NPI registry status
Active
2026 NPPES data Medical Physician Assistant NPI 1326051483 PA-C
Verify on CMS → Shawna Wheeler, PA-C
Medical Physician Assistant in Madison, Wisconsin.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 40,694 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
307
Medicare Part D claims · 87 beneficiaries · Medical Physician Assistant avg: 1K
Generic prescribing
57%
generic claims · 33% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.4/100
▼ 6 pts below national avg 83.5 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Shawna Wheeler, PA-C reported a CMS MIPS final score of 77.4/100 - below the 83.5 national average - and filed 307 Medicare Part D claims in 2024.
- 77.4/100
- MIPS score · -6 vs avg
- 307
- Part D claims, 2024
- 57%
- generic prescribing
- ≥20th
- pct among measured MIPS (lower-bound band)
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.
Federal trust snapshot
What official records show about Shawna Wheeler, PA-C
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1326051483), first enumerated 08/13/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 307 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 77.4/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1326051483 · Medical Physician Assistant
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-BELOW · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1326051483
- ENUM-LEGACY 2006
- TAX-MID 41K Medical Physician
- MIPS-BELOW 77.4/100
- RX-LIGHT 307
- BOOK-LIGHT 672 in Wisconsin
- PHOTO-FINISH Anne Mayer, PA-C · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Wheeler · this p…
Wheeler · this provider
77.4 MIPS pts
- Anne Mayer, PA-C…
Anne Mayer, PA-C
77.4 MIPS pts
- Corinna Kirkpatr…
Corinna Kirkpatrick, PA-C
77.5 MIPS pts
- Alison Diesel, P…
Alison Diesel, PA-C
77.5 MIPS pts
- Craig Johnson, P…
Craig Johnson, PA-C
77.5 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Shawna Wheeler, PA-C's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
77 ≥ 20th percentile 20% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Shawna Wheeler, PA-C sits
This provider among medical physician assistant peers
Across the 7,147 medical physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Shawna Wheeler, PA-C writes more Part D claims than 48% of them and scores higher on MIPS quality than 20% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one medical physician assistant peer from a representative sample of 60; the gold marker is Shawna Wheeler, 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 Shawna Wheeler, PA-C?
Below national averagePrimary specialty
Medical Physician Assistant
Medicare Part D claims
307 73% vs specialty avg
MIPS final score
77.4/100 6.1 pts vs avg
Specialty distribution in Wisconsin
How Medical Physician Assistant compares to other specialties among Wisconsin providers
Medicare quality performance, MIPS
Shawna Wheeler, PA-C's 2023 MIPS final score plotted against the Medical Physician Assistant national average
- MIPS Final Score
- 77.4/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
Provider Details
| NPI | 1326051483 |
|---|---|
| Specialty | Medical Physician Assistant |
| Credentials | PA-C |
| Gender | Female |
| NPI Issued | 08/13/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
77.4384
Final Score
Measured-score avg: 83.5
81.8371
Quality
62.1241
Cost
77
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Shawna Wheeler, 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.
University OF Wisconsin Medical Foundation Inc
Madison, WI
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Above average
Shawna Wheeler, PA-C - brand share 33.0%
Medical Physician Assistant average
33% brand-name claims vs 57% generic, on 307 2024 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 2024.
307
Total Claims
$263K
Total Drug Cost
87
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 524.033
- Total Day Supply
- 14,687
- Brand vs Generic
- 33% brand / 57% generic
- Brand Drug Cost
- $251K
- Generic Drug Cost
- $10K
Patient Demographics
- Average Patient Age
- 71.1 years
- Avg HCC Risk Score
- 1.29
- Gender Split
- 82% female / 18% male
- Age Distribution
- <65: 16, 65-74: 37, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Shawna Wheeler, PA-C prescribes most
Top Medicare Part D drugs by claim count, 2024
- Alendronate Sodium
Alendronate Sodium
92 claims
- Tymlos
Tymlos
43 claims
- Teriparatide 33
Teriparatide
33 claims
- Nano 2nd Gen Pen N… 12
Nano 2nd Gen Pen Needle
12 claims
- Ultra-Fine Mini Pe… 12
Ultra-Fine Mini Pen Needle
12 claims
- Calcitonin-Salmon 11
Calcitonin-Salmon
11 claims
- Forteo 11
Forteo
11 claims
| Drug | Claims |
|---|---|
| Alendronate Sodium | 92 |
| Tymlos Abaloparatide | 43 |
| Teriparatide | 33 |
| Nano 2nd Gen Pen Needle Pen Needle, Diabetic | 12 |
| Ultra-Fine Mini Pen Needle Pen Needle, Diabetic | 12 |
| Calcitonin-Salmon Calcitonin,salmon,synthetic | 11 |
| Forteo Teriparatide | 11 |
* 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 Shawna Wheeler, PA-C fits within the Medical Physician Assistant landscape nationally.
40,694
Medical Physician Assistant Providers in US
55
States with Medical Physician Assistant
1,139
Avg Claims per Provider
Shawna Wheeler, PA-C's 307 claims are below the specialty average of 1,139.
Nationwide Medical Physician Assistant peers with similar MIPS or enrollment year
Two federal-record peer sets for Wheeler, both outside Wisconsin so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (77.4 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Medical Physician Assistant Providers in Wisconsin
Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as Wheeler.
One of 672 Medical Physician Assistant providers enrolled in Wisconsin, 5 are shown here.
Carmen Adams
PA
Sparta, WI
Darian Adler
PA-C
La Crosse, WI
Sarah Affeldt
PAC
Madison, WI
Susan Ahn-Horvath
PA
Marshfield, WI
Olukemi Ajibola
Mequon, WI
Compare Medical Physician Assistant nationally: see state-by-state distribution →
Frequently Asked Questions
What is Shawna Wheeler, PA-C's specialty? ▼
Shawna Wheeler, PA-C specializes in Medical Physician Assistant and practices in Madison, Wisconsin. Credentials: PA-C.
How much does Shawna Wheeler, PA-C prescribe under Medicare Part D? ▼
In 2024, Shawna Wheeler, PA-C wrote 307 Medicare Part D claims totaling $263K in drug costs for 87 beneficiaries.
What is Shawna Wheeler, PA-C's Medicare quality score? ▼
Shawna Wheeler, PA-C has a CMS MIPS Final Score of 77.4/100 (Quality: 81.8, Cost: 62.1). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Shawna Wheeler, PA-C located? ▼
Shawna Wheeler, PA-C is located at 5249 E TERRACE DR, Madison, WI, 53718. Phone: (608) 263-9550.
What is Shawna Wheeler, PA-C's NPI number? ▼
Shawna Wheeler, PA-C's National Provider Identifier (NPI) is 1326051483, issued on 08/13/2006.
Does Shawna Wheeler, PA-C prescribe more brand-name or generic drugs? ▼
Shawna Wheeler, PA-C's prescribing is 33% brand-name and 57% generic drugs by claim count, with $251K in brand drug costs.
How many Medical Physician Assistant providers are there in the US? ▼
There are 40,694 Medical Physician Assistant providers across 55 states in the US. The average Medical Physician Assistant provider writes 1,139 Medicare Part D claims per year.
What drugs does Shawna Wheeler, PA-C prescribe most often? ▼
Based on 2024 Medicare Part D data, Shawna Wheeler, PA-C's most frequently prescribed drugs include Alendronate Sodium, Tymlos, Teriparatide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Shawna Wheeler, PA-C accept Medicare? ▼
Shawna Wheeler, PA-C appears in CMS Medicare data with 307 Part D claims and 87 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Shawna Wheeler, PA-C's credentials? ▼
Shawna Wheeler, PA-C's NPI is 1326051483 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 (2024). 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 August 2026 (NPPES) / 2024 (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
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 August 2026.