2026 NPPES data Adult Health Nurse Practitioner NPI 1437512563 NP
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Claire Bourne, NP

Adult Health 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 29,492 in Adult Health 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
140
Medicare Part D claims · 65 beneficiaries · Adult Health Nurse Practitioner avg: 1K
MIPS score
98.6/100
▲ 15 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Claire Bourne, NP reported a CMS MIPS final score of 98.6/100 - above the 83.1 national average - and filed 140 Medicare Part D claims in 2023.

98.6/100
MIPS score · +15 vs avg
140
Part D claims, 2023

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.

Claire Bourne, NP's MIPS score vs every scored U.S. clinician

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

99 Top 11% higher than 89% 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+: 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

Where Claire Bourne, NP sits

This provider among adult health nurse practitioner peers

Across the 4,289 adult health nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Claire Bourne, NP writes more Part D claims than 28% of them and scores higher on MIPS quality than 92% - placing this provider in the lower-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.448.873.297.7Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 3Claire Bourne, NP-Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 92
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one adult health nurse practitioner peer from a representative sample of 60; the gold marker is Claire Bourne, NP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Claire Bourne, NP?

High performer (top quartile)

NPI registry status

Active

Issued 04/05/2016

NPI 1437512563

Primary specialty

Adult Health Nurse Practitioner

Mid-sized

29,492 US NPIs in this specialty

Medicare Part D claims

140 88% vs specialty avg

2023 prescription claims

Specialty avg: 1,201

MIPS final score

98.6/100 15.5 pts vs avg

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

Largest specialties in New York (% of in-state providers)

Student in an Organized Health Care Education/Training Program - 7.8%Student in an Organized Health Care Education/Training Program7.8%Registered Nurse - 5.2%Registered Nurse5.2%Clinical Social Worker - 4.9%Clinical Social Worker4.9%Social Worker - 4.5%Social Worker4.5%Speech-Language Pathologist - 4.5%Speech-Language Pathologist4.5%Licensed Practical Nurse - 4.3%Licensed Practical Nurse4.3%Adult Health Nurse Practitioner - 1%Adult Health Nurse Practitioner1%
Largest specialties in New York (% of in-state providers)

Medicare quality performance, MIPS

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

High performer (top quartile)
MIPS Final Score
98.6/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Health Nurse Practitioner) - 98.6/100 vs national avg 83.1

0%100%National avg83%98.6%
MIPS final score (Adult Health Nurse Practitioner) - 98.6/100 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).

Claire Bourne, NP appears in the CMS NPPES registry as a Adult Health Nurse Practitioner provider holding NP credentials at 601 ELMWOOD AVE., Rochester, NY, 14642, with a listed phone of (585) 276-6401. NPI 1437512563 was issued on 04/05/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Bourne 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 140 prescription claims written by this provider, covering 65 Medicare beneficiaries and totaling roughly $20K in drug spend, with an opioid prescribing rate of 12.9%. 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 98.6/100 for the 2023 performance year (Quality 86, Cost 76), 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

601 ELMWOOD AVE.
Rochester, NY 14642

Provider Details

NPI 1437512563
Specialty Adult Health Nurse Practitioner
Credentials NP
Gender Female
NPI Issued 04/05/2016

CMS Quality Score (MIPS)

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

98.5981
Final Score
Avg: 83.1
85.9597
Quality
76.0338
Cost
100
Promoting Interoperability

Reporting: Group practice

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 Claire Bourne, NP. To verify Claire Bourne, 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

140
Total Claims
$20K
Total Drug Cost
65
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
149
Total Day Supply
3,126
Generic Drug Cost
$4K
Opioid Claims
18 (12.9% rate)
Antibiotic Claims
30

Patient Demographics

Average Patient Age
69.8 years
Avg HCC Risk Score
2.10
Gender Split
45% female / 55% male

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
17

* 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 Claire Bourne, 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

Claire Bourne, NP's 140 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 Bourne.

Compare Adult Health 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 Adult Health 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.

Frequently Asked Questions

What is Claire Bourne, NP's specialty?
Claire Bourne, NP specializes in Adult Health Nurse Practitioner and practices in Rochester, New York. Credentials: NP.
How much does Claire Bourne, NP prescribe under Medicare Part D?
In 2023, Claire Bourne, NP wrote 140 Medicare Part D claims totaling $20K in drug costs for 65 beneficiaries.
What is Claire Bourne, NP's Medicare quality score?
Claire Bourne, NP has a CMS MIPS Final Score of 98.6/100 (Quality: 86, Cost: 76). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Claire Bourne, NP located?
Claire Bourne, NP is located at 601 ELMWOOD AVE., Rochester, NY, 14642. Phone: (585) 276-6401.
What is Claire Bourne, NP's NPI number?
Claire Bourne, NP's National Provider Identifier (NPI) is 1437512563, issued on 04/05/2016.
Does Claire Bourne, NP prescribe opioids?
Yes, Claire Bourne, NP had 18 opioid claims in 2023 with an opioid prescribing rate of 12.9%.
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 Claire Bourne, NP prescribe most often?
Based on 2023 Medicare Part D data, Claire Bourne, NP's most frequently prescribed drugs include Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Claire Bourne, NP accept Medicare?
Claire Bourne, NP appears in CMS Medicare data with 140 Part D claims and 65 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Claire Bourne, NP's credentials?
Claire Bourne, NP's NPI is 1437512563 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

Compiled from official public sources by the PlainDoctor editorial team.