2026 NPPES data Nurse Practitioner NPI 1104857515 NP
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CAROLE BIGGIN, NP

Nurse Practitioner in SEAFORD, 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
3K
Medicare Part D claims · 292 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
63%
generic claims · 37% 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]
Industry payments
$178.44
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

CAROLE BIGGIN, NP reported a CMS MIPS final score of 91.2532/100 — above the 83.1 national average — and filed 2,784 Medicare Part D claims in 2023.

91.2532/100
MIPS score · +8 vs avg
3K
Part D claims, 2023
63%
generic prescribing
$178.44
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.

CAROLE BIGGIN, NP's MIPS score vs every scored U.S. clinician

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

91 Top 37% higher than 63% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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 CAROLE BIGGIN, NP?

High performer (top quartile)

NPI registry status

Active

Issued 07/05/2006

NPI 1104857515

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

2,784 157% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

91.2532/100 8.153200000000012% pts

Exceptional 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

CAROLE BIGGIN, NP's 2023 MIPS final score plotted against the 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 (Nurse Practitioner) — 91.2532/100 vs national avg 83.1

0%100%National avg83%91.3%
MIPS final score (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).

CAROLE BIGGIN, NP appears in the CMS NPPES registry as a Nurse Practitioner provider holding NP credentials at 850 HICKSVILLE RD, SEAFORD, NY, 11783, with a listed phone of (516) 798-0141. NPI 1104857515 was issued on 07/05/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BIGGIN 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 2,784 prescription claims written by this provider, covering 292 Medicare beneficiaries and totaling roughly $1.4 million in drug spend, split 37% brand-name and 63% generic by claim count. 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.

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

850 HICKSVILLE RD
SEAFORD, NY 11783

Provider Details

NPI 1104857515
Specialty Nurse Practitioner
Credentials NP
Gender Female
NPI Issued 07/05/2006

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 CAROLE BIGGIN, 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.

NORTHWELL HEALTHCARE INC
SEAFORD, 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).

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 CAROLE BIGGIN, NP. Source: openpaymentsdata.cms.gov.

Total received

$178

Largest payer

Abbott Laboratories

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.

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 CAROLE BIGGIN, NP. To verify CAROLE BIGGIN, 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 · Above average

CAROLE BIGGIN, NP — brand share 37.0%
Specialty average (est.)

37% brand-name claims vs 63% generic, on 2,784 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.

2,784
Total Claims
$1.4M
Total Drug Cost
292
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,938
Total Day Supply
207,006
Brand vs Generic
37% brand / 63% generic
Brand Drug Cost
$1.4M
Generic Drug Cost
$32K

Patient Demographics

Average Patient Age
73.6 years
Avg HCC Risk Score
1.46
Gender Split
49% female / 51% male
Age Distribution
<65: 28, 65-74: 136, 75-84: 97, 85+: 31

Top Prescribed Drugs (Medicare Part D)

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

What CAROLE BIGGIN, NP 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
Metformin Hcl Er
Metformin Hcl
255
Trulicity
Dulaglutide
229
Atorvastatin Calcium
197
Metformin Hcl
163
Ozempic
Semaglutide
149
Jardiance
Empagliflozin
133
Rosuvastatin Calcium
116
Glimepiride
87
Amlodipine Besylate
85
Metoprolol Succinate
69

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

Nurse Practitioner Overview

How CAROLE BIGGIN, NP 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

CAROLE BIGGIN, NP's 2,784 claims are above 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 BIGGIN.

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

Frequently Asked Questions

What is CAROLE BIGGIN, NP's specialty?
CAROLE BIGGIN, NP specializes in Nurse Practitioner and practices in SEAFORD, New York. Credentials: NP.
How much does CAROLE BIGGIN, NP prescribe under Medicare Part D?
In 2023, CAROLE BIGGIN, NP wrote 2,784 Medicare Part D claims totaling $1.4M in drug costs for 292 beneficiaries.
What is CAROLE BIGGIN, NP's Medicare quality score?
CAROLE BIGGIN, 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 CAROLE BIGGIN, NP located?
CAROLE BIGGIN, NP is located at 850 HICKSVILLE RD, SEAFORD, NY, 11783. Phone: (516) 798-0141.
What is CAROLE BIGGIN, NP's NPI number?
CAROLE BIGGIN, NP's National Provider Identifier (NPI) is 1104857515, issued on 07/05/2006.
Does CAROLE BIGGIN, NP prescribe more brand-name or generic drugs?
CAROLE BIGGIN, NP's prescribing is 37% brand-name and 63% generic drugs by claim count, with $1.4M in brand drug costs.
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 CAROLE BIGGIN, NP prescribe most often?
Based on 2023 Medicare Part D data, CAROLE BIGGIN, NP's most frequently prescribed drugs include Metformin Hcl Er, Trulicity, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CAROLE BIGGIN, NP accept Medicare?
CAROLE BIGGIN, NP appears in CMS Medicare data with 2,784 Part D claims and 292 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CAROLE BIGGIN, NP's credentials?
CAROLE BIGGIN, NP's NPI is 1104857515 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