2026 NPPES data Physician Assistant NPI 1124569710 PA
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RYAN BALTHASER, PA

Physician Assistant in GARDNER, Massachusetts. 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
3K
Medicare Part D claims · 352 beneficiaries · Physician Assistant avg: 790
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.0218/100
▲ 14 pts above national avg 83.1 · [object Object]
Industry payments
$22.81
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: RYAN BALTHASER, PA is a Physician Assistant ([object Object]) practicing in GARDNER, Massachusetts with a Medicare Part D prescribing footprint of 3K claims across 352 beneficiaries — 12% brand-name prescribing . Their CMS MIPS Final Score of 97.0218/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $22.81 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: RYAN BALTHASER, PA reported a CMS MIPS final score of 97.0218 out of 100, above the 83.1 national average, and filed 3,178 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

RYAN BALTHASER, PA at a glance

High performer (top quartile)

NPI registry status

Active

Issued 03/15/2017

NPI 1124569710

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

3,178 302% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

97.0218/100 13.921800000000005% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Massachusetts

How Physician Assistant compares to other specialties among Massachusetts providers

Massachusetts providers

Physician Assistant share within Massachusetts

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

Medicare quality performance — MIPS

RYAN BALTHASER, PA's 2023 MIPS final score plotted against the Physician Assistant national average

High performer (top quartile)
MIPS Final Score
97.0218/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 97.0218/100 vs national avg 83.1

0%100%National avg83%97%
MIPS final score (Physician Assistant) — 97.0218/100 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).

RYAN BALTHASER, PA is a Physician Assistant provider practicing in GARDNER, Massachusetts, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: PA. NPI: 1124569710. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

RYAN BALTHASER, PA appears in the CMS NPPES registry as a Physician Assistant provider holding PA credentials at 725 TIMPANY BLVD, GARDNER, MA, 01440, with a listed phone of (978) 632-8100. NPI 1124569710 was issued on 03/15/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALTHASER 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 3,178 prescription claims written by this provider, covering 352 Medicare beneficiaries and totaling roughly $281K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 3.8%. 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 97.0218/100 for the 2023 performance year (Quality 78.0983), 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

725 TIMPANY BLVD
GARDNER, MA 01440

Provider Details

NPI 1124569710
Specialty Physician Assistant
Credentials PA
Gender Male
NPI Issued 03/15/2017

CMS Quality Score (MIPS)

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

97.0218
Final Score
Avg: 83.1
78.0983
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

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 BALTHASER, PA. Source: openpaymentsdata.cms.gov.

Total received

$23

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.

License & disciplinary context — Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 — they are NOT specific to RYAN BALTHASER, PA. To verify RYAN BALTHASER, PA's current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM 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 Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

RYAN BALTHASER, PA — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 3,178 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.

3,178
Total Claims
$281K
Total Drug Cost
352
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,789
Total Day Supply
165,344
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$198K
Generic Drug Cost
$81K
Opioid Claims
120 (3.8% rate)
Antibiotic Claims
61

Patient Demographics

Average Patient Age
71.1 years
Avg HCC Risk Score
1.62
Gender Split
57% female / 43% male
Age Distribution
<65: 67, 65-74: 138, 75-84: 111, 85+: 36

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
130
Omeprazole
128
Levothyroxine Sodium
112
Hydrochlorothiazide
102
Lisinopril
99
Amlodipine Besylate
97
Metoprolol Succinate
92
Finasteride
89
Gabapentin
77
Eliquis
Apixaban
69

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

Physician Assistant Overview

How RYAN BALTHASER, 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

RYAN BALTHASER, PA's 3,178 claims are above the specialty average of 790.

Nearby Physician Assistant Providers in Massachusetts

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

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

Frequently Asked Questions

What is RYAN BALTHASER, PA's specialty?
RYAN BALTHASER, PA specializes in Physician Assistant and practices in GARDNER, Massachusetts. Credentials: PA.
How much does RYAN BALTHASER, PA prescribe under Medicare Part D?
In 2023, RYAN BALTHASER, PA wrote 3,178 Medicare Part D claims totaling $281K in drug costs for 352 beneficiaries.
What is RYAN BALTHASER, PA's Medicare quality score?
RYAN BALTHASER, PA has a CMS MIPS Final Score of 97.0218/100 (Quality: 78.0983). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RYAN BALTHASER, PA located?
RYAN BALTHASER, PA is located at 725 TIMPANY BLVD, GARDNER, MA, 01440. Phone: (978) 632-8100.
What is RYAN BALTHASER, PA's NPI number?
RYAN BALTHASER, PA's National Provider Identifier (NPI) is 1124569710, issued on 03/15/2017.
Does RYAN BALTHASER, PA prescribe more brand-name or generic drugs?
RYAN BALTHASER, PA's prescribing is 12% brand-name and 88% generic drugs by claim count, with $198K in brand drug costs.
Does RYAN BALTHASER, PA prescribe opioids?
Yes, RYAN BALTHASER, PA had 120 opioid claims in 2023 with an opioid prescribing rate of 3.8%.
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 RYAN BALTHASER, PA prescribe most often?
Based on 2023 Medicare Part D data, RYAN BALTHASER, PA's most frequently prescribed drugs include Atorvastatin Calcium, Omeprazole, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RYAN BALTHASER, PA accept Medicare?
RYAN BALTHASER, PA appears in CMS Medicare data with 3,178 Part D claims and 352 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RYAN BALTHASER, PA's credentials?
RYAN BALTHASER, PA's NPI is 1124569710 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