2026 NPPES data Adult Health Nurse Practitioner NPI 1346895521 NP
Verify on CMS →

ANDREA ALVARADO, NP

Adult Health Nurse Practitioner in BAY SHORE, New York. 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
355
Medicare Part D claims · 235 beneficiaries · Adult Health Nurse Practitioner avg: 1K
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.2532/100
▲ 8 pts above national avg 83.1 · [object Object]
What the federal data reveals: ANDREA ALVARADO, NP is a Adult Health Nurse Practitioner ([object Object]) practicing in BAY SHORE, New York with a Medicare Part D prescribing footprint of 355 claims across 235 beneficiaries — 8% brand-name prescribing . Their CMS MIPS Final Score of 91.2532/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: ANDREA ALVARADO, NP reported a CMS MIPS final score of 91.2532 out of 100, above the 83.1 national average, and filed 355 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

ANDREA ALVARADO, NP at a glance

High performer (top quartile)

NPI registry status

Active

Issued 08/05/2019

NPI 1346895521

Primary specialty

Adult Health Nurse Practitioner

Mid-sized

29,492 US NPIs in this specialty

Medicare Part D claims

355 70% vs specialty avg

2023 prescription claims

Specialty avg: 1,201

MIPS final score

91.2532/100 8.153200000000012% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New York

How Adult Health Nurse Practitioner compares to other specialties among New York providers

New York providers

Adult Health Nurse Practitioner share within New York

1. Adult Health Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Health Nurse Practitioner share within New York

Medicare quality performance — MIPS

ANDREA ALVARADO, NP's 2023 MIPS final score plotted against the Adult Health Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
91.2532/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Health Nurse Practitioner) — 91.2532/100 vs national avg 83.1

0%100%National avg83%91.3%
MIPS final score (Adult Health Nurse Practitioner) — 91.2532/100 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).

ANDREA ALVARADO, NP is a Adult Health Nurse Practitioner provider practicing in BAY SHORE, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: NP. NPI: 1346895521. 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.

ANDREA ALVARADO, NP appears in the CMS NPPES registry as a Adult Health Nurse Practitioner provider holding NP credentials at 301 E MAIN ST, BAY SHORE, NY, 11706, with a listed phone of (631) 968-3525. NPI 1346895521 was issued on 08/05/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ALVARADO 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 355 prescription claims written by this provider, covering 235 Medicare beneficiaries and totaling roughly $14K in drug spend, split 8% brand-name and 92% generic by claim count, with an opioid prescribing rate of 32.7%. 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 91.2532/100 for the 2023 performance year (Quality 74.9203), compared with the national average of 83.1.

Adult Health Nurse Practitioner is a mid-sized specialty nationwide, with 29,492 enrolled providers across 55 states and an average of 1,201 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

301 E MAIN ST
BAY SHORE, NY 11706

Provider Details

NPI 1346895521
Specialty Adult Health Nurse Practitioner
Credentials NP
Gender Female
NPI Issued 08/05/2019

CMS Quality Score (MIPS)

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

91.2532
Final Score
Avg: 83.1
74.9203
Quality
91.6794
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where ANDREA ALVARADO, NP 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.

NORTH SHORE-LIJ MEDICAL PC
BAY SHORE, NY

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — New York NYSBPMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 — they are NOT specific to ANDREA ALVARADO, NP. To verify ANDREA ALVARADO, NP's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

ANDREA ALVARADO, NP — brand share 8.0%
Specialty average (est.)

8% brand-name claims vs 92% generic, on 355 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.

355
Total Claims
$14K
Total Drug Cost
235
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
376
Total Day Supply
7,293
Brand vs Generic
8% brand / 92% generic
Brand Drug Cost
$11K
Generic Drug Cost
$4K
Opioid Claims
116 (32.7% rate)
Antibiotic Claims
36

Patient Demographics

Average Patient Age
72.1 years
Avg HCC Risk Score
1.28
Gender Split
53% female / 47% male
Age Distribution
<65: 33, 65-74: 111, 75-84: 74, 85+: 17

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Oxycodone Hcl
34
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
32
Tramadol Hcl
20
Meloxicam
19
Gabapentin
18
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
15
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
13
Cyclobenzaprine Hcl
13
Furosemide
13
Methylprednisolone
11

* 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 ANDREA ALVARADO, NP fits within the Adult Health Nurse Practitioner landscape nationally.

29,492
Adult Health Nurse Practitioner Providers in US
55
States with Adult Health Nurse Practitioner
1,201
Avg Claims per Provider

ANDREA ALVARADO, NP's 355 claims are below the specialty average of 1,201.

Nearby Adult Health Nurse Practitioner Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as ALVARADO.

Compare Adult Health Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANDREA ALVARADO, NP's specialty?
ANDREA ALVARADO, NP specializes in Adult Health Nurse Practitioner and practices in BAY SHORE, New York. Credentials: NP.
How much does ANDREA ALVARADO, NP prescribe under Medicare Part D?
In 2023, ANDREA ALVARADO, NP wrote 355 Medicare Part D claims totaling $14K in drug costs for 235 beneficiaries.
What is ANDREA ALVARADO, NP's Medicare quality score?
ANDREA ALVARADO, NP has a CMS MIPS Final Score of 91.2532/100 (Quality: 74.9203). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ANDREA ALVARADO, NP located?
ANDREA ALVARADO, NP is located at 301 E MAIN ST, BAY SHORE, NY, 11706. Phone: (631) 968-3525.
What is ANDREA ALVARADO, NP's NPI number?
ANDREA ALVARADO, NP's National Provider Identifier (NPI) is 1346895521, issued on 08/05/2019.
Does ANDREA ALVARADO, NP prescribe more brand-name or generic drugs?
ANDREA ALVARADO, NP's prescribing is 8% brand-name and 92% generic drugs by claim count, with $11K in brand drug costs.
Does ANDREA ALVARADO, NP prescribe opioids?
Yes, ANDREA ALVARADO, NP had 116 opioid claims in 2023 with an opioid prescribing rate of 32.7%.
How many Adult Health Nurse Practitioner providers are there in the US?
There are 29,492 Adult Health Nurse Practitioner providers across 55 states in the US. The average Adult Health Nurse Practitioner provider writes 1,201 Medicare Part D claims per year.
What drugs does ANDREA ALVARADO, NP prescribe most often?
Based on 2023 Medicare Part D data, ANDREA ALVARADO, NP's most frequently prescribed drugs include Oxycodone Hcl, Oxycodone-Acetaminophen, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANDREA ALVARADO, NP accept Medicare?
ANDREA ALVARADO, NP appears in CMS Medicare data with 355 Part D claims and 235 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANDREA ALVARADO, NP's credentials?
ANDREA ALVARADO, NP's NPI is 1346895521 with credentials NP. 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