2026 NPPES data Chiropractor NPI 1649288549 D.C., PA-C
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Steven Fischer, D.C., PA-C

Chiropractor in Okemos, Michigan.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 96,234 in Chiropractor, 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
127
Medicare Part D claims · 56 beneficiaries · Chiropractor avg: 906
MIPS score
75/100
CMS neutral threshold · no category scores published

What the federal data shows

Steven Fischer, D.C., PA-C carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 127 Medicare Part D claims in 2024.

75/100
CMS neutral score · not measured
127
Part D claims, 2024
≥34th
pct by Part D claim volume (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 Steven Fischer, D.C., PA-C

Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1649288549), first enumerated 08/04/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 127 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)

    CMS assigned a neutral MIPS final score of 75/100 where no performance category was scored — not a measured quality rank.

    Source: CMS Quality Payment Program

  • State context

    State board disciplinary context

    Michigan statewide board action statistics are published annually — these figures describe aggregate state activity, not Steven Fischer, D.C., PA-C's individual license status. Verify directly with the state medical board.

    Source: MI-BOM annual report 2023

  • 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 1649288549 · Chiropractor

NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-NEUTRAL · RX-LIGHT · BOOK-LIGHT · PHOTO-ENUM

  • NPI-10 1649288549
  • ENUM-LEGACY 2006
  • TAX-MEGA 96K Chiropractor
  • MIPS-NEUTRAL 75/100
  • RX-LIGHT 127
  • BOOK-LIGHT 3,052 in Michigan
  • PHOTO-ENUM Stanley Jensen, DC · 2006

Steven Fischer, D.C., PA-C's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2024, across all CMS prescribers nationally

127 ≥ 34th percentile 34% of 1,416,883 prescribers are in lower value bands

0–200: 679,947 prescribers (48%). This entry sits in this band. 200–400: 188,835 prescribers (13%). Above this entry. 400–600: 95,866 prescribers (7%). Above this entry. 600–800: 60,107 prescribers (4%). Above this entry. 800–1,000: 43,043 prescribers (3%). Above this entry. 1,000–1,200: 33,612 prescribers (2%). Above this entry. 1,200–1,400: 27,889 prescribers (2%). Above this entry. 1,400–1,600: 23,183 prescribers (2%). Above this entry. 1,600–1,800: 19,917 prescribers (1%). Above this entry. 1,800–2,000: 17,585 prescribers (1%). Above this entry. 2K+: 226,899 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.

Source CMS Medicare Part D Prescriber Public Use File · 2024

What does the federal data show about Steven Fischer, D.C., PA-C?

CMS neutral score, not measured

NPI registry status

Active

Issued 08/04/2006

NPI 1649288549

Primary specialty

Chiropractor

High-volume

96,234 US NPIs in this specialty

Medicare Part D claims

127 86% vs specialty avg

2024 prescription claims

Specialty avg: 906

MIPS final score

75/100

CMS neutral score, not measured

No category scores published; CMS assigned the performance threshold

Specialty distribution in Michigan

How Chiropractor compares to other specialties among Michigan providers

Michigan providers
Behavior Technician22.2%Clinical Social Worker5.7%Student in an Organized Heal…3.7%Social Worker3.3%Physical Therapist3.3%Pharmacist2.9%Chiropractor1.1%
Largest specialties in Michigan (% of in-state providers)

MIPS score not measured

CMS assigned a neutral 75/100 threshold

CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.

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

2685 JOLLY RD
Okemos, MI 48864

Provider Details

NPI 1649288549
Specialty Chiropractor
Credentials D.C., PA-C
Gender Male
NPI Issued 08/04/2006

CMS Quality Score (MIPS)

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

75
Final Score
CMS neutral threshold · not measured

Reporting: Group practice

License & disciplinary context - Michigan MI-BOM 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 ~41K Michigan medical licensees in 2023 - they are NOT specific to Steven Fischer, D.C., PA-C. To verify Steven Fischer, D.C., PA-C's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM 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 Michigan 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 2024.

127
Total Claims
$63K
Total Drug Cost
56
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
143.667
Total Day Supply
3,958
Generic Drug Cost
$3K

Patient Demographics

Average Patient Age
73.4 years
Avg HCC Risk Score
1.26
Gender Split
48% female / 52% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

Drug Claims
Ketoconazole
39
Triamcinolone Acetonide
12

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

Chiropractor Overview

How Steven Fischer, D.C., PA-C fits within the Chiropractor landscape nationally.

96,234
Chiropractor Providers in US
56
States with Chiropractor
906
Avg Claims per Provider

Steven Fischer, D.C., PA-C's 127 claims are below the specialty average of 906.

Nationwide Chiropractor peers with similar MIPS or enrollment year

Two federal-record peer sets for Fischer, both outside Michigan so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (75 here).

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Chiropractor Providers in Michigan

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

One of 3,052 Chiropractor providers enrolled in Michigan, 5 are shown here.

Compare Chiropractor nationally: see state-by-state distribution →

Frequently Asked Questions

What is Steven Fischer, D.C., PA-C's specialty?
Steven Fischer, D.C., PA-C specializes in Chiropractor and practices in Okemos, Michigan. Credentials: D.C., PA-C.
How much does Steven Fischer, D.C., PA-C prescribe under Medicare Part D?
In 2024, Steven Fischer, D.C., PA-C wrote 127 Medicare Part D claims totaling $63K in drug costs for 56 beneficiaries.
What is Steven Fischer, D.C., PA-C's Medicare quality score?
Steven Fischer, D.C., PA-C has a CMS MIPS Final Score of 75/100. CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score for this clinician, so the final score is the neutral performance threshold CMS assigns rather than a measured result. 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 Steven Fischer, D.C., PA-C located?
Steven Fischer, D.C., PA-C is located at 2685 JOLLY RD, Okemos, MI, 48864. Phone: (734) 594-7931.
What is Steven Fischer, D.C., PA-C's NPI number?
Steven Fischer, D.C., PA-C's National Provider Identifier (NPI) is 1649288549, issued on 08/04/2006.
How many Chiropractor providers are there in the US?
There are 96,234 Chiropractor providers across 56 states in the US. The average Chiropractor provider writes 906 Medicare Part D claims per year.
What drugs does Steven Fischer, D.C., PA-C prescribe most often?
Based on 2024 Medicare Part D data, Steven Fischer, D.C., PA-C's most frequently prescribed drugs include Ketoconazole, Triamcinolone Acetonide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Steven Fischer, D.C., PA-C accept Medicare?
Steven Fischer, D.C., PA-C appears in CMS Medicare data with 127 Part D claims and 56 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Steven Fischer, D.C., PA-C's credentials?
Steven Fischer, D.C., PA-C's NPI is 1649288549 with credentials D.C., 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.