NPI registry status
Active
2026 NPPES data Surgical Physician Assistant NPI 1962568402 PA
Verify on CMS → Theresa Koester, PA
Surgical Physician Assistant in Washington, District of Columbia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,119 in Surgical 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
55
Medicare Part D claims · 47 beneficiaries · Surgical Physician Assistant avg: 316
MIPS score
74.4/100
▼ 9 pts below national avg 83.1 · Mid-tier
Industry payments
$86.85
1 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Theresa Koester, PA reported a CMS MIPS final score of 74.4/100 - below the 83.1 national average - and filed 55 Medicare Part D claims in 2023.
- 74.4/100
- MIPS score · -9 vs avg
- 55
- Part D claims, 2023
- $86.85
- 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 Koester, PA's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
74 12th percentile higher than 12% of 477,587 scored providers
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
Where Theresa Koester, PA sits
This provider among surgical physician assistant peers
Across the 3,708 surgical physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Theresa Koester, PA writes more Part D claims than 23% of them and scores higher on MIPS quality than 10% - placing this provider in the lower-volume, lower-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
Each dot is one surgical physician assistant peer from a representative sample of 60; the gold marker is Theresa Koester, PA. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Theresa Koester, PA?
Below national averagePrimary specialty
Surgical Physician Assistant
Medicare Part D claims
55 83% vs specialty avg
MIPS final score
74.4/100 8.7 pts vs avg
Specialty distribution in District of Columbia
How Surgical Physician Assistant compares to other specialties among District of Columbia providers
Medicare quality performance, MIPS
Theresa Koester, PA's 2023 MIPS final score plotted against the Surgical Physician Assistant national average
- MIPS Final Score
- 74.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Surgical Physician Assistant) - 74.4/100 vs national avg 83.1
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).
Theresa Koester, PA appears in the CMS NPPES registry as a Surgical Physician Assistant provider holding PA credentials at 3301 NEW MEXICO AVE NW, SUITE 206, Washington, DC, 20016, with a listed phone of (202) 895-1440. NPI 1962568402 was issued on 12/29/2006.
Medicare Part D records for calendar year 2023 show 55 prescription claims written by this provider, covering 47 Medicare beneficiaries and totaling roughly $938 in drug spend, with an opioid prescribing rate of 67.3%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 74.4/100 for the 2023 performance year (Quality 64.7, Cost 52.4), compared with the national average of 83.1.
Surgical Physician Assistant is a mid-sized specialty nationwide, with 16,119 enrolled providers across 54 states and an average of 316 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
Provider Details
| NPI | 1962568402 |
|---|---|
| Specialty | Surgical Physician Assistant |
| Credentials | PA |
| Gender | Female |
| NPI Issued | 12/29/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
74.3962
Final Score
Avg: 83.1
64.7185
Quality
52.4354
Cost
97
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Theresa Koester, PA 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.
Johns Hopkins University
Washington, DC
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 Koester, PA. Source: openpaymentsdata.cms.gov.
Total received
$87
Largest payer
W. L. Gore & Associates, 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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
55
Total Claims
$938
Total Drug Cost
47
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 59
- Total Day Supply
- 469
- Generic Drug Cost
- $333
- Opioid Claims
- 37 (67.3% rate)
Patient Demographics
- Average Patient Age
- 74.9 years
- Avg HCC Risk Score
- 0.77
- Gender Split
- 43% female / 57% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Tramadol Hcl | 25 |
| Oxycodone Hcl | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Surgical Physician Assistant in DC →
All providers in District of Columbia →
Compare specialties →
Surgical Physician Assistant Overview
How Theresa Koester, PA fits within the Surgical Physician Assistant landscape nationally.
16,119
Surgical Physician Assistant Providers in US
54
States with Surgical Physician Assistant
316
Avg Claims per Provider
Theresa Koester, PA's 55 claims are below the specialty average of 316.
Nearby Surgical Physician Assistant Providers in District of Columbia
Other clinicians with the same primary specialty enrolled in District of Columbia, drawn from the same CMS NPPES roster as Koester.
Dr. Nicole Abel
PHYSICIAN ASSISTANT
Washington, DC
Dr. Radcliffe Antoine
PA
Washington, DC
Dr. Alissia Bishop
PHYSICIAN ASSISTANT
Washington, DC
Dr. Joseph Bytnar
PA-C
Washington, DC
Dr. Stephanie Cardace
PA-C
Washington, DC
Compare Surgical 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 District of Columbia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Surgical 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.
Healthcare Guides
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Medical Specialties Explained
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Understanding Medicare Claims Data
What prescribing data reveals about a provider
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How insurance networks affect your costs
Telehealth Guide
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Explore District of Columbia
Frequently Asked Questions
What is Theresa Koester, PA's specialty? ▼
Theresa Koester, PA specializes in Surgical Physician Assistant and practices in Washington, District of Columbia. Credentials: PA.
How much does Theresa Koester, PA prescribe under Medicare Part D? ▼
In 2023, Theresa Koester, PA wrote 55 Medicare Part D claims totaling $938 in drug costs for 47 beneficiaries.
What is Theresa Koester, PA's Medicare quality score? ▼
Theresa Koester, PA has a CMS MIPS Final Score of 74.4/100 (Quality: 64.7, Cost: 52.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Theresa Koester, PA located? ▼
Theresa Koester, PA is located at 3301 NEW MEXICO AVE NW, SUITE 206, Washington, DC, 20016. Phone: (202) 895-1440.
What is Theresa Koester, PA's NPI number? ▼
Theresa Koester, PA's National Provider Identifier (NPI) is 1962568402, issued on 12/29/2006.
Does Theresa Koester, PA prescribe opioids? ▼
Yes, Theresa Koester, PA had 37 opioid claims in 2023 with an opioid prescribing rate of 67.3%.
How many Surgical Physician Assistant providers are there in the US? ▼
There are 16,119 Surgical Physician Assistant providers across 54 states in the US. The average Surgical Physician Assistant provider writes 316 Medicare Part D claims per year.
What drugs does Theresa Koester, PA prescribe most often? ▼
Based on 2023 Medicare Part D data, Theresa Koester, PA's most frequently prescribed drugs include Tramadol Hcl, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Theresa Koester, PA accept Medicare? ▼
Theresa Koester, PA appears in CMS Medicare data with 55 Part D claims and 47 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Theresa Koester, PA's credentials? ▼
Theresa Koester, PA's NPI is 1962568402 with credentials PA. 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
Compiled from official public sources by the PlainDoctor editorial team.