NPI registry status
Active
2026 NPPES data Nurse Practitioner NPI 1265887921
Verify on CMS → Andrea Berry
Nurse Practitioner in Augusta, Maine.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 87,227 in 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
735
Medicare Part D claims · 193 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
98.1/100
▲ 15 pts above national avg 83.1 · Exceptional
Industry payments
$261.65
9 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Andrea Berry reported a CMS MIPS final score of 98.1/100 - above the 83.1 national average - and filed 735 Medicare Part D claims in 2023.
- 98.1/100
- MIPS score · +15 vs avg
- 735
- Part D claims, 2023
- 92%
- generic prescribing
- $261.65
- 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.
Andrea Berry's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
98 Top 11% higher than 89% of 477,587 scored providers
Each bar is a band; taller bars hold more scored 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.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Andrea Berry sits
This provider among nurse practitioner peers
Across the 13,476 nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Andrea Berry writes more Part D claims than 64% of them and scores higher on MIPS quality than 90% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one nurse practitioner peer from a representative sample of 60; the gold marker is Andrea Berry. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Andrea Berry?
High performer (top quartile)Primary specialty
Nurse Practitioner
Medicare Part D claims
735 32% vs specialty avg
MIPS final score
98.1/100 15 pts vs avg
Specialty distribution in Maine
How Nurse Practitioner compares to other specialties among Maine providers
Medicare quality performance, MIPS
Andrea Berry's 2023 MIPS final score plotted against the Nurse Practitioner national average
- MIPS Final Score
- 98.1/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Nurse Practitioner) - 98.1/100 vs national avg 83.1
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).
Andrea Berry appears in the CMS NPPES registry as a Nurse Practitioner provider at 37 GRAY BIRCH DR, Augusta, ME, 04330, with a listed phone of (207) 621-7100. NPI 1265887921 was issued on 05/02/2016.
Medicare Part D records for calendar year 2023 show 735 prescription claims written by this provider, covering 193 Medicare beneficiaries and totaling roughly $67K in drug spend, split 8% brand-name and 92% generic by claim count, with an opioid prescribing rate of 49.1%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 98.1/100 for the 2023 performance year (Quality 86.1), compared with the national average of 83.1.
Nurse Practitioner is a high-volume specialty nationwide, with 87,227 enrolled providers across 56 states and an average of 1,084 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
Provider Details
| NPI | 1265887921 |
|---|---|
| Specialty | Nurse Practitioner |
| Gender | Female |
| NPI Issued | 05/02/2016 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
98.0699
Final Score
Avg: 83.1
86.1398
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
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 Andrea Berry. Source: openpaymentsdata.cms.gov.
Total received
$262
Largest payer
Janssen Biotech, 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.
Brand vs generic prescribing mix · Generic-heavy
Andrea Berry - brand share 8.0%
Nurse Practitioner average
8% brand-name claims vs 92% generic, on 735 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.
735
Total Claims
$67K
Total Drug Cost
193
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 792
- Total Day Supply
- 18,570
- Brand vs Generic
- 8% brand / 92% generic
- Brand Drug Cost
- $44K
- Generic Drug Cost
- $23K
- Opioid Claims
- 361 (49.1% rate)
- Antibiotic Claims
- 11
Patient Demographics
- Average Patient Age
- 68.6 years
- Avg HCC Risk Score
- 3.19
- Gender Split
- 54% female / 46% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Andrea Berry prescribes most
Top Medicare Part D drugs by claim count, 2023
- Oxycodone Hcl
Oxycodone Hcl
107 claims
- Morphine Sulfate Er
Morphine Sulfate Er
64 claims
- Fentanyl
Fentanyl
50 claims
- Methadone Hcl
Methadone Hcl
48 claims
- Hydromorphone Hcl 34
Hydromorphone Hcl
34 claims
- Lorazepam 29
Lorazepam
29 claims
- Methylphenidate Hcl 29
Methylphenidate Hcl
29 claims
- Pregabalin 29
Pregabalin
29 claims
| Drug | Claims |
|---|---|
| Oxycodone Hcl | 107 |
| Morphine Sulfate Er Morphine Sulfate | 64 |
| Fentanyl | 50 |
| Methadone Hcl | 48 |
| Hydromorphone Hcl | 34 |
| Lorazepam | 29 |
| Methylphenidate Hcl | 29 |
| Pregabalin | 29 |
| Ondansetron Odt Ondansetron | 25 |
| Mirtazapine | 23 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Nurse Practitioner Overview
How Andrea Berry fits within the Nurse Practitioner landscape nationally.
87,227
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,084
Avg Claims per Provider
Andrea Berry's 735 claims are below the specialty average of 1,084.
Nearby Nurse Practitioner Providers in Maine
Other clinicians with the same primary specialty enrolled in Maine, drawn from the same CMS NPPES roster as Berry.
Dr. Carmen Ackerson
APRN
Augusta, ME
Dr. Chrystal Adams
FNP
Bangor, ME
Dr. Georgina Aguirre
NP
Presque Isle, ME
Dr. Deana Albert
N.P.
Lewiston, ME
Dr. Steven Albert
FNP
Van Buren, ME
Compare Nurse Practitioner nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Maine medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Nurse Practitioner peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Maine
Frequently Asked Questions
What is Andrea Berry's specialty? ▼
Andrea Berry specializes in Nurse Practitioner and practices in Augusta, Maine.
How much does Andrea Berry prescribe under Medicare Part D? ▼
In 2023, Andrea Berry wrote 735 Medicare Part D claims totaling $67K in drug costs for 193 beneficiaries.
What is Andrea Berry's Medicare quality score? ▼
Andrea Berry has a CMS MIPS Final Score of 98.1/100 (Quality: 86.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Andrea Berry located? ▼
Andrea Berry is located at 37 GRAY BIRCH DR, Augusta, ME, 04330. Phone: (207) 621-7100.
What is Andrea Berry's NPI number? ▼
Andrea Berry's National Provider Identifier (NPI) is 1265887921, issued on 05/02/2016.
Does Andrea Berry prescribe more brand-name or generic drugs? ▼
Andrea Berry's prescribing is 8% brand-name and 92% generic drugs by claim count, with $44K in brand drug costs.
Does Andrea Berry prescribe opioids? ▼
Yes, Andrea Berry had 361 opioid claims in 2023 with an opioid prescribing rate of 49.1%.
How many Nurse Practitioner providers are there in the US? ▼
There are 87,227 Nurse Practitioner providers across 56 states in the US. The average Nurse Practitioner provider writes 1,084 Medicare Part D claims per year.
What drugs does Andrea Berry prescribe most often? ▼
Based on 2023 Medicare Part D data, Andrea Berry's most frequently prescribed drugs include Oxycodone Hcl, Morphine Sulfate Er, Fentanyl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Andrea Berry accept Medicare? ▼
Andrea Berry appears in CMS Medicare data with 735 Part D claims and 193 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Andrea Berry's credentials? ▼
Andrea Berry's NPI is 1265887921. 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 (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
Compiled from official public sources by the PlainDoctor editorial team.