2026 NPPES data Physician Assistant NPI 1194201947 PA-C
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Scott Heelan, PA-C

Physician Assistant in Libertyville, Illinois. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 149,975 in 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
1K
Medicare Part D claims · 207 beneficiaries · Physician Assistant avg: 790
Generic prescribing
89%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.3/100
▲ 14 pts above national avg 83.1 · Exceptional
Industry payments
$3.6K
205 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Scott Heelan, PA-C reported a CMS MIPS final score of 97.3/100 - above the 83.1 national average - and filed 1,359 Medicare Part D claims in 2023.

97.3/100
MIPS score · +14 vs avg
1K
Part D claims, 2023
89%
generic prescribing
$3.6K
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.

Scott Heelan, 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

97 Top 15% higher than 85% 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+: 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

Where Scott Heelan, PA-C sits

This provider among physician assistant peers

Across the 27,054 physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Scott Heelan, PA-C writes more Part D claims than 87% of them and scores higher on MIPS quality than 87% - placing this provider in the high-volume, high-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 quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 40Scott Heelan, PA-C-Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 87
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one physician assistant peer from a representative sample of 60; the gold marker is Scott Heelan, 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 Scott Heelan, PA-C?

High performer (top quartile)

NPI registry status

Active

Issued 07/16/2018

NPI 1194201947

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

1,359 72% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

97.3/100 14.2 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Illinois

How Physician Assistant compares to other specialties among Illinois providers

Illinois providers

Largest specialties in Illinois (% of in-state providers)

Clinical Social Worker - 5.2%Clinical Social Worker5.2%Physical Therapist - 5%Physical Therapist5%Mental Health Counselor - 4.5%Mental Health Counselor4.5%Speech-Language Pathologist - 4.2%Speech-Language Pathologist4.2%Student in an Organized Health Care Education/Training Program - 4.2%Student in an Organized Health Care Education/Training Program4.2%Pharmacist - 4.1%Pharmacist4.1%Physician Assistant - 1.9%Physician Assistant1.9%
Largest specialties in Illinois (% of in-state providers)

Medicare quality performance, MIPS

Scott Heelan, PA-C's 2023 MIPS final score plotted against the Physician Assistant national average

High performer (top quartile)
MIPS Final Score
97.3/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) - 97.3/100 vs national avg 83.1

0%100%National avg83%97.3%
MIPS final score (Physician Assistant) - 97.3/100 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).

Scott Heelan, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 1252 AMERICAN WAY, Libertyville, IL, 60048, with a listed phone of (224) 424-4624. NPI 1194201947 was issued on 07/16/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Heelan 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 1,359 prescription claims written by this provider, covering 207 Medicare beneficiaries and totaling roughly $156K in drug spend, split 10% brand-name and 89% generic by claim count, with an opioid prescribing rate of 1.8%. 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 97.3/100 for the 2023 performance year (Quality 89.8), 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

1252 AMERICAN WAY
Libertyville, IL 60048

Provider Details

NPI 1194201947
Specialty Physician Assistant
Credentials PA-C
Gender Male
NPI Issued 07/16/2018

CMS Quality Score (MIPS)

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

97.2858
Final Score
Avg: 83.1
89.7811
Quality
98.2368
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 Scott Heelan, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$3.6K

Largest payer

ABBVIE 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 - Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 - they are NOT specific to Scott Heelan, PA-C. To verify Scott Heelan, PA-C's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Scott Heelan, PA-C - brand share 10.0%
Physician Assistant average

10% brand-name claims vs 89% generic, on 1,359 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.

1,359
Total Claims
$156K
Total Drug Cost
207
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,184
Total Day Supply
90,590
Brand vs Generic
10% brand / 89% generic
Brand Drug Cost
$131K
Generic Drug Cost
$24K
Opioid Claims
25 (1.8% rate)
Antibiotic Claims
102

Patient Demographics

Average Patient Age
72.1 years
Avg HCC Risk Score
0.98
Gender Split
51% female / 49% male
Age Distribution
<65: 17, 65-74: 119, 75-84: 57, 85+: 14

Top Prescribed Drugs (Medicare Part D)

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

What Scott Heelan, 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
Atorvastatin Calcium
70
Levothyroxine Sodium
50
Lisinopril
48
Losartan Potassium
40
Omeprazole
38
Azithromycin
34
Amlodipine Besylate
33
Metformin Hcl
33
Duloxetine Hcl
32
Hydrochlorothiazide
31

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

Physician Assistant Overview

How Scott Heelan, PA-C fits within the Physician Assistant landscape nationally.

149,975
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider

Scott Heelan, PA-C's 1,359 claims are above the specialty average of 790.

Nearby Physician Assistant Providers in Illinois

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

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 Illinois 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 Scott Heelan, PA-C's specialty?
Scott Heelan, PA-C specializes in Physician Assistant and practices in Libertyville, Illinois. Credentials: PA-C.
How much does Scott Heelan, PA-C prescribe under Medicare Part D?
In 2023, Scott Heelan, PA-C wrote 1,359 Medicare Part D claims totaling $156K in drug costs for 207 beneficiaries.
What is Scott Heelan, PA-C's Medicare quality score?
Scott Heelan, PA-C has a CMS MIPS Final Score of 97.3/100 (Quality: 89.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Scott Heelan, PA-C located?
Scott Heelan, PA-C is located at 1252 AMERICAN WAY, Libertyville, IL, 60048. Phone: (224) 424-4624.
What is Scott Heelan, PA-C's NPI number?
Scott Heelan, PA-C's National Provider Identifier (NPI) is 1194201947, issued on 07/16/2018.
Does Scott Heelan, PA-C prescribe more brand-name or generic drugs?
Scott Heelan, PA-C's prescribing is 10% brand-name and 89% generic drugs by claim count, with $131K in brand drug costs.
Does Scott Heelan, PA-C prescribe opioids?
Yes, Scott Heelan, PA-C had 25 opioid claims in 2023 with an opioid prescribing rate of 1.8%.
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 Scott Heelan, PA-C prescribe most often?
Based on 2023 Medicare Part D data, Scott Heelan, PA-C's most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Scott Heelan, PA-C accept Medicare?
Scott Heelan, PA-C appears in CMS Medicare data with 1,359 Part D claims and 207 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Scott Heelan, PA-C's credentials?
Scott Heelan, PA-C's NPI is 1194201947 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

Compiled from official public sources by the PlainDoctor editorial team.