2026 NPPES data Medical Physician Assistant NPI 1043781669 PA-C
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Ryan Apel, PA-C

Medical Physician Assistant in Cincinnati, Ohio.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 40,580 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
326
Medicare Part D claims · 238 beneficiaries · Medical Physician Assistant avg: 1K
MIPS score
77.5/100
▼ 6 pts below national avg 83.1 · Above neutral
Industry payments
$43.79
2 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Ryan Apel, PA-C reported a CMS MIPS final score of 77.5/100 - below the 83.1 national average - and filed 326 Medicare Part D claims in 2023.

77.5/100
MIPS score · -6 vs avg
326
Part D claims, 2023
$43.79
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.

Ryan Apel, 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 24th percentile higher than 24% 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 Ryan Apel, PA-C 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, Ryan Apel, PA-C writes more Part D claims than 48% of them and scores higher on MIPS quality than 23% - 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: 23 · 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: 18 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 8 · 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: 20 · 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: 10 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 32 · 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: 33 · 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: 13 · 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: 17 · 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: 30 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 22 · 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: 37 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 5 · 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: 27 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 38 · 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: 43 · 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: 58Ryan Apel, PA-C-Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 23
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 Ryan Apel, 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 Ryan Apel, PA-C?

Below national average

NPI registry status

Active

Issued 12/07/2018

NPI 1043781669

Primary specialty

Medical Physician Assistant

Mid-sized

40,580 US NPIs in this specialty

Medicare Part D claims

326 70% vs specialty avg

2023 prescription claims

Specialty avg: 1,077

MIPS final score

77.5/100 5.6 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Ohio

How Medical Physician Assistant compares to other specialties among Ohio providers

Ohio providers
Case Manager/Care Coordinator - 10.9%Case Manager/Care Coordinator10.9%Student in an Organized Health Care Education/Training Program - 4.7%Student in an Organized Health Care Education/Training Program4.7%Licensed Practical Nurse - 4%Licensed Practical Nurse4%Addiction (Substance Use Disorder) Counselor - 3.5%Addiction (Substance Use Disorder) Counselor3.5%Registered Nurse - 3.4%Registered Nurse3.4%Pharmacist - 3.4%Pharmacist3.4%Medical Physician Assistant - 0.3%Medical Physician Assistant0.3%
Largest specialties in Ohio (% of in-state providers)

Medicare quality performance, MIPS

Ryan Apel, PA-C's 2023 MIPS final score plotted against the Medical Physician Assistant national average

Below national average
MIPS Final Score
77.5/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Medical Physician Assistant) - 77.5/100 vs national avg 83.1

0%100%National avg83%77.5%
MIPS final score (Medical Physician Assistant) - 77.5/100 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).

Ryan Apel, PA-C appears in the CMS NPPES registry as a Medical Physician Assistant provider holding PA-C credentials at 3188 BELLEVUE AVE, Cincinnati, OH, 45219, with a listed phone of (513) 475-8922. NPI 1043781669 was issued on 12/07/2018.

Medicare Part D records for calendar year 2023 show 326 prescription claims written by this provider, covering 238 Medicare beneficiaries and totaling roughly $6K in drug spend, with an opioid prescribing rate of 27.0%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 77.5/100 for the 2023 performance year (Quality 68.6, Cost 56.4), compared with the national average of 83.1.

Medical Physician Assistant is a mid-sized specialty nationwide, with 40,580 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

3188 BELLEVUE AVE
Cincinnati, OH 45219

Provider Details

NPI 1043781669
Specialty Medical Physician Assistant
Credentials PA-C
Gender Male
NPI Issued 12/07/2018

CMS Quality Score (MIPS)

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

77.5068
Final Score
Avg: 83.1
68.6144
Quality
56.4081
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 Ryan Apel, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$44

Largest payer

Boston Scientific Corporation

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 - Ohio OMB 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 ~48K Ohio medical licensees in 2023 - they are NOT specific to Ryan Apel, PA-C. To verify Ryan Apel, PA-C's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB 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 Ohio 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.

326
Total Claims
$6K
Total Drug Cost
238
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
331
Total Day Supply
2,061
Generic Drug Cost
$2K
Opioid Claims
88 (27.0% rate)
Antibiotic Claims
128

Patient Demographics

Average Patient Age
70.7 years
Avg HCC Risk Score
1.65
Gender Split
60% female / 40% male
Age Distribution
<65: 57, 65-74: 88, 75-84: 67, 85+: 26

Top Prescribed Drugs (Medicare Part D)

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

What Ryan Apel, PA-C 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
Oxycodone Hcl
81
Cephalexin
33
Methylprednisolone
25
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
24
Doxycycline Hyclate
20
Prednisone
13
Ondansetron Odt
Ondansetron
12

* 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 Ryan Apel, PA-C fits within the Medical Physician Assistant landscape nationally.

40,580
Medical Physician Assistant Providers in US
55
States with Medical Physician Assistant
1,077
Avg Claims per Provider

Ryan Apel, PA-C's 326 claims are below the specialty average of 1,077.

Nearby Medical Physician Assistant Providers in Ohio

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

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 Ohio 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 Ryan Apel, PA-C's specialty?
Ryan Apel, PA-C specializes in Medical Physician Assistant and practices in Cincinnati, Ohio. Credentials: PA-C.
How much does Ryan Apel, PA-C prescribe under Medicare Part D?
In 2023, Ryan Apel, PA-C wrote 326 Medicare Part D claims totaling $6K in drug costs for 238 beneficiaries.
What is Ryan Apel, PA-C's Medicare quality score?
Ryan Apel, PA-C has a CMS MIPS Final Score of 77.5/100 (Quality: 68.6, Cost: 56.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Ryan Apel, PA-C located?
Ryan Apel, PA-C is located at 3188 BELLEVUE AVE, Cincinnati, OH, 45219. Phone: (513) 475-8922.
What is Ryan Apel, PA-C's NPI number?
Ryan Apel, PA-C's National Provider Identifier (NPI) is 1043781669, issued on 12/07/2018.
Does Ryan Apel, PA-C prescribe opioids?
Yes, Ryan Apel, PA-C had 88 opioid claims in 2023 with an opioid prescribing rate of 27.0%.
How many Medical Physician Assistant providers are there in the US?
There are 40,580 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.
What drugs does Ryan Apel, PA-C prescribe most often?
Based on 2023 Medicare Part D data, Ryan Apel, PA-C's most frequently prescribed drugs include Oxycodone Hcl, Cephalexin, Methylprednisolone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ryan Apel, PA-C accept Medicare?
Ryan Apel, PA-C appears in CMS Medicare data with 326 Part D claims and 238 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ryan Apel, PA-C's credentials?
Ryan Apel, PA-C's NPI is 1043781669 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.

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 May 2026.