NPI registry status
Active
2026 NPPES data Adult Health Nurse Practitioner NPI 1447847348 AGNP-C, APRN
Verify on CMS → Adam Twickler, AGNP-C, APRN
Adult Health Nurse Practitioner in Orange, Connecticut.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 29,811 in Adult Health Nurse Practitioner, 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
4K
Medicare Part D claims · 383 beneficiaries · Adult Health Nurse Practitioner avg: 1K
Generic prescribing
76%
generic claims · 24% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.5 · Exceptional
Industry payments
$944.93
70 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Adam Twickler, AGNP-C, APRN reported a CMS MIPS final score of 100/100 - above the 83.5 national average - and filed 3,530 Medicare Part D claims in 2024.
- 100/100
- MIPS score · +17 vs avg
- 4K
- Part D claims, 2024
- 76%
- generic prescribing
- $944.93
- 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.
Federal trust snapshot
What official records show about Adam Twickler, AGNP-C, APRN
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1447847348), first enumerated 12/25/2020.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 3,530 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 100/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$944.93 in reported industry payments (70 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- 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 1447847348 · Adult Health Nurse Practitioner
NPI-10 · ENUM-RECENT · TAX-MID · MIPS-ELITE · RX-MID · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1447847348
- ENUM-RECENT 2020
- TAX-MID 30K Adult Health
- MIPS-ELITE 100/100
- RX-MID 3,530
- BOOK-LIGHT 561 in Connecticut
- PHOTO-FINISH Dinara Abubakirova · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Twickler · this …
Twickler · this provider
100 MIPS pts
- Lisa Cordell · h…
Lisa Cordell
100 MIPS pts
- Dinara Abubakiro…
Dinara Abubakirova
100 MIPS pts
- Natalia Canosa ·…
Natalia Canosa
100 MIPS pts
- Liangfan Chueh ·…
Liangfan Chueh
100 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Adam Twickler, AGNP-C, APRN's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
100 ≥ 92nd percentile 92% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Adam Twickler, AGNP-C, APRN sits
This provider among adult health nurse practitioner peers
Across the 4,201 adult health nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Adam Twickler, AGNP-C, APRN writes more Part D claims than 93% of them and scores higher on MIPS quality than 94% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one adult health nurse practitioner peer from a representative sample of 60; the gold marker is Adam Twickler, AGNP-C, APRN. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Adam Twickler, AGNP-C, APRN?
High performer (top quartile)Primary specialty
Adult Health Nurse Practitioner
Medicare Part D claims
3,530 173% vs specialty avg
MIPS final score
100/100 16.5 pts vs avg
Specialty distribution in Connecticut
How Adult Health Nurse Practitioner compares to other specialties among Connecticut providers
Medicare quality performance, MIPS
Adam Twickler, AGNP-C, APRN's 2023 MIPS final score plotted against the Adult Health Nurse Practitioner national average
- MIPS Final Score
- 100/100
- vs 83.5 national avg · 2023 performance year
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 | 1447847348 |
|---|---|
| Specialty | Adult Health Nurse Practitioner |
| Credentials | AGNP-C, APRN |
| Gender | Male |
| NPI Issued | 12/25/2020 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
100
Final Score
Measured-score avg: 83.5
92
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Adam Twickler, AGNP-C, APRN 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.
New Solutions Pain Management Clinic LLC
Orange, CT
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 Adam Twickler, AGNP-C, APRN. Source: openpaymentsdata.cms.gov.
Total received
$945
Largest payer
Salix Pharmaceuticals, a division of Bausch Health US, LLC
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
Adam Twickler, AGNP-C, APRN - brand share 24.0%
Adult Health Nurse Practitioner average
24% brand-name claims vs 76% generic, on 3,530 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.
3,530
Total Claims
$795K
Total Drug Cost
383
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 3,616.9
- Total Day Supply
- 94,327
- Brand vs Generic
- 24% brand / 76% generic
- Brand Drug Cost
- $654K
- Generic Drug Cost
- $141K
- Opioid Claims
- 2,182 (61.8% rate)
Patient Demographics
- Average Patient Age
- 62.7 years
- Avg HCC Risk Score
- 1.91
- Gender Split
- 61% female / 39% male
- Age Distribution
- <65: 184, 65-74: 154, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Adam Twickler, AGNP-C, APRN prescribes most
Top Medicare Part D drugs by claim count, 2024
- Oxycodone Hcl
Oxycodone Hcl
754 claims
- Belbuca
Belbuca
321 claims
- Oxycodone-Acetamin… 261
Oxycodone-Acetaminophen
261 claims
- Buprenorphine 213
Buprenorphine
213 claims
- Gabapentin 161
Gabapentin
161 claims
- Cyclobenzaprine Hcl 146
Cyclobenzaprine Hcl
146 claims
- Baclofen 141
Baclofen
141 claims
- Tramadol Hcl 139
Tramadol Hcl
139 claims
| Drug | Claims |
|---|---|
| Oxycodone Hcl | 754 |
| Belbuca Buprenorphine Hcl | 321 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 261 |
| Buprenorphine | 213 |
| Gabapentin | 161 |
| Cyclobenzaprine Hcl | 146 |
| Baclofen | 141 |
| Tramadol Hcl | 139 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 137 |
| Buprenorphine-Naloxone Buprenorphine Hcl/Naloxone Hcl | 120 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Adult Health Nurse Practitioner Overview
How Adam Twickler, AGNP-C, APRN fits within the Adult Health Nurse Practitioner landscape nationally.
29,811
Adult Health Nurse Practitioner Providers in US
55
States with Adult Health Nurse Practitioner
1,291
Avg Claims per Provider
Adam Twickler, AGNP-C, APRN's 3,530 claims are above the specialty average of 1,291.
Nationwide Adult Health Nurse Practitioner peers with similar MIPS or enrollment year
Two federal-record peer sets for Twickler, both outside Connecticut so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (100 here).
Same NPPES enumeration year (2020)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Adult Health Nurse Practitioner Providers in Connecticut
Other clinicians with the same primary specialty enrolled in Connecticut, drawn from the same CMS NPPES roster as Twickler.
One of 561 Adult Health Nurse Practitioner providers enrolled in Connecticut, 5 are shown here.
Nanette Alexander
APRN
Glastonbury, CT
Dina Almeida-McGlotten
APRN
Southington, CT
Mary Ellen Amerighi
APRN
Ridgefield, CT
Elizabeth Anderson
A.P.R.N.
Hartford, CT
Faith Andrews
APRN
Woodbury, CT
Compare Adult Health Nurse Practitioner nationally: see state-by-state distribution →
Frequently Asked Questions
What is Adam Twickler, AGNP-C, APRN's specialty? ▼
Adam Twickler, AGNP-C, APRN specializes in Adult Health Nurse Practitioner and practices in Orange, Connecticut. Credentials: AGNP-C, APRN.
How much does Adam Twickler, AGNP-C, APRN prescribe under Medicare Part D? ▼
In 2024, Adam Twickler, AGNP-C, APRN wrote 3,530 Medicare Part D claims totaling $795K in drug costs for 383 beneficiaries.
What is Adam Twickler, AGNP-C, APRN's Medicare quality score? ▼
Adam Twickler, AGNP-C, APRN has a CMS MIPS Final Score of 100/100. The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Adam Twickler, AGNP-C, APRN located? ▼
Adam Twickler, AGNP-C, APRN is located at 240 INDIAN RIVER RD STE A8, Orange, CT, 06477. Phone: (475) 882-6824.
What is Adam Twickler, AGNP-C, APRN's NPI number? ▼
Adam Twickler, AGNP-C, APRN's National Provider Identifier (NPI) is 1447847348, issued on 12/25/2020.
Does Adam Twickler, AGNP-C, APRN prescribe more brand-name or generic drugs? ▼
Adam Twickler, AGNP-C, APRN's prescribing is 24% brand-name and 76% generic drugs by claim count, with $654K in brand drug costs.
Does Adam Twickler, AGNP-C, APRN prescribe opioids? ▼
Yes, Adam Twickler, AGNP-C, APRN had 2,182 opioid claims in 2024 with an opioid prescribing rate of 61.8%.
How many Adult Health Nurse Practitioner providers are there in the US? ▼
There are 29,811 Adult Health Nurse Practitioner providers across 55 states in the US. The average Adult Health Nurse Practitioner provider writes 1,291 Medicare Part D claims per year.
What drugs does Adam Twickler, AGNP-C, APRN prescribe most often? ▼
Based on 2024 Medicare Part D data, Adam Twickler, AGNP-C, APRN's most frequently prescribed drugs include Oxycodone Hcl, Belbuca, Oxycodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Adam Twickler, AGNP-C, APRN accept Medicare? ▼
Adam Twickler, AGNP-C, APRN appears in CMS Medicare data with 3,530 Part D claims and 383 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Adam Twickler, AGNP-C, APRN's credentials? ▼
Adam Twickler, AGNP-C, APRN's NPI is 1447847348 with credentials AGNP-C, APRN. 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.
- 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 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.