NPI registry status
Active
2026 NPPES data Physician Assistant NPI 1730779729 PA-C
Verify on CMS → Theodore Anderson, PA-C
Physician Assistant in Grand Rapids, 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 156,084 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
179
Medicare Part D claims · 126 beneficiaries · Physician Assistant avg: 832
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
96.3/100
▲ 13 pts above national avg 83.5 · Exceptional
Industry payments
$14.69
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Theodore Anderson, PA-C reported a CMS MIPS final score of 96.3/100 - above the 83.5 national average - and filed 179 Medicare Part D claims in 2024.
- 96.3/100
- MIPS score · +13 vs avg
- 179
- Part D claims, 2024
- 94%
- generic prescribing
- $14.69
- 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.
Federal trust snapshot
What official records show about Theodore Anderson, 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 1730779729), first enumerated 01/22/2021.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 179 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 96.3/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Industry payment transparency
$14.69 in reported industry payments (1 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
Michigan statewide board action statistics are published annually — these figures describe aggregate state activity, not Theodore Anderson, 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 1730779729 · Physician Assistant
NPI-10 · ENUM-RECENT · TAX-MEGA · MIPS-ELITE · RX-LIGHT · BOOK-MID · PHOTO-FINISH
- NPI-10 1730779729
- ENUM-RECENT 2021
- TAX-MEGA 156K Physician Assistant
- MIPS-ELITE 96.3/100
- RX-LIGHT 179
- BOOK-MID 6,574 in Michigan
- PHOTO-FINISH Jason Leigh, PA · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Anderson · this …
Anderson · this provider
96.3 MIPS pts
- Jillian Schmitz,…
Jillian Schmitz, PA
96.3 MIPS pts
- Jason Leigh, PA …
Jason Leigh, PA
96.3 MIPS pts
- Zinoviya Petrysh…
Zinoviya Petryshyn, PA-C
96.3 MIPS pts
- Aubrey Kinsman, …
Aubrey Kinsman, PA
96.3 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Theodore Anderson, 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.
96 ≥ 82nd percentile 82% 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 Theodore Anderson, 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, Theodore Anderson, PA-C writes more Part D claims than 42% of them and scores higher on MIPS quality than 84% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one physician assistant peer from a representative sample of 60; the gold marker is Theodore Anderson, 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 Theodore Anderson, PA-C?
High performer (top quartile)Primary specialty
Physician Assistant
Medicare Part D claims
179 78% vs specialty avg
MIPS final score
96.3/100 12.8 pts vs avg
Specialty distribution in Michigan
How Physician Assistant compares to other specialties among Michigan providers
Medicare quality performance, MIPS
Theodore Anderson, PA-C's 2023 MIPS final score plotted against the Physician Assistant national average
- MIPS Final Score
- 96.3/100
- 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 | 1730779729 |
|---|---|
| Specialty | Physician Assistant |
| Credentials | PA-C |
| Gender | Male |
| NPI Issued | 01/22/2021 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
96.2712
Final Score
Measured-score avg: 83.5
87.8989
Quality
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 Theodore Anderson, PA-C. Source: openpaymentsdata.cms.gov.
Total received
$15
Largest payer
Genentech USA, Inc.
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 - 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 Theodore Anderson, PA-C. To verify Theodore Anderson, 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
Theodore Anderson, PA-C - brand share 6.0%
Physician Assistant average
6% brand-name claims vs 94% generic, on 179 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.
179
Total Claims
$2K
Total Drug Cost
126
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 183
- Total Day Supply
- 1,753
- Brand vs Generic
- 6% brand / 94% generic
- Brand Drug Cost
- $253
- Generic Drug Cost
- $2K
- Antibiotic Claims
- 69
Patient Demographics
- Average Patient Age
- 62.9 years
- Avg HCC Risk Score
- 1.50
- Gender Split
- 61% female / 39% male
- Age Distribution
- <65: 55, 65-74: 38, 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 Theodore Anderson, PA-C prescribes most
Top Medicare Part D drugs by claim count, 2024
- Cefuroxime
Cefuroxime
21 claims
- Ondansetron Odt
Ondansetron Odt
17 claims
- Methocarbamol
Methocarbamol
12 claims
- Prednisone
Prednisone
12 claims
- Doxycycline Monohy…
Doxycycline Monohydrate
11 claims
| Drug | Claims |
|---|---|
| Cefuroxime Cefuroxime Axetil | 21 |
| Ondansetron Odt Ondansetron | 17 |
| Methocarbamol | 12 |
| Prednisone | 12 |
| Doxycycline Monohydrate | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Physician Assistant Overview
How Theodore Anderson, PA-C fits within the Physician Assistant landscape nationally.
156,084
Physician Assistant Providers in US
56
States with Physician Assistant
832
Avg Claims per Provider
Theodore Anderson, PA-C's 179 claims are below the specialty average of 832.
Nationwide Physician Assistant peers with similar MIPS or enrollment year
Two federal-record peer sets for Anderson, both outside Michigan so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (96.3 here).
Same NPPES enumeration year (2021)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Physician Assistant Providers in Michigan
Other clinicians with the same primary specialty enrolled in Michigan, drawn from the same CMS NPPES roster as Anderson.
One of 6,574 Physician Assistant providers enrolled in Michigan, 5 are shown here.
Hauraa Aalabdulrasul
PA
Detroit, MI
Kilee Aamodt
PA-C
Muskegon, MI
Rasha Abbas
Detroit, MI
Layan Abbasi
PA-C
Ypsilanti, MI
Veronica Abbo
PA-C
Roseville, MI
Compare Physician Assistant nationally: see state-by-state distribution →
Frequently Asked Questions
What is Theodore Anderson, PA-C's specialty? ▼
Theodore Anderson, PA-C specializes in Physician Assistant and practices in Grand Rapids, Michigan. Credentials: PA-C.
How much does Theodore Anderson, PA-C prescribe under Medicare Part D? ▼
In 2024, Theodore Anderson, PA-C wrote 179 Medicare Part D claims totaling $2K in drug costs for 126 beneficiaries.
What is Theodore Anderson, PA-C's Medicare quality score? ▼
Theodore Anderson, PA-C has a CMS MIPS Final Score of 96.3/100 (Quality: 87.9). 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 Theodore Anderson, PA-C located? ▼
Theodore Anderson, PA-C is located at 100 MICHIGAN ST NE, Grand Rapids, MI, 49503. Phone: (866) 989-7999.
What is Theodore Anderson, PA-C's NPI number? ▼
Theodore Anderson, PA-C's National Provider Identifier (NPI) is 1730779729, issued on 01/22/2021.
Does Theodore Anderson, PA-C prescribe more brand-name or generic drugs? ▼
Theodore Anderson, PA-C's prescribing is 6% brand-name and 94% generic drugs by claim count, with $253 in brand drug costs.
How many Physician Assistant providers are there in the US? ▼
There are 156,084 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 832 Medicare Part D claims per year.
What drugs does Theodore Anderson, PA-C prescribe most often? ▼
Based on 2024 Medicare Part D data, Theodore Anderson, PA-C's most frequently prescribed drugs include Cefuroxime, Ondansetron Odt, Methocarbamol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Theodore Anderson, PA-C accept Medicare? ▼
Theodore Anderson, PA-C appears in CMS Medicare data with 179 Part D claims and 126 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Theodore Anderson, PA-C's credentials? ▼
Theodore Anderson, PA-C's NPI is 1730779729 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.