NPI registry status
Active
2026 NPPES data Physician Assistant NPI 1235549932 PA
Verify on CMS → Zachary Migel, PA
Physician Assistant in Afton, Wyoming.
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
303
Medicare Part D claims · 94 beneficiaries · Physician Assistant avg: 832
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Zachary Migel, PA filed 303 Medicare Part D claims in 2024 as a Physician Assistant in Afton, Wyoming, prescribing 93% generic.
- 303
- Part D claims, 2024
- 93%
- generic prescribing
- ≥56th
- pct by Part D claim volume (lower-bound band)
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 Zachary Migel, PA
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1235549932), first enumerated 05/02/2014.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 303 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- 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 1235549932 · Physician Assistant
NPI-10 · ENUM-MID · TAX-MEGA · RX-LIGHT · BOOK-THIN · PHOTO-ENUM
- NPI-10 1235549932
- ENUM-MID 2014
- TAX-MEGA 156K Physician Assistant
- RX-LIGHT 303
- BOOK-THIN 250 in Wyoming
- PHOTO-ENUM Leslie Zeckser · 2014
Zachary Migel, PA's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
303 ≥ 56th percentile 56% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
What does the federal data show about Zachary Migel, PA?
Quality data not reportedPrimary specialty
Physician Assistant
Medicare Part D claims
303 64% vs specialty avg
Specialty distribution in Wyoming
How Physician Assistant compares to other specialties among Wyoming providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Physician Assistant. Verify directly:
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 | 1235549932 |
|---|---|
| Specialty | Physician Assistant |
| Credentials | PA |
| Gender | Male |
| NPI Issued | 05/02/2014 |
Hospital and facility affiliations
Facilities where Zachary Migel, 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.
Bmh Inc
Blackfoot, ID
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Generic-heavy
Zachary Migel, PA - brand share 7.0%
Physician Assistant average
7% brand-name claims vs 93% generic, on 303 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.
303
Total Claims
$21K
Total Drug Cost
94
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 466.233
- Total Day Supply
- 10,987
- Brand vs Generic
- 7% brand / 93% generic
- Brand Drug Cost
- $18K
- Generic Drug Cost
- $2K
- Antibiotic Claims
- 72
Patient Demographics
- Average Patient Age
- 71.2 years
- Avg HCC Risk Score
- 0.80
- Gender Split
- 64% female / 36% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Zachary Migel, PA prescribes most
Top Medicare Part D drugs by claim count, 2024
- Zolpidem Tartrate
Zolpidem Tartrate
19 claims
- Amoxicillin-Clavul…
Amoxicillin-Clavulanate Potass
18 claims
- Sulfamethoxazole-T…
Sulfamethoxazole-Trimethoprim
15 claims
- Atorvastatin Calcium
Atorvastatin Calcium
14 claims
- Azithromycin
Azithromycin
14 claims
- Fluticasone Propio…
Fluticasone Propionate
14 claims
- Prednisone
Prednisone
14 claims
- Methylprednisolone
Methylprednisolone
13 claims
| Drug | Claims |
|---|---|
| Zolpidem Tartrate | 19 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 18 |
| Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim | 15 |
| Atorvastatin Calcium | 14 |
| Azithromycin | 14 |
| Fluticasone Propionate | 14 |
| Prednisone | 14 |
| Methylprednisolone | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Physician Assistant Overview
How Zachary Migel, PA fits within the Physician Assistant landscape nationally.
156,084
Physician Assistant Providers in US
56
States with Physician Assistant
832
Avg Claims per Provider
Zachary Migel, PA's 303 claims are below the specialty average of 832.
Nationwide Physician Assistant peers with similar MIPS or enrollment year
Two federal-record peer sets for Migel, both outside Wyoming so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2014)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Physician Assistant Providers in Wyoming
Other clinicians with the same primary specialty enrolled in Wyoming, drawn from the same CMS NPPES roster as Migel.
One of 250 Physician Assistant providers enrolled in Wyoming, 5 are shown here.
Thomas Ahern
PA-C
Cody, WY
Nicole Alexander
PA-C
Laramie, WY
Valerie Amstadt
PAC
Gillette, WY
Eric Anderson
PA-C
Afton, WY
Lauren Andrews
PA-C
Cheyenne, WY
Compare Physician Assistant nationally: see state-by-state distribution →
Frequently Asked Questions
What is Zachary Migel, PA's specialty? ▼
Zachary Migel, PA specializes in Physician Assistant and practices in Afton, Wyoming. Credentials: PA.
How much does Zachary Migel, PA prescribe under Medicare Part D? ▼
In 2024, Zachary Migel, PA wrote 303 Medicare Part D claims totaling $21K in drug costs for 94 beneficiaries.
Where is Zachary Migel, PA located? ▼
Zachary Migel, PA is located at 47 DOC PERKES RD, Afton, WY, 83110. Phone: (307) 885-3637.
What is Zachary Migel, PA's NPI number? ▼
Zachary Migel, PA's National Provider Identifier (NPI) is 1235549932, issued on 05/02/2014.
Does Zachary Migel, PA prescribe more brand-name or generic drugs? ▼
Zachary Migel, PA's prescribing is 7% brand-name and 93% generic drugs by claim count, with $18K 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 Zachary Migel, PA prescribe most often? ▼
Based on 2024 Medicare Part D data, Zachary Migel, PA's most frequently prescribed drugs include Zolpidem Tartrate, Amoxicillin-Clavulanate Potass, Sulfamethoxazole-Trimethoprim. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Zachary Migel, PA accept Medicare? ▼
Zachary Migel, PA appears in CMS Medicare data with 303 Part D claims and 94 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Zachary Migel, PA's credentials? ▼
Zachary Migel, PA's NPI is 1235549932 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 (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- 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.