2026 NPPES data Physician Assistant NPI 1306024476 PA-C
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THERESA GILLIS, PA-C

Physician Assistant in FREDERICK, Maryland. 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
934
Medicare Part D claims · 351 beneficiaries · Physician Assistant avg: 790
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
80.2568/100
▼ 3 pts below national avg 83.1 · [object Object]
Industry payments
$326.69
13 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

THERESA GILLIS, PA-C reported a CMS MIPS final score of 80.2568/100 — below the 83.1 national average — and filed 934 Medicare Part D claims in 2023.

80.2568/100
MIPS score · -3 vs avg
934
Part D claims, 2023
87%
generic prescribing
$326.69
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.

THERESA GILLIS, 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

80 33rd percentile higher than 33% 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%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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 THERESA GILLIS, PA-C?

Near national average

NPI registry status

Active

Issued 01/31/2008

NPI 1306024476

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

934 18% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

80.2568/100 2.843199999999996% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Maryland

How Physician Assistant compares to other specialties among Maryland providers

Maryland providers

Physician Assistant share within Maryland

1. Physician Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physician Assistant share within Maryland

Medicare quality performance — MIPS

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

Near national average
MIPS Final Score
80.2568/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 80.2568/100 vs national avg 83.1

0%100%National avg83%80.3%
MIPS final score (Physician Assistant) — 80.2568/100 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).

THERESA GILLIS, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 68 THOMAS JOHNSON DR, FREDERICK, MD, 21702, with a listed phone of (301) 694-5292. NPI 1306024476 was issued on 01/31/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GILLIS 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 934 prescription claims written by this provider, covering 351 Medicare beneficiaries and totaling roughly $408K in drug spend, split 13% brand-name and 87% 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 80.2568/100 for the 2023 performance year (Quality 79.2903, Cost 54.8991), compared with the national average of 83.1.

Physician Assistant is a high-volume specialty nationwide, with 149,975 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

68 THOMAS JOHNSON DR
FREDERICK, MD 21702

Provider Details

NPI 1306024476
Specialty Physician Assistant
Credentials PA-C
Gender Female
NPI Issued 01/31/2008

CMS Quality Score (MIPS)

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

80.2568
Final Score
Avg: 83.1
79.2903
Quality
54.8991
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where THERESA GILLIS, PA-C bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

FREDERICK HEALTH MEDICAL GROUP LLC
FREDERICK, MD
MERITUS MEDICAL CENTER INC
HAGERSTOWN, MD

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

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 THERESA GILLIS, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$327

Largest payer

Sumitomo Pharma America, 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.

Brand vs generic prescribing mix · Typical

THERESA GILLIS, PA-C — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 934 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.

934
Total Claims
$408K
Total Drug Cost
351
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,156
Total Day Supply
62,466
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$374K
Generic Drug Cost
$34K
Antibiotic Claims
62

Patient Demographics

Average Patient Age
74.5 years
Avg HCC Risk Score
1.31
Gender Split
63% female / 37% male
Age Distribution
<65: 35, 65-74: 133, 75-84: 139, 85+: 44

Top Prescribed Drugs (Medicare Part D)

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

What THERESA GILLIS, 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
Methotrexate
Methotrexate Sodium
137
Hydroxychloroquine Sulfate
116
Prednisone
92
Allopurinol
57
Tamsulosin Hcl
48
Otezla
Apremilast
28
Colchicine
27
Alendronate Sodium
23
Oxybutynin Chloride Er
Oxybutynin Chloride
20
Meloxicam
19

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

Physician Assistant Overview

How THERESA GILLIS, PA-C fits within the Physician Assistant landscape nationally.

149,975
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider

THERESA GILLIS, PA-C's 934 claims are above the specialty average of 790.

Nearby Physician Assistant Providers in Maryland

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

Compare Physician Assistant nationally: see state-by-state distribution →

Frequently Asked Questions

What is THERESA GILLIS, PA-C's specialty?
THERESA GILLIS, PA-C specializes in Physician Assistant and practices in FREDERICK, Maryland. Credentials: PA-C.
How much does THERESA GILLIS, PA-C prescribe under Medicare Part D?
In 2023, THERESA GILLIS, PA-C wrote 934 Medicare Part D claims totaling $408K in drug costs for 351 beneficiaries.
What is THERESA GILLIS, PA-C's Medicare quality score?
THERESA GILLIS, PA-C has a CMS MIPS Final Score of 80.2568/100 (Quality: 79.2903, Cost: 54.8991). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is THERESA GILLIS, PA-C located?
THERESA GILLIS, PA-C is located at 68 THOMAS JOHNSON DR, FREDERICK, MD, 21702. Phone: (301) 694-5292.
What is THERESA GILLIS, PA-C's NPI number?
THERESA GILLIS, PA-C's National Provider Identifier (NPI) is 1306024476, issued on 01/31/2008.
Does THERESA GILLIS, PA-C prescribe more brand-name or generic drugs?
THERESA GILLIS, PA-C's prescribing is 13% brand-name and 87% generic drugs by claim count, with $374K in brand drug costs.
How many Physician Assistant providers are there in the US?
There are 149,975 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 THERESA GILLIS, PA-C prescribe most often?
Based on 2023 Medicare Part D data, THERESA GILLIS, PA-C's most frequently prescribed drugs include Methotrexate, Hydroxychloroquine Sulfate, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does THERESA GILLIS, PA-C accept Medicare?
THERESA GILLIS, PA-C appears in CMS Medicare data with 934 Part D claims and 351 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THERESA GILLIS, PA-C's credentials?
THERESA GILLIS, PA-C's NPI is 1306024476 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

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