2026 NPPES data Medical Physician Assistant NPI 1497915557 PA
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Paula Breen, PA

Medical Physician Assistant in Pittsburgh, Pennsylvania. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 40,527 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
21
Medicare Part D claims · Medical Physician Assistant avg: 1K
MIPS score
78.5/100
▼ 5 pts below national avg 83.1 · Above neutral
Industry payments
$124.87
1 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Paula Breen, PA reported a CMS MIPS final score of 78.5/100 - below the 83.1 national average - and filed 21 Medicare Part D claims in 2023.

78.5/100
MIPS score · -5 vs avg
21
Part D claims, 2023
$124.87
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.

Paula Breen, 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+: 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

Where Paula Breen, PA sits

This provider among medical physician assistant peers

Across the 7,339 medical physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Paula Breen, PA writes more Part D claims than 3% of them and scores higher on MIPS quality than 26% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 58Paula Breen, PA-Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 26
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one medical physician assistant peer from a representative sample of 60; the gold marker is Paula Breen, PA. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Paula Breen, PA?

Near national average

NPI registry status

Active

Issued 06/12/2008

NPI 1497915557

Primary specialty

Medical Physician Assistant

Mid-sized

40,527 US NPIs in this specialty

Medicare Part D claims

21 98% vs specialty avg

2023 prescription claims

Specialty avg: 1,077

MIPS final score

78.5/100 4.6 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Medical Physician Assistant compares to other specialties among Pennsylvania providers

Pennsylvania providers

Largest specialties in Pennsylvania (% of in-state providers)

Student in an Organized Health Care Education/Training Program - 5.6%Student in an Organized Health Care Education/Training Program5.6%Pharmacist - 5%Pharmacist5%Physical Therapist - 4.9%Physical Therapist4.9%Mental Health Counselor - 3.9%Mental Health Counselor3.9%Internal Medicine Physician - 3.3%Internal Medicine Physician3.3%Professional Counselor - 3.2%Professional Counselor3.2%Medical Physician Assistant - 1.5%Medical Physician Assistant1.5%
Largest specialties in Pennsylvania (% of in-state providers)

Medicare quality performance, MIPS

Paula Breen, PA's 2023 MIPS final score plotted against the Medical Physician Assistant national average

Near national average
MIPS Final Score
78.5/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Medical Physician Assistant) - 78.5/100 vs national avg 83.1

0%100%National avg83%78.5%
MIPS final score (Medical Physician Assistant) - 78.5/100 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).

Paula Breen, PA appears in the CMS NPPES registry as a Medical Physician Assistant provider holding PA credentials at 9104 BABCOCK BLVD STE 1006, Pittsburgh, PA, 15237, with a listed phone of (412) 366-6841. NPI 1497915557 was issued on 06/12/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Breen 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 21 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $200 in drug spend. 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 78.5/100 for the 2023 performance year (Quality 74.6, Cost 53.8), 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

9104 BABCOCK BLVD STE 1006
Pittsburgh, PA 15237

Provider Details

NPI 1497915557
Specialty Medical Physician Assistant
Credentials PA
Gender Female
NPI Issued 06/12/2008

CMS Quality Score (MIPS)

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

78.5339
Final Score
Avg: 83.1
74.6181
Quality
53.8283
Cost
100
Promoting Interoperability

Reporting: Group practice

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 Paula Breen, PA. Source: openpaymentsdata.cms.gov.

Total received

$125

Largest payer

E.R. Squibb & Sons, L.L.C.

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 - Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Paula Breen, PA. To verify Paula Breen, PA's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

21
Total Claims
$200
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
25
Total Day Supply
625
Generic Drug Cost
$195

Patient Demographics

Average Patient Age
77.8 years
Avg HCC Risk Score
2.48

Medical Physician Assistant Overview

How Paula Breen, PA 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

Paula Breen, PA's 21 claims are below the specialty average of 1,077.

Nearby Medical Physician Assistant Providers in Pennsylvania

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

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

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Pennsylvania medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Medical Physician Assistant peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Paula Breen, PA's specialty?
Paula Breen, PA specializes in Medical Physician Assistant and practices in Pittsburgh, Pennsylvania. Credentials: PA.
How much does Paula Breen, PA prescribe under Medicare Part D?
In 2023, Paula Breen, PA wrote 21 Medicare Part D claims totaling $200 in drug costs for N/A beneficiaries.
What is Paula Breen, PA's Medicare quality score?
Paula Breen, PA has a CMS MIPS Final Score of 78.5/100 (Quality: 74.6, Cost: 53.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Paula Breen, PA located?
Paula Breen, PA is located at 9104 BABCOCK BLVD STE 1006, Pittsburgh, PA, 15237. Phone: (412) 366-6841.
What is Paula Breen, PA's NPI number?
Paula Breen, PA's National Provider Identifier (NPI) is 1497915557, issued on 06/12/2008.
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.
Does Paula Breen, PA accept Medicare?
Paula Breen, PA appears in CMS Medicare data with 21 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Paula Breen, PA's credentials?
Paula Breen, PA's NPI is 1497915557 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

Compiled from official public sources by the PlainDoctor editorial team.