2026 NPPES data Physician Assistant NPI 1376177436 PA-C
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Teresa Fotino, PA-C

Physician Assistant in New Windsor, New York.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 150,974 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
832
Medicare Part D claims · 422 beneficiaries · Physician Assistant avg: 790
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
86.7/100
▲ 3 pts above national avg 83.5 · Above neutral
Industry payments
$1.1K
55 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Teresa Fotino, PA-C reported a CMS MIPS final score of 86.7/100 - above the 83.5 national average - and filed 832 Medicare Part D claims in 2023.

86.7/100
MIPS score · +3 vs avg
832
Part D claims, 2023
88%
generic prescribing
$1.1K
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.

Teresa Fotino, 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.

87 ≥ 49th percentile 49% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

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 Teresa Fotino, PA-C sits

This provider among physician assistant peers

Across the 26,497 physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Teresa Fotino, PA-C writes more Part D claims than 80% of them and scores higher on MIPS quality than 50% - 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, percentilePoint, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 67Teresa Fotino, PA-C, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 50
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 Teresa Fotino, 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 Teresa Fotino, PA-C?

High performer (top quartile)

NPI registry status

Active

Issued 02/27/2020

NPI 1376177436

Primary specialty

Physician Assistant

High-volume

150,974 US NPIs in this specialty

Medicare Part D claims

832 5% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

86.7/100 3.2 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in New York

How Physician Assistant compares to other specialties among New York providers

New York providers
Student in an Organized Heal…7.8%Registered Nurse5.2%Clinical Social Worker4.9%Social Worker4.5%Speech-Language Pathologist4.5%Licensed Practical Nurse4.3%Physician Assistant2.7%
Largest specialties in New York (% of in-state providers)

Medicare quality performance, MIPS

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

High performer (top quartile)
MIPS Final Score
86.7/100
vs 83.5 national avg · 2023 performance year

MIPS final score (Physician Assistant) - 86.7/100 vs national avg 83.5

0%100%National avg84%86.7%
MIPS final score (Physician Assistant) - 86.7/100 vs national avg 83.5
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).

Teresa Fotino, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 955 LITTLE BRITAIN RD, New Windsor, NY, 12553, with a listed phone of (845) 437-5000. NPI 1376177436 was issued on 02/27/2020.

Medicare Part D records for calendar year 2023 show 832 prescription claims written by this provider, covering 422 Medicare beneficiaries and totaling roughly $195K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 3.8%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 86.7/100 for the 2023 performance year (Quality 85.4, Cost 72.8), compared with the 83.5 average among clinicians with a measured score.

Physician Assistant is a high-volume specialty nationwide, with 150,974 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

955 LITTLE BRITAIN RD
New Windsor, NY 12553

Provider Details

NPI 1376177436
Specialty Physician Assistant
Credentials PA-C
Gender Female
NPI Issued 02/27/2020

CMS Quality Score (MIPS)

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

86.7092
Final Score
Measured-score avg: 83.5
85.4063
Quality
72.7911
Cost
97
Promoting Interoperability

Reporting: Group practice

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 Teresa Fotino, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$1.1K

Largest payer

COLOPLAST CORP

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 - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Teresa Fotino, PA-C. To verify Teresa Fotino, PA-C's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Teresa Fotino, PA-C - brand share 12.0%
Physician Assistant average

12% brand-name claims vs 88% generic, on 832 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.

832
Total Claims
$195K
Total Drug Cost
422
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,348
Total Day Supply
31,745
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$171K
Generic Drug Cost
$24K
Opioid Claims
32 (3.8% rate)
Antibiotic Claims
334

Patient Demographics

Average Patient Age
75.4 years
Avg HCC Risk Score
1.45
Gender Split
34% female / 66% male
Age Distribution
<65: 36, 65-74: 163, 75-84: 152, 85+: 71

Top Prescribed Drugs (Medicare Part D)

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

What Teresa Fotino, 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
Tamsulosin Hcl
166
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
74
Ciprofloxacin Hcl
72
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
66
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
63
Oxybutynin Chloride Er
Oxybutynin Chloride
42
Finasteride
33
Myrbetriq
Mirabegron
30
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
30
Tolterodine Tartrate Er
Tolterodine Tartrate
29

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

Physician Assistant Overview

How Teresa Fotino, PA-C fits within the Physician Assistant landscape nationally.

150,974
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider

Teresa Fotino, PA-C's 832 claims are above the specialty average of 790.

Nearby Physician Assistant Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Fotino.

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 New York 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 Teresa Fotino, PA-C's specialty?
Teresa Fotino, PA-C specializes in Physician Assistant and practices in New Windsor, New York. Credentials: PA-C.
How much does Teresa Fotino, PA-C prescribe under Medicare Part D?
In 2023, Teresa Fotino, PA-C wrote 832 Medicare Part D claims totaling $195K in drug costs for 422 beneficiaries.
What is Teresa Fotino, PA-C's Medicare quality score?
Teresa Fotino, PA-C has a CMS MIPS Final Score of 86.7/100 (Quality: 85.4, Cost: 72.8). 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 Teresa Fotino, PA-C located?
Teresa Fotino, PA-C is located at 955 LITTLE BRITAIN RD, New Windsor, NY, 12553. Phone: (845) 437-5000.
What is Teresa Fotino, PA-C's NPI number?
Teresa Fotino, PA-C's National Provider Identifier (NPI) is 1376177436, issued on 02/27/2020.
Does Teresa Fotino, PA-C prescribe more brand-name or generic drugs?
Teresa Fotino, PA-C's prescribing is 12% brand-name and 88% generic drugs by claim count, with $171K in brand drug costs.
Does Teresa Fotino, PA-C prescribe opioids?
Yes, Teresa Fotino, PA-C had 32 opioid claims in 2023 with an opioid prescribing rate of 3.8%.
How many Physician Assistant providers are there in the US?
There are 150,974 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 Teresa Fotino, PA-C prescribe most often?
Based on 2023 Medicare Part D data, Teresa Fotino, PA-C's most frequently prescribed drugs include Tamsulosin Hcl, Amoxicillin-Clavulanate Potass, Ciprofloxacin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Teresa Fotino, PA-C accept Medicare?
Teresa Fotino, PA-C appears in CMS Medicare data with 832 Part D claims and 422 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Teresa Fotino, PA-C's credentials?
Teresa Fotino, PA-C's NPI is 1376177436 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 (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

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 May 2026.