NPI registry status
Active
2026 NPPES data Medical Physician Assistant NPI 1154313666 P.A.
Verify on CMS → Tracy Birkner, P.A.
Medical Physician Assistant in Reno, Nevada.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 40,527 in Medical 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
145
Medicare Part D claims · 57 beneficiaries · Medical Physician Assistant avg: 1K
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.6/100
▲ 8 pts above national avg 83.1 · Exceptional
Industry payments
$593.16
10 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Tracy Birkner, P.A. reported a CMS MIPS final score of 91.6/100 - above the 83.1 national average - and filed 145 Medicare Part D claims in 2023.
- 91.6/100
- MIPS score · +8 vs avg
- 145
- Part D claims, 2023
- 82%
- generic prescribing
- $593.16
- 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.
Tracy Birkner, P.A.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
92 Top 37% higher than 63% 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 Tracy Birkner, P.A. sits
This provider among medical physician assistant peers
Across the 7,339 medical physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Tracy Birkner, P.A. writes more Part D claims than 28% of them and scores higher on MIPS quality than 65% - placing this provider in the lower-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
Each dot is one medical physician assistant peer from a representative sample of 60; the gold marker is Tracy Birkner, P.A.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Tracy Birkner, P.A.?
High performer (top quartile)Primary specialty
Medical Physician Assistant
Medicare Part D claims
145 87% vs specialty avg
MIPS final score
91.6/100 8.5 pts vs avg
Specialty distribution in Nevada
How Medical Physician Assistant compares to other specialties among Nevada providers
Medicare quality performance, MIPS
Tracy Birkner, P.A.'s 2023 MIPS final score plotted against the Medical Physician Assistant national average
- MIPS Final Score
- 91.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Medical Physician Assistant) - 91.6/100 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).
Tracy Birkner, P.A. appears in the CMS NPPES registry as a Medical Physician Assistant provider holding P.A. credentials at 5390 LONGLEY LN, Reno, NV, 89511, with a listed phone of (775) 302-0000. NPI 1154313666 was issued on 08/19/2005.
Medicare Part D records for calendar year 2023 show 145 prescription claims written by this provider, covering 57 Medicare beneficiaries and totaling roughly $18K in drug spend, split 18% brand-name and 82% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.6/100 for the 2023 performance year (Quality 85.1), 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
Provider Details
| NPI | 1154313666 |
|---|---|
| Specialty | Medical Physician Assistant |
| Credentials | P.A. |
| Gender | Female |
| NPI Issued | 08/19/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
91.5901
Final Score
Avg: 83.1
85.0511
Quality
96.8817
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Tracy Birkner, P.A. 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.
Reno Heart Institute Desai PC
Reno, NV
Saint Marys Medical Group Inc
Reno, NV
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 Birkner, P.A.. Source: openpaymentsdata.cms.gov.
Total received
$593
Largest payer
Abbott Laboratories
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 Birkner, P.A. - brand share 18.0%
Medical Physician Assistant average
18% brand-name claims vs 82% generic, on 145 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.
145
Total Claims
$18K
Total Drug Cost
57
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 240
- Total Day Supply
- 6,849
- Brand vs Generic
- 18% brand / 82% generic
- Brand Drug Cost
- $15K
- Generic Drug Cost
- $3K
Patient Demographics
- Average Patient Age
- 76.9 years
- Avg HCC Risk Score
- 1.59
- Gender Split
- 37% female / 63% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Tracy Birkner, P.A. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Clopidogrel
Clopidogrel
45 claims
- Brilinta 17
Brilinta
17 claims
- Atorvastatin Calcium 13
Atorvastatin Calcium
13 claims
| Drug | Claims |
|---|---|
| Clopidogrel Clopidogrel Bisulfate | 45 |
| Brilinta Ticagrelor | 17 |
| Atorvastatin Calcium | 13 |
* 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 Birkner, P.A. 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 Birkner, P.A.'s 145 claims are below the specialty average of 1,077.
Nearby Medical Physician Assistant Providers in Nevada
Other clinicians with the same primary specialty enrolled in Nevada, drawn from the same CMS NPPES roster as Birkner.
Dr. Lauren Abela
PA-C
Las Vegas, NV
Dr. Rami Afshar
P.A.
Reno, NV
Dr. Saadia Akhtar
PA - C
Sparks, NV
Angeline Marie Alag
Las Vegas, NV
Dr. Anthony Allen
PAC
Carson City, NV
Compare Medical 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 Nevada medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Medical 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.
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Frequently Asked Questions
What is Tracy Birkner, P.A.'s specialty? ▼
Tracy Birkner, P.A. specializes in Medical Physician Assistant and practices in Reno, Nevada. Credentials: P.A..
How much does Tracy Birkner, P.A. prescribe under Medicare Part D? ▼
In 2023, Tracy Birkner, P.A. wrote 145 Medicare Part D claims totaling $18K in drug costs for 57 beneficiaries.
What is Tracy Birkner, P.A.'s Medicare quality score? ▼
Tracy Birkner, P.A. has a CMS MIPS Final Score of 91.6/100 (Quality: 85.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Tracy Birkner, P.A. located? ▼
Tracy Birkner, P.A. is located at 5390 LONGLEY LN, Reno, NV, 89511. Phone: (775) 302-0000.
What is Tracy Birkner, P.A.'s NPI number? ▼
Tracy Birkner, P.A.'s National Provider Identifier (NPI) is 1154313666, issued on 08/19/2005.
Does Tracy Birkner, P.A. prescribe more brand-name or generic drugs? ▼
Tracy Birkner, P.A.'s prescribing is 18% brand-name and 82% generic drugs by claim count, with $15K in brand drug costs.
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 Birkner, P.A. prescribe most often? ▼
Based on 2023 Medicare Part D data, Tracy Birkner, P.A.'s most frequently prescribed drugs include Clopidogrel, Brilinta, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Tracy Birkner, P.A. accept Medicare? ▼
Tracy Birkner, P.A. appears in CMS Medicare data with 145 Part D claims and 57 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Tracy Birkner, P.A.'s credentials? ▼
Tracy Birkner, P.A.'s NPI is 1154313666 with credentials P.A.. 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.