NPI registry status
Active
2026 NPPES data Nurse Practitioner NPI 1235805565
Verify on CMS → Beniam Ghebrezgabiher
Nurse Practitioner in Rochester, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 87,700 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
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
80.6/100
▼ 3 pts below national avg 83.1 · Above neutral
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
Beniam Ghebrezgabiher reported a CMS MIPS final score of 80.6/100 - below the 83.1 national average - and filed 391 Medicare Part D claims in 2023.
- 80.6/100
- 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
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 Beniam Ghebrezgabiher 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, Beniam Ghebrezgabiher writes more Part D claims than 50% of them and scores higher on MIPS quality than 34% - placing this provider in the high-volume, lower-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 Beniam Ghebrezgabiher. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Beniam Ghebrezgabiher?
Near national averagePrimary specialty
Nurse Practitioner
Medicare Part D claims
391 64% vs specialty avg
MIPS final score
80.6/100 2.5 pts vs avg
Specialty distribution in New York
How Nurse Practitioner compares to other specialties among New York providers
Medicare quality performance, MIPS
Beniam Ghebrezgabiher's 2023 MIPS final score plotted against the Nurse Practitioner national average
- MIPS Final Score
- 80.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Nurse Practitioner) - 80.6/100 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).
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.
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%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 80.6/100 for the 2023 performance year (Quality 68.9, Cost 55), compared with the national average of 83.1.
Nurse Practitioner is a high-volume specialty nationwide, with 87,700 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 | 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%
Nurse Practitioner average
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
- Oxycodone Hcl
Oxycodone Hcl
128 claims
- Meloxicam
Meloxicam
68 claims
- Famotidine 44
Famotidine
44 claims
- Cefadroxil 30
Cefadroxil
30 claims
- Gabapentin 22
Gabapentin
22 claims
- Morphine Sulfate Er 15
Morphine Sulfate Er
15 claims
- Enoxaparin Sodium 13
Enoxaparin Sodium
13 claims
- Eliquis 12
Eliquis
12 claims
| 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.
87,700
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.
Meredith Aaron
Wellsville, NY
Dr. Amra Abadzic
NP
East Syracuse, NY
Dr. Sharon Abayev
FNP
Forest Hills, NY
Dr. Theresa Abdul-Massih
FNP
New York, NY
Cindy Abelido
Great Neck, NY
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 New York 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.
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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 80.6/100 (Quality: 68.9, Cost: 55). 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 87,700 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
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.
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 May 2026.