Rachel Jean Tryba , PA-C
Physician Assistant • Agawam, MA
46 Warren St
Agawam, MA 010013326
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on October 21, 2019; this date does not establish years in practice.
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Published CMS data list 30 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 — Established patient outpatient office visit: 30 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 6,279 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Lisinopril — 298 prescription fills, including refills.
- Atorvastatin Calcium — 236 prescription fills, including refills.
- Levothyroxine Sodium — 218 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 132 records in the table · Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 85% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,142 clinicians with data). Median for this group: 222. Middle half: 79 to 552.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 49 in 2020 to 30 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
46 Warren St
Agawam, MA 010013326
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
37 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $3,310 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $2,197 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
11,943 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$542,412 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $85.24 across 4 records.
By nature of payment
- Food and Beverage: $85.24 across 4 records.
Reporting-company totals
- Eli Lilly and Company: $40.42 across 2 records.
- Abbott Laboratories: $31.03 across 1 record.
- Lundbeck LLC: $13.79 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
NPI first issued
2019
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Rachel Tryba has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Rachel Tryba as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Agawam and Massachusetts
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 85% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,142 clinicians with data). Median for this group: 222. Middle half: 79 to 552.
Too few clinicians listed under Physician Assistant in Agawam have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 85% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,142 clinicians with data). Median for this group: $19,073. Middle half: $6,686 to $39,911.
Too few clinicians listed under Physician Assistant in Agawam have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 85% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,142 clinicians with data). Median for this group: $14,188. Middle half: $5,025 to $29,930.
Too few clinicians listed under Physician Assistant in Agawam have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 95% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,255 clinicians with data). Median for this group: 175. Middle half: 52 to 564.
Too few clinicians listed under Physician Assistant in Agawam have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 95% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,255 clinicians with data). Median for this group: $2,484. Middle half: $458 to $50,541.
Too few clinicians listed under Physician Assistant in Agawam have Medicare Part D data for 2024 to compare.
8 active clinicians are listed under Physician Assistant with a practice address in Agawam, MA (4,715 in Massachusetts).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 39% from 49 in 2020 to 30 in 2024.
- 2020: 49
- 2021: 545
- 2022: 565
- 2023: 187
- 2024: 30
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Medicare-allowed amount
Medicare-allowed amount decreased 30% from $4,724 in 2020 to $3,310 in 2024.
- 2020: $4,724
- 2021: $61,270
- 2022: $61,969
- 2023: $20,161
- 2024: $3,310
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Paid by Medicare
Paid by Medicare decreased 34% from $3,311 in 2020 to $2,197 in 2024.
- 2020: $3,311
- 2021: $39,727
- 2022: $39,430
- 2023: $14,554
- 2024: $2,197
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 557% from 956 in 2020 to 6,279 in 2024.
- 2020: 956
- 2021: 3,568
- 2022: 4,925
- 2023: 6,013
- 2024: 6,279
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30-day fills
30-day fills increased 693% from 1,505 in 2020 to 11,943 in 2024.
- 2020: 1,505
- 2021: 6,545
- 2022: 9,177
- 2023: 11,147
- 2024: 11,943
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Part D drug cost
Part D drug cost increased 3283% from $16,033 in 2020 to $542,412 in 2024.
- 2020: $16,033
- 2021: $131,703
- 2022: $252,127
- 2023: $482,600
- 2024: $542,412
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $88.83 in 2022 to $85.24 in 2025.
- 2022: $88.83
- 2023: $745.87
- 2024: $1,085.67
- 2025: $85.24
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $85.24.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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FREESTYLE LIBRE 3 | General | $31.03 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
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MOUNJARO | General | $23.48 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
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MOUNJARO | General | $16.94 |
| Lundbeck LLC |
Food and Beverage
Cash or cash equivalent
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REXULTI | General | $13.79 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2019–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2020–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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30 | 28 | $233.16 | $110.34 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Lisinopril | Lisinopril | 298 | 24,731 | $2,305.80 | 81 |
| Atorvastatin Calcium | Atorvastatin Calcium | 236 | 18,431 | $4,353.33 | 70 |
| Levothyroxine Sodium | Levothyroxine Sodium | 218 | 15,590 | $2,457.73 | 52 |
| Omeprazole | Omeprazole | 189 | 12,887 | $3,098.69 | 50 |
| Amlodipine Besylate | Amlodipine Besylate | 188 | 15,093 | $1,567.21 | 52 |
| Eliquis | Apixaban | 171 | 7,060 | $133,026.09 | 28 |
| Lorazepam | Lorazepam | 169 | 4,570 | $751.69 | 40 |
| Prednisone | Prednisone | 156 | 2,053 | $445.58 | 91 |
| Tramadol Hcl | Tramadol Hcl | 147 | 2,318 | $701.02 | 44 |
| Metoprolol Succinate | Metoprolol Succinate | 146 | 12,021 | $2,898.29 | 41 |
| Losartan Potassium | Losartan Potassium | 119 | 9,477 | $1,197.30 | 33 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 107 | 3,293 | $2,910.08 | 41 |
| Furosemide | Furosemide | 98 | 6,852 | $731.19 | 32 |
| Ozempic | Semaglutide | 91 | 2,758 | $83,508.61 | 14 |
| Azithromycin | Azithromycin | 87 | 434 | $405.16 | 75 |
| Simvastatin | Simvastatin | 86 | 7,560 | $888.43 | 24 |
| Gabapentin | Gabapentin | 83 | 4,488 | $1,289.87 | 25 |
| Alprazolam | Alprazolam | 80 | 2,624 | $507.38 | 20 |
| Sertraline Hcl | Sertraline Hcl | 78 | 4,672 | $592.72 | 12 |
| Methylprednisolone | Methylprednisolone | 76 | 462 | $568.90 | 65 |
| Tamsulosin Hcl | Tamsulosin Hcl | 76 | 5,730 | $1,393.69 | 23 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 75 | 2,310 | $48,904.66 | — |
| Clonazepam | Clonazepam | 73 | 2,010 | $456.48 | 11 |
| Meloxicam | Meloxicam | 70 | 3,602 | $149.97 | 19 |
| Zolpidem Tartrate | Zolpidem Tartrate | 70 | 1,944 | $276.59 | 14 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-06-04NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20200407000220
MA
8022447424
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 179 NORTHAMPTON ST STE D, EASTHAMPTON, MA 010271057 (Tel: 4133021594)
NPI status registered as active in NPPES database
Registered at 46 WARREN ST, AGAWAM, MA 010013326 (Tel: 4133021594)
Registered at 46 WARREN ST, AGAWAM, MA 010013326 (Tel: 4133021594)
Recorded as RACHEL TRYBA, PA-C
Physician Assistant
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Agawam
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Mailing Address
179 Northampton St Ste D
Easthampton, MA 010271057
Phone: 4133021594