2026 NPPES data Chiropractor NPI 1649288549 D.C., PA-C
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STEVEN FISCHER, D.C., PA-C

Chiropractor in OKEMOS, Michigan. 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
1K
Medicare Part D claims · 476 beneficiaries · Chiropractor avg: 824
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]

What the federal data shows

STEVEN FISCHER, D.C., PA-C reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 1,359 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
1K
Part D claims, 2023
94%
generic prescribing

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.

STEVEN FISCHER, D.C., 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

75 15th percentile higher than 15% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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 STEVEN FISCHER, D.C., PA-C?

Below national average

NPI registry status

Active

Issued 08/04/2006

NPI 1649288549

Primary specialty

Chiropractor

High-volume

95,153 US NPIs in this specialty

Medicare Part D claims

1,359 65% vs specialty avg

2023 prescription claims

Specialty avg: 824

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Michigan

How Chiropractor compares to other specialties among Michigan providers

Michigan providers

Chiropractor share within Michigan

1. Chiropractor42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Chiropractor share within Michigan

Medicare quality performance — MIPS

STEVEN FISCHER, D.C., PA-C's 2023 MIPS final score plotted against the Chiropractor national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Chiropractor) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Chiropractor) — 75/100 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).

STEVEN FISCHER, D.C., PA-C appears in the CMS NPPES registry as a Chiropractor provider holding D.C., PA-C credentials at 2685 JOLLY RD, OKEMOS, MI, 48864, with a listed phone of (734) 594-7931. NPI 1649288549 was issued on 08/04/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FISCHER 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 476 Medicare beneficiaries and totaling roughly $466K in drug spend, split 6% brand-name and 94% generic by claim count. 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

Chiropractor is a high-volume specialty nationwide, with 95,153 enrolled providers across 56 states and an average of 824 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

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
Avg: 83.1

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.

Brand vs generic prescribing mix · Generic-heavy

STEVEN FISCHER, D.C., PA-C — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% 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
$466K
Total Drug Cost
476
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,446
Total Day Supply
37,957
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$423K
Generic Drug Cost
$43K
Antibiotic Claims
115

Patient Demographics

Average Patient Age
73.5 years
Avg HCC Risk Score
1.29
Gender Split
51% female / 49% male
Age Distribution
<65: 56, 65-74: 196, 75-84: 154, 85+: 70

Top Prescribed Drugs (Medicare Part D)

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

What STEVEN FISCHER, D.C., 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
Ketoconazole
346
Triamcinolone Acetonide
149
Clobetasol Propionate
137
Metronidazole
109
Betamethasone Dipropionate
93
Doxycycline Hyclate
81
Mupirocin
69
Fluorouracil
51
Methotrexate
Methotrexate Sodium
36
Otezla
Apremilast
29

* 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.

95,153
Chiropractor Providers in US
56
States with Chiropractor
824
Avg Claims per Provider

STEVEN FISCHER, D.C., PA-C's 1,359 claims are above the specialty average of 824.

Nearby Chiropractor Providers in Michigan

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

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 2023, STEVEN FISCHER, D.C., PA-C wrote 1,359 Medicare Part D claims totaling $466K in drug costs for 476 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. The national average MIPS Final Score is 83.1. 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.
Does STEVEN FISCHER, D.C., PA-C prescribe more brand-name or generic drugs?
STEVEN FISCHER, D.C., PA-C's prescribing is 6% brand-name and 94% generic drugs by claim count, with $423K in brand drug costs.
How many Chiropractor providers are there in the US?
There are 95,153 Chiropractor providers across 56 states in the US. The average Chiropractor provider writes 824 Medicare Part D claims per year.
What drugs does STEVEN FISCHER, D.C., PA-C prescribe most often?
Based on 2023 Medicare Part D data, STEVEN FISCHER, D.C., PA-C's most frequently prescribed drugs include Ketoconazole, Triamcinolone Acetonide, Clobetasol Propionate. 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 1,359 Part D claims and 476 Medicare beneficiaries in 2023. 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

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