2026 NPPES data Surgical Physician Assistant NPI 1457963472 PA-C
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RYLEE NORTHEIM, PA-C

Surgical Physician Assistant in SANDUSKY, Ohio. 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
348
Medicare Part D claims · 198 beneficiaries · Surgical Physician Assistant avg: 316
MIPS score
90.9046/100
▲ 8 pts above national avg 83.1 · [object Object]
Industry payments
$295.06
10 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

RYLEE NORTHEIM, PA-C reported a CMS MIPS final score of 90.9046/100 — above the 83.1 national average — and filed 348 Medicare Part D claims in 2023.

90.9046/100
MIPS score · +8 vs avg
348
Part D claims, 2023
$295.06
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.

RYLEE NORTHEIM, 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

91 Top 40% higher than 60% 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 RYLEE NORTHEIM, PA-C?

High performer (top quartile)

NPI registry status

Active

Issued 08/20/2020

NPI 1457963472

Primary specialty

Surgical Physician Assistant

Mid-sized

16,119 US NPIs in this specialty

Medicare Part D claims

348 10% vs specialty avg

2023 prescription claims

Specialty avg: 316

MIPS final score

90.9046/100 7.804600000000008% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Ohio

How Surgical Physician Assistant compares to other specialties among Ohio providers

Ohio providers

Surgical Physician Assistant share within Ohio

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

Medicare quality performance — MIPS

RYLEE NORTHEIM, PA-C's 2023 MIPS final score plotted against the Surgical Physician Assistant national average

High performer (top quartile)
MIPS Final Score
90.9046/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgical Physician Assistant) — 90.9046/100 vs national avg 83.1

0%100%National avg83%90.9%
MIPS final score (Surgical Physician Assistant) — 90.9046/100 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).

RYLEE NORTHEIM, PA-C is a Surgical Physician Assistant provider practicing in SANDUSKY, Ohio, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: PA-C. NPI: 1457963472. 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.

RYLEE NORTHEIM, PA-C appears in the CMS NPPES registry as a Surgical Physician Assistant provider holding PA-C credentials at 2500 W STRUB RD STE 350, SANDUSKY, OH, 44870, with a listed phone of (419) 502-3376. NPI 1457963472 was issued on 08/20/2020. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what NORTHEIM 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 348 prescription claims written by this provider, covering 198 Medicare beneficiaries and totaling roughly $3K in drug spend, with an opioid prescribing rate of 36.2%. 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 90.9046/100 for the 2023 performance year (Quality 81.8092), 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

2500 W STRUB RD STE 350
SANDUSKY, OH 44870

Provider Details

NPI 1457963472
Specialty Surgical Physician Assistant
Credentials PA-C
Gender Female
NPI Issued 08/20/2020

CMS Quality Score (MIPS)

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

90.9046
Final Score
Avg: 83.1
81.8092
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where RYLEE NORTHEIM, 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.

NORTHERN OHIO MEDICAL SPECIALISTS LLC
SANDUSKY, OH

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 RYLEE NORTHEIM, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$295

Largest payer

Janssen Biotech, 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 — 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 RYLEE NORTHEIM, PA-C. To verify RYLEE NORTHEIM, 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.

348
Total Claims
$3K
Total Drug Cost
198
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
355
Total Day Supply
5,333
Brand Drug Cost
$0
Generic Drug Cost
$3K
Opioid Claims
126 (36.2% rate)
Antibiotic Claims
48

Patient Demographics

Average Patient Age
71.6 years
Avg HCC Risk Score
1.31
Gender Split
65% female / 35% male
Age Distribution
<65: 24, 65-74: 108, 75-84: 53, 85+: 13

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Naproxen
74
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
73
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
34
Diclofenac Sodium
33
Methylprednisolone
29
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
20
Cephalexin
17
Tramadol Hcl
15
Meloxicam
12

* 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 RYLEE NORTHEIM, 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

RYLEE NORTHEIM, PA-C's 348 claims are above the specialty average of 316.

Nearby Surgical Physician Assistant Providers in Ohio

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

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

Frequently Asked Questions

What is RYLEE NORTHEIM, PA-C's specialty?
RYLEE NORTHEIM, PA-C specializes in Surgical Physician Assistant and practices in SANDUSKY, Ohio. Credentials: PA-C.
How much does RYLEE NORTHEIM, PA-C prescribe under Medicare Part D?
In 2023, RYLEE NORTHEIM, PA-C wrote 348 Medicare Part D claims totaling $3K in drug costs for 198 beneficiaries.
What is RYLEE NORTHEIM, PA-C's Medicare quality score?
RYLEE NORTHEIM, PA-C has a CMS MIPS Final Score of 90.9046/100 (Quality: 81.8092). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RYLEE NORTHEIM, PA-C located?
RYLEE NORTHEIM, PA-C is located at 2500 W STRUB RD STE 350, SANDUSKY, OH, 44870. Phone: (419) 502-3376.
What is RYLEE NORTHEIM, PA-C's NPI number?
RYLEE NORTHEIM, PA-C's National Provider Identifier (NPI) is 1457963472, issued on 08/20/2020.
Does RYLEE NORTHEIM, PA-C prescribe opioids?
Yes, RYLEE NORTHEIM, PA-C had 126 opioid claims in 2023 with an opioid prescribing rate of 36.2%.
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 RYLEE NORTHEIM, PA-C prescribe most often?
Based on 2023 Medicare Part D data, RYLEE NORTHEIM, PA-C's most frequently prescribed drugs include Naproxen, Oxycodone-Acetaminophen, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RYLEE NORTHEIM, PA-C accept Medicare?
RYLEE NORTHEIM, PA-C appears in CMS Medicare data with 348 Part D claims and 198 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RYLEE NORTHEIM, PA-C's credentials?
RYLEE NORTHEIM, PA-C's NPI is 1457963472 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

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