2026 NPPES data Nurse Practitioner NPI 1235805565
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BENIAM GHEBREZGABIHER

Nurse Practitioner in ROCHESTER, 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
391
Medicare Part D claims · 216 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
80.5906/100
▼ 3 pts below national avg 83.1 · [object Object]

What the federal data shows

BENIAM GHEBREZGABIHER reported a CMS MIPS final score of 80.5906/100 — below the 83.1 national average — and filed 391 Medicare Part D claims in 2023.

80.5906/100
MIPS score · -3 vs avg
391
Part D claims, 2023
94%
generic prescribing

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.

BENIAM GHEBREZGABIHER's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

81 33rd percentile higher than 33% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

What does the federal data show about BENIAM GHEBREZGABIHER?

Near national average

NPI registry status

Active

Issued 08/17/2021

NPI 1235805565

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

391 64% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

80.5906/100 2.5093999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New York

How Nurse Practitioner compares to other specialties among New York providers

New York providers

Nurse Practitioner share within New York

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

Medicare quality performance — MIPS

BENIAM GHEBREZGABIHER's 2023 MIPS final score plotted against the Nurse Practitioner national average

Near national average
MIPS Final Score
80.5906/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) — 80.5906/100 vs national avg 83.1

0%100%National avg83%80.6%
MIPS final score (Nurse Practitioner) — 80.5906/100 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).

BENIAM GHEBREZGABIHER appears in the CMS NPPES registry as a Nurse Practitioner provider at 1000 SOUTH AVE, ROCHESTER, NY, 14620, with a listed phone of (585) 473-2200. NPI 1235805565 was issued on 08/17/2021. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GHEBREZGABIHER 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 391 prescription claims written by this provider, covering 216 Medicare beneficiaries and totaling roughly $14K in drug spend, split 6% brand-name and 94% generic by claim count, with an opioid prescribing rate of 39.9%. 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 80.5906/100 for the 2023 performance year (Quality 68.9078, Cost 55.0335), 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

1000 SOUTH AVE
ROCHESTER, NY 14620

Provider Details

NPI 1235805565
Specialty Nurse Practitioner
Gender Male
NPI Issued 08/17/2021

CMS Quality Score (MIPS)

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

80.5906
Final Score
Avg: 83.1
68.9078
Quality
55.0335
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where BENIAM GHEBREZGABIHER 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.

UNIVERSITY ORTHOPAEDIC ASSOCIATES OF ROCHESTER
ROCHESTER, 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 BENIAM GHEBREZGABIHER. To verify BENIAM GHEBREZGABIHER'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

BENIAM GHEBREZGABIHER — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 391 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.

391
Total Claims
$14K
Total Drug Cost
216
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
393
Total Day Supply
4,840
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$10K
Generic Drug Cost
$4K
Opioid Claims
156 (39.9% rate)
Antibiotic Claims
47

Patient Demographics

Average Patient Age
73.2 years
Avg HCC Risk Score
0.91
Gender Split
65% female / 35% male

Top Prescribed Drugs (Medicare Part D)

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

What BENIAM GHEBREZGABIHER prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Oxycodone Hcl
128
Meloxicam
68
Famotidine
44
Cefadroxil
30
Gabapentin
22
Morphine Sulfate Er
Morphine Sulfate
15
Enoxaparin Sodium
13
Eliquis
Apixaban
12

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Nurse Practitioner Overview

How BENIAM GHEBREZGABIHER 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

BENIAM GHEBREZGABIHER's 391 claims are below the specialty average of 1,084.

Nearby 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 GHEBREZGABIHER.

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

Frequently Asked Questions

What is BENIAM GHEBREZGABIHER's specialty?
BENIAM GHEBREZGABIHER specializes in Nurse Practitioner and practices in ROCHESTER, New York.
How much does BENIAM GHEBREZGABIHER prescribe under Medicare Part D?
In 2023, BENIAM GHEBREZGABIHER wrote 391 Medicare Part D claims totaling $14K in drug costs for 216 beneficiaries.
What is BENIAM GHEBREZGABIHER's Medicare quality score?
BENIAM GHEBREZGABIHER has a CMS MIPS Final Score of 80.5906/100 (Quality: 68.9078, Cost: 55.0335). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BENIAM GHEBREZGABIHER located?
BENIAM GHEBREZGABIHER is located at 1000 SOUTH AVE, ROCHESTER, NY, 14620. Phone: (585) 473-2200.
What is BENIAM GHEBREZGABIHER's NPI number?
BENIAM GHEBREZGABIHER's National Provider Identifier (NPI) is 1235805565, issued on 08/17/2021.
Does BENIAM GHEBREZGABIHER prescribe more brand-name or generic drugs?
BENIAM GHEBREZGABIHER's prescribing is 6% brand-name and 94% generic drugs by claim count, with $10K in brand drug costs.
Does BENIAM GHEBREZGABIHER prescribe opioids?
Yes, BENIAM GHEBREZGABIHER had 156 opioid claims in 2023 with an opioid prescribing rate of 39.9%.
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 BENIAM GHEBREZGABIHER prescribe most often?
Based on 2023 Medicare Part D data, BENIAM GHEBREZGABIHER's most frequently prescribed drugs include Oxycodone Hcl, Meloxicam, Famotidine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BENIAM GHEBREZGABIHER accept Medicare?
BENIAM GHEBREZGABIHER appears in CMS Medicare data with 391 Part D claims and 216 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BENIAM GHEBREZGABIHER's credentials?
BENIAM GHEBREZGABIHER's NPI is 1235805565. 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