NPPES file of Aug 9, 2026

Steven Nathan Silvestain, PA-C

Medical Physician Assistant · Saint Louis, MO

Steven Nathan Silvestain, PA-C is a medical physician assistant with a practice address in Saint Louis, Missouri, and NPI 1144848805, issued on Jul 9, 2020. Check the license (Missouri 2020034264, as entered in NPPES) with the Missouri board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1144848805
Name
Steven Nathan Silvestain
Credential
PA-C
Primary taxonomy
Medical Physician Assistant 363AM0700X
License numbers
2020034264 MO
PA.0007774 CO
Self-reported in NPPES; status is on the state search
Practice location
9556 Manchester RD, Saint Louis, MO 63119
Phone
(314) 373-5740
Enumerated
Jul 9, 2020
Record last updated
Apr 20, 2023
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 9556 Manchester RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Andrea Alameda, FNP-CFamily Nurse Practitioner1922509090
  2. Rachel Brown, PA-CPhysician Assistant1477402063
  3. Valerie Carrizales, PA-CMedical Physician Assistant1366139230
  4. Kathryn Clark, PA-CPhysician Assistant1912610163
  5. Martin Clarke, PAPhysician Assistant1295753754
  6. Austin Combs, PA-CMedical Physician Assistant1568085231

Verify Steven Nathan Silvestain in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Missouri board licenses this profession
    Search for license 2020034264
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Missouri license search

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89% fewer Medicare Part D claims than the average medical physician assistant in 2024

123 Medicare Part D claims for 92 beneficiaries, against an average of 1,148 among the 23,801 providers of this specialty who prescribed in Part D. 16 claims were for opioids.

  1. Steven Silvestain123
  2. Specialty average1,148

Most prescribed

  1. Oxycodone Hcl14 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 54.7 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score47.4
  2. Costout of 100 · 30%85.0
  3. Promoting interoperabilityout of 100 · 25%0.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Medical Physician Assistant providers in Missouri

There are 317 medical physician assistant records in Missouri.

Other medical physician assistant records in Missouri

  1. Jennifer Acosta, PA-CSpringfield, MO1932318367
  2. Courtney AdamsIndependence, MO1013451558
  3. Mustafa AhmedSaint Louis, MO1548881659
  4. Siena Andrus, PA-CSpringfield, MO1023820313
  5. Karen Anghel, PA-CIndependence, MO1912538752
  6. Andrea Applegate, PA-CSpringfield, MO1649576794
  7. Tara Aronberg, PASaint Louis, MO1952633976
  8. Yaa Asare, PASaint Louis, MO1477988624
  9. Erin Aubrey, PAKansas City, MO1568543999
  10. Stephanie Aug, PABolivar, MO1225304587

Common questions

What is Steven Nathan Silvestain, PA-C's NPI number?

Steven Nathan Silvestain, PA-C's National Provider Identifier (NPI) is 1144848805, issued on Jul 9, 2020. An NPI identifies a provider in billing; it is not a license.

Where is Steven Nathan Silvestain, PA-C located?

The NPPES record lists a practice address at 9556 Manchester RD, Saint Louis, MO, 63119. Phone: (314) 373-5740. Providers update this record themselves, so call before visiting.

How can I verify Steven Nathan Silvestain, PA-C's license?

NPPES lists Missouri license number 2020034264, as entered by the provider. Search the Missouri board that licenses this profession; the NPPES record confirms identity only.

How much does Steven Nathan Silvestain, PA-C prescribe under Medicare Part D?

In 2024, Steven Nathan Silvestain, PA-C had 123 Medicare Part D claims for 92 beneficiaries; the average among medical physician assistant prescribers was 1,148. Part D covers Medicare prescriptions only.

What is Steven Nathan Silvestain, PA-C's MIPS final score?

The 2023 MIPS final score is 54.7 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.