2026 NPPES data Family Nurse Practitioner NPI 1063187730
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ALISON BERLENBACH

Family Nurse Practitioner in WASHINGTON, District of Columbia. 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
30
Medicare Part D claims · 26 beneficiaries · Family Nurse Practitioner avg: 1K
MIPS score
86.0188/100
▲ 3 pts above national avg 83.1 · [object Object]
Industry payments
$1.3K
41 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ALISON BERLENBACH is a Family Nurse Practitioner ([object Object]) practicing in WASHINGTON, District of Columbia with a Medicare Part D prescribing footprint of 30 claims across 26 beneficiaries . Their CMS MIPS Final Score of 86.0188/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.3K across 41 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ALISON BERLENBACH reported a CMS MIPS final score of 86.0188 out of 100, above the 83.1 national average, and filed 30 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

ALISON BERLENBACH at a glance

High performer (top quartile)

NPI registry status

Active

Issued 08/13/2021

NPI 1063187730

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

30 98% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

MIPS final score

86.0188/100 2.9188000000000045% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in District of Columbia

How Family Nurse Practitioner compares to other specialties among District of Columbia providers

District of Columbia providers

Family Nurse Practitioner share within District of Columbia

1. Family Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Nurse Practitioner share within District of Columbia

Medicare quality performance — MIPS

ALISON BERLENBACH's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
86.0188/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Nurse Practitioner) — 86.0188/100 vs national avg 83.1

0%100%National avg83%86%
MIPS final score (Family Nurse Practitioner) — 86.0188/100 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).

ALISON BERLENBACH is a Family Nurse Practitioner provider practicing in WASHINGTON, District of Columbia, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1063187730. 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.

ALISON BERLENBACH appears in the CMS NPPES registry as a Family Nurse Practitioner provider at 1275 PENNSYLVANIA AVE NW, WASHINGTON, DC, 20004, with a listed phone of (866) 389-2727. NPI 1063187730 was issued on 08/13/2021. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BERLENBACH 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 30 prescription claims written by this provider, covering 26 Medicare beneficiaries and totaling roughly $3K in drug spend. 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 86.0188/100 for the 2023 performance year (Quality 77.925, Cost 93.867), compared with the national average of 83.1.

Family Nurse Practitioner is a high-volume specialty nationwide, with 209,817 enrolled providers across 56 states and an average of 1,222 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

1275 PENNSYLVANIA AVE NW
WASHINGTON, DC 20004

Provider Details

NPI 1063187730
Specialty Family Nurse Practitioner
Gender Female
NPI Issued 08/13/2021

CMS Quality Score (MIPS)

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

86.0188
Final Score
Avg: 83.1
77.925
Quality
93.867
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where ALISON BERLENBACH 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.

ANNE ARUNDEL GASTROENTEROLOGY ASSOCIATES, P.A.
BOWIE, MD

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 ALISON BERLENBACH. Source: openpaymentsdata.cms.gov.

Total received

$1.3K

Largest payer

ABBVIE 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

30
Total Claims
$3K
Total Drug Cost
26
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
33
Total Day Supply
429
Generic Drug Cost
$156
Antibiotic Claims
14

Patient Demographics

Average Patient Age
71.6 years
Avg HCC Risk Score
0.60

Family Nurse Practitioner Overview

How ALISON BERLENBACH fits within the Family Nurse Practitioner landscape nationally.

209,817
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider

ALISON BERLENBACH's 30 claims are below the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in District of Columbia

Other clinicians with the same primary specialty enrolled in District of Columbia, drawn from the same CMS NPPES roster as BERLENBACH.

Compare Family Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is ALISON BERLENBACH's specialty?
ALISON BERLENBACH specializes in Family Nurse Practitioner and practices in WASHINGTON, District of Columbia.
How much does ALISON BERLENBACH prescribe under Medicare Part D?
In 2023, ALISON BERLENBACH wrote 30 Medicare Part D claims totaling $3K in drug costs for 26 beneficiaries.
What is ALISON BERLENBACH's Medicare quality score?
ALISON BERLENBACH has a CMS MIPS Final Score of 86.0188/100 (Quality: 77.925, Cost: 93.867). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ALISON BERLENBACH located?
ALISON BERLENBACH is located at 1275 PENNSYLVANIA AVE NW, WASHINGTON, DC, 20004. Phone: (866) 389-2727.
What is ALISON BERLENBACH's NPI number?
ALISON BERLENBACH's National Provider Identifier (NPI) is 1063187730, issued on 08/13/2021.
How many Family Nurse Practitioner providers are there in the US?
There are 209,817 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
Does ALISON BERLENBACH accept Medicare?
ALISON BERLENBACH appears in CMS Medicare data with 30 Part D claims and 26 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ALISON BERLENBACH's credentials?
ALISON BERLENBACH's NPI is 1063187730. 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