2026 NPPES data Physician Assistant NPI 1285013409 PA
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Pushpa Pangeni, PA

Physician Assistant in Concord, North Carolina. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 149,975 in 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
117
Medicare Part D claims · 71 beneficiaries · Physician Assistant avg: 790
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.4/100
▲ 12 pts above national avg 83.1 · Exceptional
Industry payments
$33.97
2 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Pushpa Pangeni, PA reported a CMS MIPS final score of 95.4/100 — above the 83.1 national average — and filed 117 Medicare Part D claims in 2023.

95.4/100
MIPS score · +12 vs avg
117
Part D claims, 2023
91%
generic prescribing
$33.97
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.

Pushpa Pangeni, PA'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

Where Pushpa Pangeni, PA sits

This provider among physician assistant peers

Across the 27,054 physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Pushpa Pangeni, PA writes more Part D claims than 30% of them and scores higher on MIPS quality than 80% — placing this provider in the lower-volume, high-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 quality02550751000255075100Part D claim volume — percentile in specialtyMIPS quality — percentilePart D claim volume — percentile in specialty: 37 · MIPS quality — percentile: 35Part D claim volume — percentile in specialty: 60 · MIPS quality — percentile: 5Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 10Part D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 95Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 43Part D claim volume — percentile in specialty: 97 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 67 · MIPS quality — percentile: 33Part D claim volume — percentile in specialty: 50 · MIPS quality — percentile: 70Part D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 38Part D claim volume — percentile in specialty: 83 · MIPS quality — percentile: 65Part D claim volume — percentile in specialty: 68 · MIPS quality — percentile: 77Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 62Part D claim volume — percentile in specialty: 27 · MIPS quality — percentile: 72Part D claim volume — percentile in specialty: 62 · MIPS quality — percentile: 20Part D claim volume — percentile in specialty: 30 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 57 · MIPS quality — percentile: 15Part D claim volume — percentile in specialty: 7 · MIPS quality — percentile: 48Part D claim volume — percentile in specialty: 87 · MIPS quality — percentile: 58Part D claim volume — percentile in specialty: 32 · MIPS quality — percentile: 98Part D claim volume — percentile in specialty: 15 · MIPS quality — percentile: 80Part D claim volume — percentile in specialty: 70 · MIPS quality — percentile: 12Part D claim volume — percentile in specialty: 95 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 75 · MIPS quality — percentile: 28Part D claim volume — percentile in specialty: 7 · MIPS quality — percentile: 97Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 75Part D claim volume — percentile in specialty: 10 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 12 · MIPS quality — percentile: 80Part D claim volume — percentile in specialty: 90 · MIPS quality — percentile: 42Part D claim volume — percentile in specialty: 43 · MIPS quality — percentile: 23Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 42 · MIPS quality — percentile: 87Part D claim volume — percentile in specialty: 52 · MIPS quality — percentile: 90Part D claim volume — percentile in specialty: 33 · MIPS quality — percentile: 98Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 45 · MIPS quality — percentile: 3Part D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 72 · MIPS quality — percentile: 22Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 47Part D claim volume — percentile in specialty: 53 · MIPS quality — percentile: 60Part D claim volume — percentile in specialty: 80 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 2 · MIPS quality — percentile: 45Part D claim volume — percentile in specialty: 85 · MIPS quality — percentile: 37Part D claim volume — percentile in specialty: 77 · MIPS quality — percentile: 93Part D claim volume — percentile in specialty: 23 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 55Part D claim volume — percentile in specialty: 38 · MIPS quality — percentile: 8Part D claim volume — percentile in specialty: 100 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 78 · MIPS quality — percentile: 2Part D claim volume — percentile in specialty: 65 · MIPS quality — percentile: 23Part D claim volume — percentile in specialty: 5 · MIPS quality — percentile: 23Part D claim volume — percentile in specialty: 47 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 90Part D claim volume — percentile in specialty: 92 · MIPS quality — percentile: 78Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 53Part D claim volume — percentile in specialty: 48 · MIPS quality — percentile: 52Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 17 · MIPS quality — percentile: 72Part D claim volume — percentile in specialty: 18 · MIPS quality — percentile: 40Pushpa Pangeni, PA — Part D claim volume — percentile in specialty: 30 · MIPS quality — percentile: 80
Part D claim volume vs MIPS quality, by specialty percentile

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

What does the federal data show about Pushpa Pangeni, PA?

High performer (top quartile)

NPI registry status

Active

Issued 05/20/2015

NPI 1285013409

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

117 85% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

95.4/100 12.3 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in North Carolina

How Physician Assistant compares to other specialties among North Carolina providers

North Carolina providers

Largest specialties in North Carolina (% of in-state providers)

Clinical Social Worker — 7.1%Clinical Social Worker7.1%Behavior Technician — 6.4%Behavior Technician6.4%Pharmacist — 5%Pharmacist5%Student in an Organized Health Care Education/Training Program — 4.5%Student in an Organized Health Care Education/Training Program4.5%Physical Therapist — 4.3%Physical Therapist4.3%Physician Assistant — 4.2%Physician Assistant4.2%
Largest specialties in North Carolina (% of in-state providers)

Medicare quality performance — MIPS

Pushpa Pangeni, PA's 2023 MIPS final score plotted against the Physician Assistant national average

High performer (top quartile)
MIPS Final Score
95.4/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 95.4/100 vs national avg 83.1

0%100%National avg83%95.4%
MIPS final score (Physician Assistant) — 95.4/100 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).

Pushpa Pangeni, PA appears in the CMS NPPES registry as a Physician Assistant provider holding PA credentials at 920 CHURCH ST N, Concord, NC, 28025, with a listed phone of (704) 403-1331. NPI 1285013409 was issued on 05/20/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Pangeni 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 117 prescription claims written by this provider, covering 71 Medicare beneficiaries and totaling roughly $7K in drug spend, split 9% brand-name and 91% 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 95.4/100 for the 2023 performance year (Quality 84.2), 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

920 CHURCH ST N
Concord, NC 28025

Provider Details

NPI 1285013409
Specialty Physician Assistant
Credentials PA
Gender Female
NPI Issued 05/20/2015

CMS Quality Score (MIPS)

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

95.3578
Final Score
Avg: 83.1
84.2235
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Pushpa Pangeni, 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.

Carolinas Physicians Network Inc
Charlotte, NC

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 Pushpa Pangeni, PA. Source: openpaymentsdata.cms.gov.

Total received

$34

Largest payer

PFIZER INC.

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 · Generic-heavy

Pushpa Pangeni, PA — brand share 9.0%
Physician Assistant average

9% brand-name claims vs 91% generic, on 117 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.

117
Total Claims
$7K
Total Drug Cost
71
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
185
Total Day Supply
4,496
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$5K
Generic Drug Cost
$2K
Antibiotic Claims
17

Patient Demographics

Average Patient Age
71.5 years
Avg HCC Risk Score
1.74
Gender Split
62% female / 38% male

Physician Assistant Overview

How Pushpa Pangeni, PA fits within the Physician Assistant landscape nationally.

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

Pushpa Pangeni, PA's 117 claims are below the specialty average of 790.

Nearby Physician Assistant Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as Pangeni.

Compare 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 North Carolina medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby 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 Pushpa Pangeni, PA's specialty?
Pushpa Pangeni, PA specializes in Physician Assistant and practices in Concord, North Carolina. Credentials: PA.
How much does Pushpa Pangeni, PA prescribe under Medicare Part D?
In 2023, Pushpa Pangeni, PA wrote 117 Medicare Part D claims totaling $7K in drug costs for 71 beneficiaries.
What is Pushpa Pangeni, PA's Medicare quality score?
Pushpa Pangeni, PA has a CMS MIPS Final Score of 95.4/100 (Quality: 84.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Pushpa Pangeni, PA located?
Pushpa Pangeni, PA is located at 920 CHURCH ST N, Concord, NC, 28025. Phone: (704) 403-1331.
What is Pushpa Pangeni, PA's NPI number?
Pushpa Pangeni, PA's National Provider Identifier (NPI) is 1285013409, issued on 05/20/2015.
Does Pushpa Pangeni, PA prescribe more brand-name or generic drugs?
Pushpa Pangeni, PA's prescribing is 9% brand-name and 91% generic drugs by claim count, with $5K 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.
Does Pushpa Pangeni, PA accept Medicare?
Pushpa Pangeni, PA appears in CMS Medicare data with 117 Part D claims and 71 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Pushpa Pangeni, PA's credentials?
Pushpa Pangeni, PA's NPI is 1285013409 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.