NPI registry status
Active
2026 NPPES data Surgical Physician Assistant NPI 1992342018 PA-C
Verify on CMS → Rachel Gual, PA-C
Surgical Physician Assistant in Manchester, New Hampshire.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,119 in Surgical 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
453
Medicare Part D claims · 118 beneficiaries · Surgical Physician Assistant avg: 316
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
78.4/100
▼ 5 pts below national avg 83.1 · Above neutral
Industry payments
$107.51
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Rachel Gual, PA-C reported a CMS MIPS final score of 78.4/100 - below the 83.1 national average - and filed 453 Medicare Part D claims in 2023.
- 78.4/100
- MIPS score · -5 vs avg
- 453
- Part D claims, 2023
- 81%
- generic prescribing
- $107.51
- 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.
Rachel Gual, 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
78 27th percentile higher than 27% of 477,587 scored providers
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 Rachel Gual, PA-C sits
This provider among surgical physician assistant peers
Across the 3,708 surgical physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Rachel Gual, PA-C writes more Part D claims than 83% of them and scores higher on MIPS quality than 24% - placing this provider in the high-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
Each dot is one surgical physician assistant peer from a representative sample of 60; the gold marker is Rachel Gual, PA-C. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Rachel Gual, PA-C?
Near national averagePrimary specialty
Surgical Physician Assistant
Medicare Part D claims
453 43% vs specialty avg
MIPS final score
78.4/100 4.7 pts vs avg
Specialty distribution in New Hampshire
How Surgical Physician Assistant compares to other specialties among New Hampshire providers
Medicare quality performance, MIPS
Rachel Gual, PA-C's 2023 MIPS final score plotted against the Surgical Physician Assistant national average
- MIPS Final Score
- 78.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Surgical Physician Assistant) - 78.4/100 vs national avg 83.1
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).
Rachel Gual, PA-C appears in the CMS NPPES registry as a Surgical Physician Assistant provider holding PA-C credentials at 185 QUEEN CITY AVE, Manchester, NH, 03101, with a listed phone of (603) 627-1102. NPI 1992342018 was issued on 12/09/2019.
Medicare Part D records for calendar year 2023 show 453 prescription claims written by this provider, covering 118 Medicare beneficiaries and totaling roughly $71K in drug spend, split 19% brand-name and 81% generic by claim count, with an opioid prescribing rate of 4.2%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 78.4/100 for the 2023 performance year (Quality 81.1, Cost 48.4), 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
Provider Details
| NPI | 1992342018 |
|---|---|
| Specialty | Surgical Physician Assistant |
| Credentials | PA-C |
| Gender | Female |
| NPI Issued | 12/09/2019 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
78.3691
Final Score
Avg: 83.1
81.1382
Quality
48.4254
Cost
98
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Rachel Gual, 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.
Elliot Professional Services
Manchester, NH
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 Rachel Gual, PA-C. Source: openpaymentsdata.cms.gov.
Total received
$108
Largest payer
Silk Road Medical, 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 · Typical
Rachel Gual, PA-C - brand share 19.0%
Surgical Physician Assistant average
19% brand-name claims vs 81% generic, on 453 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.
453
Total Claims
$71K
Total Drug Cost
118
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 771
- Total Day Supply
- 22,125
- Brand vs Generic
- 19% brand / 81% generic
- Brand Drug Cost
- $64K
- Generic Drug Cost
- $7K
- Opioid Claims
- 19 (4.2% rate)
Patient Demographics
- Average Patient Age
- 74.6 years
- Avg HCC Risk Score
- 2.67
- Gender Split
- 43% female / 57% male
- Age Distribution
- <65: 13, 65-74: 43, 75-84: 50, 85+: 12
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Rachel Gual, PA-C prescribes most
Top Medicare Part D drugs by claim count, 2023
- Clopidogrel
Clopidogrel
210 claims
- Eliquis 55
Eliquis
55 claims
- Cilostazol 39
Cilostazol
39 claims
- Pantoprazole Sodium 31
Pantoprazole Sodium
31 claims
- Xarelto 28
Xarelto
28 claims
- Oxycodone Hcl 18
Oxycodone Hcl
18 claims
| Drug | Claims |
|---|---|
| Clopidogrel Clopidogrel Bisulfate | 210 |
| Eliquis Apixaban | 55 |
| Cilostazol | 39 |
| Pantoprazole Sodium | 31 |
| Xarelto Rivaroxaban | 28 |
| Oxycodone Hcl | 18 |
* 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 Rachel Gual, PA-C 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
Rachel Gual, PA-C's 453 claims are above the specialty average of 316.
Nearby Surgical Physician Assistant Providers in New Hampshire
Other clinicians with the same primary specialty enrolled in New Hampshire, drawn from the same CMS NPPES roster as Gual.
Dr. Steven Alexakos
PA-C
Concord, NH
Dr. Karen Barry
PA
Lebanon, NH
Ezra Bashaw
Exeter, NH
Dr. Matthew Batis
PA-C
Keene, NH
Dr. Ellen Bennett
PA-C
Rochester, NH
Compare Surgical 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 New Hampshire medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Surgical 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.
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Frequently Asked Questions
What is Rachel Gual, PA-C's specialty? ▼
Rachel Gual, PA-C specializes in Surgical Physician Assistant and practices in Manchester, New Hampshire. Credentials: PA-C.
How much does Rachel Gual, PA-C prescribe under Medicare Part D? ▼
In 2023, Rachel Gual, PA-C wrote 453 Medicare Part D claims totaling $71K in drug costs for 118 beneficiaries.
What is Rachel Gual, PA-C's Medicare quality score? ▼
Rachel Gual, PA-C has a CMS MIPS Final Score of 78.4/100 (Quality: 81.1, Cost: 48.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Rachel Gual, PA-C located? ▼
Rachel Gual, PA-C is located at 185 QUEEN CITY AVE, Manchester, NH, 03101. Phone: (603) 627-1102.
What is Rachel Gual, PA-C's NPI number? ▼
Rachel Gual, PA-C's National Provider Identifier (NPI) is 1992342018, issued on 12/09/2019.
Does Rachel Gual, PA-C prescribe more brand-name or generic drugs? ▼
Rachel Gual, PA-C's prescribing is 19% brand-name and 81% generic drugs by claim count, with $64K in brand drug costs.
Does Rachel Gual, PA-C prescribe opioids? ▼
Yes, Rachel Gual, PA-C had 19 opioid claims in 2023 with an opioid prescribing rate of 4.2%.
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 Rachel Gual, PA-C prescribe most often? ▼
Based on 2023 Medicare Part D data, Rachel Gual, PA-C's most frequently prescribed drugs include Clopidogrel, Eliquis, Cilostazol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Rachel Gual, PA-C accept Medicare? ▼
Rachel Gual, PA-C appears in CMS Medicare data with 453 Part D claims and 118 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Rachel Gual, PA-C's credentials? ▼
Rachel Gual, PA-C's NPI is 1992342018 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
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 (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.