2026 NPPES data Medical Physician Assistant NPI 1528051976 PAC
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TRACY ALSHOUSE, PAC

Medical Physician Assistant in CEDAR RAPIDS, Iowa. 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
7K
Medicare Part D claims · 500 beneficiaries · Medical Physician Assistant avg: 1K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75.5284/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$137.99
7 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: TRACY ALSHOUSE, PAC is a Medical Physician Assistant ([object Object]) practicing in CEDAR RAPIDS, Iowa with a Medicare Part D prescribing footprint of 7K claims across 500 beneficiaries — 12% brand-name prescribing . Their CMS MIPS Final Score of 75.5284/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $137.99 across 7 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: TRACY ALSHOUSE, PAC reported a CMS MIPS final score of 75.5284 out of 100, below the 83.1 national average, and filed 6,912 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

TRACY ALSHOUSE, PAC at a glance

Below national average

NPI registry status

Active

Issued 08/31/2005

NPI 1528051976

Primary specialty

Medical Physician Assistant

Mid-sized

40,527 US NPIs in this specialty

Medicare Part D claims

6,912 542% vs specialty avg

2023 prescription claims

Specialty avg: 1,077

MIPS final score

75.5284/100 7.5715999999999894% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Iowa

How Medical Physician Assistant compares to other specialties among Iowa providers

Iowa providers

Medical Physician Assistant share within Iowa

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

Medicare quality performance — MIPS

TRACY ALSHOUSE, PAC's 2023 MIPS final score plotted against the Medical Physician Assistant national average

Below national average
MIPS Final Score
75.5284/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Medical Physician Assistant) — 75.5284/100 vs national avg 83.1

0%100%National avg83%75.5%
MIPS final score (Medical Physician Assistant) — 75.5284/100 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).

TRACY ALSHOUSE, PAC is a Medical Physician Assistant provider practicing in CEDAR RAPIDS, Iowa, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: PAC. NPI: 1528051976. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

TRACY ALSHOUSE, PAC appears in the CMS NPPES registry as a Medical Physician Assistant provider holding PAC credentials at 202 10TH ST SE, CEDAR RAPIDS, IA, 52403, with a listed phone of (319) 364-7730. NPI 1528051976 was issued on 08/31/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ALSHOUSE 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 6,912 prescription claims written by this provider, covering 500 Medicare beneficiaries and totaling roughly $538K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 0.4%. 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 75.5284/100 for the 2023 performance year (Quality 59.3244), compared with the national average of 83.1.

Medical Physician Assistant is a mid-sized specialty nationwide, with 40,527 enrolled providers across 55 states and an average of 1,077 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

202 10TH ST SE
CEDAR RAPIDS, IA 52403

Provider Details

NPI 1528051976
Specialty Medical Physician Assistant
Credentials PAC
Gender Female
NPI Issued 08/31/2005

CMS Quality Score (MIPS)

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

75.5284
Final Score
Avg: 83.1
59.3244
Quality
93
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where TRACY ALSHOUSE, PAC 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.

PHYSICIANS CLINIC OF IOWA PC
CEDAR RAPIDS, IA

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 TRACY ALSHOUSE, PAC. Source: openpaymentsdata.cms.gov.

Total received

$138

Largest payer

Novo Nordisk 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

TRACY ALSHOUSE, PAC — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 6,912 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.

6,912
Total Claims
$538K
Total Drug Cost
500
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
16,388
Total Day Supply
481,915
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$442K
Generic Drug Cost
$93K
Opioid Claims
27 (0.4% rate)
Antibiotic Claims
160

Patient Demographics

Average Patient Age
72.8 years
Avg HCC Risk Score
1.09
Gender Split
67% female / 33% male
Age Distribution
<65: 38, 65-74: 276, 75-84: 129, 85+: 57

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Levothyroxine Sodium
461
Atorvastatin Calcium
445
Lisinopril
363
Omeprazole
286
Amlodipine Besylate
265
Rosuvastatin Calcium
205
Metformin Hcl
196
Metoprolol Succinate
181
Losartan Potassium
170
Escitalopram Oxalate
156

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

Medical Physician Assistant Overview

How TRACY ALSHOUSE, PAC fits within the Medical Physician Assistant landscape nationally.

40,527
Medical Physician Assistant Providers in US
55
States with Medical Physician Assistant
1,077
Avg Claims per Provider

TRACY ALSHOUSE, PAC's 6,912 claims are above the specialty average of 1,077.

Nearby Medical Physician Assistant Providers in Iowa

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

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

Frequently Asked Questions

What is TRACY ALSHOUSE, PAC's specialty?
TRACY ALSHOUSE, PAC specializes in Medical Physician Assistant and practices in CEDAR RAPIDS, Iowa. Credentials: PAC.
How much does TRACY ALSHOUSE, PAC prescribe under Medicare Part D?
In 2023, TRACY ALSHOUSE, PAC wrote 6,912 Medicare Part D claims totaling $538K in drug costs for 500 beneficiaries.
What is TRACY ALSHOUSE, PAC's Medicare quality score?
TRACY ALSHOUSE, PAC has a CMS MIPS Final Score of 75.5284/100 (Quality: 59.3244). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TRACY ALSHOUSE, PAC located?
TRACY ALSHOUSE, PAC is located at 202 10TH ST SE, CEDAR RAPIDS, IA, 52403. Phone: (319) 364-7730.
What is TRACY ALSHOUSE, PAC's NPI number?
TRACY ALSHOUSE, PAC's National Provider Identifier (NPI) is 1528051976, issued on 08/31/2005.
Does TRACY ALSHOUSE, PAC prescribe more brand-name or generic drugs?
TRACY ALSHOUSE, PAC's prescribing is 12% brand-name and 88% generic drugs by claim count, with $442K in brand drug costs.
Does TRACY ALSHOUSE, PAC prescribe opioids?
Yes, TRACY ALSHOUSE, PAC had 27 opioid claims in 2023 with an opioid prescribing rate of 0.4%.
How many Medical Physician Assistant providers are there in the US?
There are 40,527 Medical Physician Assistant providers across 55 states in the US. The average Medical Physician Assistant provider writes 1,077 Medicare Part D claims per year.
What drugs does TRACY ALSHOUSE, PAC prescribe most often?
Based on 2023 Medicare Part D data, TRACY ALSHOUSE, PAC's most frequently prescribed drugs include Levothyroxine Sodium, Atorvastatin Calcium, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TRACY ALSHOUSE, PAC accept Medicare?
TRACY ALSHOUSE, PAC appears in CMS Medicare data with 6,912 Part D claims and 500 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TRACY ALSHOUSE, PAC's credentials?
TRACY ALSHOUSE, PAC's NPI is 1528051976 with credentials PAC. 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