10.9% rate)
- Antibiotic Claims
- 94
Patient Demographics
- Average Patient Age
- 67.9 years
- Avg HCC Risk Score
- 1.51
- Gender Split
- 52% female / 48% male
- Age Distribution
- <65: 50, 65-74: 68, 75-84: 40, 85+: 12
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Paul Ouellette, PA prescribes most
Top Medicare Part D drugs by claim count, 2024
- Prednisone
Prednisone
24 claims
- Cephalexin
Cephalexin
22 claims
- Doxycycline Hyclate
Doxycycline Hyclate
14 claims
| Drug | Claims |
|---|---|
| Prednisone | 24 |
| Cephalexin | 22 |
| Doxycycline Hyclate | 14 |
* 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 Paul Ouellette, PA fits within the Medical Physician Assistant landscape nationally.
40,694
Medical Physician Assistant Providers in US
55
States with Medical Physician Assistant
1,139
Avg Claims per Provider
Paul Ouellette, PA's 230 claims are below the specialty average of 1,139.
Nationwide Medical Physician Assistant peers with similar MIPS or enrollment year
Two federal-record peer sets for Ouellette, both outside Maine so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (98.4 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Medical Physician Assistant Providers in Maine
Other clinicians with the same primary specialty enrolled in Maine, drawn from the same CMS NPPES roster as Ouellette.
One of 240 Medical Physician Assistant providers enrolled in Maine, 5 are shown here.
Emily Akley
PA-C
Portland, ME
Shirley Ala
PA-C
Auburn, ME
Shermane Anderson
PAC
Bangor, ME
Jessica Arbisi
PA-C
Bangor, ME
Jennifer Arich
PA-C
Portland, ME
Compare Medical Physician Assistant nationally: see state-by-state distribution →
Frequently Asked Questions
What is Paul Ouellette, PA's specialty? ▼
Paul Ouellette, PA specializes in Medical Physician Assistant and practices in Bangor, Maine. Credentials: PA.
How much does Paul Ouellette, PA prescribe under Medicare Part D? ▼
In 2024, Paul Ouellette, PA wrote 230 Medicare Part D claims totaling $5K in drug costs for 170 beneficiaries.
What is Paul Ouellette, PA's Medicare quality score? ▼
Paul Ouellette, PA has a CMS MIPS Final Score of 98.4/100 (Quality: 86.9). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Paul Ouellette, PA located? ▼
Paul Ouellette, PA is located at 360 BROADWAY, Bangor, ME, 04401. Phone: (207) 907-3000.
What is Paul Ouellette, PA's NPI number? ▼
Paul Ouellette, PA's National Provider Identifier (NPI) is 1811931520, issued on 06/15/2006.
Does Paul Ouellette, PA prescribe opioids? ▼
Yes, Paul Ouellette, PA had 25 opioid claims in 2024 with an opioid prescribing rate of 10.9%.
How many Medical Physician Assistant providers are there in the US? ▼
There are 40,694 Medical Physician Assistant providers across 55 states in the US. The average Medical Physician Assistant provider writes 1,139 Medicare Part D claims per year.
What drugs does Paul Ouellette, PA prescribe most often? ▼
Based on 2024 Medicare Part D data, Paul Ouellette, PA's most frequently prescribed drugs include Prednisone, Cephalexin, Doxycycline Hyclate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Paul Ouellette, PA accept Medicare? ▼
Paul Ouellette, PA appears in CMS Medicare data with 230 Part D claims and 170 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Paul Ouellette, PA's credentials? ▼
Paul Ouellette, PA's NPI is 1811931520 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
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 (2024). 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 August 2026 (NPPES) / 2024 (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 August 2026.