2026 NPPES data Physician Assistant NPI 1538106950 PA
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Ronald Heninger, PA

Physician Assistant in Asheville, North Carolina. 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
381
Medicare Part D claims · 143 beneficiaries · Physician Assistant avg: 790
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$27.16
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Ronald Heninger, PA reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 381 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
381
Part D claims, 2023
88%
generic prescribing
$27.16
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.

Ronald Heninger, PA's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

100 Top 7% higher than 93% 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

What does the federal data show about Ronald Heninger, PA?

High performer (top quartile)

NPI registry status

Active

Issued 06/02/2006

NPI 1538106950

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

381 52% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

100/100 16.9 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

Physician Assistant share within North Carolina

1. Physician Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physician Assistant share within North Carolina

Medicare quality performance — MIPS

Ronald Heninger, PA's 2023 MIPS final score plotted against the Physician Assistant national average

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

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

0%100%National avg83%99%
MIPS final score (Physician Assistant) — 100/100 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).

Ronald Heninger, PA appears in the CMS NPPES registry as a Physician Assistant provider holding PA credentials at 129 MCDOWELL ST, Asheville, NC, 28801, with a listed phone of (828) 258-8800. NPI 1538106950 was issued on 06/02/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Heninger 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 381 prescription claims written by this provider, covering 143 Medicare beneficiaries and totaling roughly $19K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 28.9%. 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 100/100 for the 2023 performance year, 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

129 MCDOWELL ST
Asheville, NC 28801

Provider Details

NPI 1538106950
Specialty Physician Assistant
Credentials PA
Gender Male
NPI Issued 06/02/2006

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
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 Ronald Heninger, PA. Source: openpaymentsdata.cms.gov.

Total received

$27

Largest payer

Heron Therapeutics, 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

Ronald Heninger, PA — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 381 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.

381
Total Claims
$19K
Total Drug Cost
143
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
393
Total Day Supply
6,825
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$13K
Generic Drug Cost
$6K
Opioid Claims
110 (28.9% rate)
Antibiotic Claims
64

Patient Demographics

Average Patient Age
70.4 years
Avg HCC Risk Score
0.90
Gender Split
67% female / 33% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Ronald Heninger, 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
Celecoxib
138
Oxycodone Hcl
57
Amoxicillin
48
Xarelto
Rivaroxaban
39
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
24
Hydromorphone Hcl
19
Clindamycin Hcl
16

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

Physician Assistant Overview

How Ronald Heninger, 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

Ronald Heninger, PA's 381 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 Heninger.

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 Ronald Heninger, PA's specialty?
Ronald Heninger, PA specializes in Physician Assistant and practices in Asheville, North Carolina. Credentials: PA.
How much does Ronald Heninger, PA prescribe under Medicare Part D?
In 2023, Ronald Heninger, PA wrote 381 Medicare Part D claims totaling $19K in drug costs for 143 beneficiaries.
What is Ronald Heninger, PA's Medicare quality score?
Ronald Heninger, PA has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Ronald Heninger, PA located?
Ronald Heninger, PA is located at 129 MCDOWELL ST, Asheville, NC, 28801. Phone: (828) 258-8800.
What is Ronald Heninger, PA's NPI number?
Ronald Heninger, PA's National Provider Identifier (NPI) is 1538106950, issued on 06/02/2006.
Does Ronald Heninger, PA prescribe more brand-name or generic drugs?
Ronald Heninger, PA's prescribing is 12% brand-name and 88% generic drugs by claim count, with $13K in brand drug costs.
Does Ronald Heninger, PA prescribe opioids?
Yes, Ronald Heninger, PA had 110 opioid claims in 2023 with an opioid prescribing rate of 28.9%.
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.
What drugs does Ronald Heninger, PA prescribe most often?
Based on 2023 Medicare Part D data, Ronald Heninger, PA's most frequently prescribed drugs include Celecoxib, Oxycodone Hcl, Amoxicillin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ronald Heninger, PA accept Medicare?
Ronald Heninger, PA appears in CMS Medicare data with 381 Part D claims and 143 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ronald Heninger, PA's credentials?
Ronald Heninger, PA's NPI is 1538106950 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