2026 NPPES data Adult Health Nurse Practitioner NPI 1275099152 NP
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DAINA WORCESTER, NP

Adult Health Nurse Practitioner in PROVIDENCE, Rhode Island. 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
559
Medicare Part D claims · 192 beneficiaries · Adult Health Nurse Practitioner avg: 1K
MIPS score
95.3578/100
▲ 12 pts above national avg 83.1 · [object Object]

What the federal data shows

DAINA WORCESTER, NP reported a CMS MIPS final score of 95.3578/100 — above the 83.1 national average — and filed 559 Medicare Part D claims in 2023.

95.3578/100
MIPS score · +12 vs avg
559
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.

DAINA WORCESTER, NP's MIPS score vs every scored U.S. clinician

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

95 Top 21% higher than 79% 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 DAINA WORCESTER, NP?

High performer (top quartile)

NPI registry status

Active

Issued 02/15/2019

NPI 1275099152

Primary specialty

Adult Health Nurse Practitioner

Mid-sized

29,492 US NPIs in this specialty

Medicare Part D claims

559 53% vs specialty avg

2023 prescription claims

Specialty avg: 1,201

MIPS final score

95.3578/100 12.257800000000003% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Rhode Island

How Adult Health Nurse Practitioner compares to other specialties among Rhode Island providers

Rhode Island providers

Adult Health Nurse Practitioner share within Rhode Island

1. Adult Health Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Health Nurse Practitioner share within Rhode Island

Medicare quality performance — MIPS

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

High performer (top quartile)
MIPS Final Score
95.3578/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Health Nurse Practitioner) — 95.3578/100 vs national avg 83.1

0%100%National avg83%95.4%
MIPS final score (Adult Health Nurse Practitioner) — 95.3578/100 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).

DAINA WORCESTER, NP appears in the CMS NPPES registry as a Adult Health Nurse Practitioner provider holding NP credentials at 355 PRAIRIE AVE, PROVIDENCE, RI, 02905, with a listed phone of (401) 444-0570. NPI 1275099152 was issued on 02/15/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WORCESTER 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 559 prescription claims written by this provider, covering 192 Medicare beneficiaries and totaling roughly $52K in drug spend, with an opioid prescribing rate of 3.2%. 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 95.3578/100 for the 2023 performance year (Quality 84.2235), 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

355 PRAIRIE AVE
PROVIDENCE, RI 02905

Provider Details

NPI 1275099152
Specialty Adult Health Nurse Practitioner
Credentials NP
Gender Female
NPI Issued 02/15/2019

CMS Quality Score (MIPS)

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

95.3578
Final Score
Avg: 83.1
84.2235
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Medicare Part D Prescribing Data

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

559
Total Claims
$52K
Total Drug Cost
192
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
990
Total Day Supply
26,977
Generic Drug Cost
$7K
Opioid Claims
18 (3.2% rate)
Antibiotic Claims
26

Patient Demographics

Average Patient Age
70.4 years
Avg HCC Risk Score
1.38
Gender Split
68% female / 32% male
Age Distribution
<65: 38, 65-74: 87, 75-84: 54, 85+: 13

Top Prescribed Drugs (Medicare Part D)

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

What DAINA WORCESTER, 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
Clonazepam
28
Omeprazole
24
Meloxicam
18
Metformin Hcl
17
Atorvastatin Calcium
16
Fluticasone Propionate
16
Levothyroxine Sodium
14
Furosemide
12
Ozempic
Semaglutide
12
Prednisone
12

* 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 DAINA WORCESTER, 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

DAINA WORCESTER, NP's 559 claims are below the specialty average of 1,201.

Nearby Adult Health Nurse Practitioner Providers in Rhode Island

Other clinicians with the same primary specialty enrolled in Rhode Island, drawn from the same CMS NPPES roster as WORCESTER.

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

Frequently Asked Questions

What is DAINA WORCESTER, NP's specialty?
DAINA WORCESTER, NP specializes in Adult Health Nurse Practitioner and practices in PROVIDENCE, Rhode Island. Credentials: NP.
How much does DAINA WORCESTER, NP prescribe under Medicare Part D?
In 2023, DAINA WORCESTER, NP wrote 559 Medicare Part D claims totaling $52K in drug costs for 192 beneficiaries.
What is DAINA WORCESTER, NP's Medicare quality score?
DAINA WORCESTER, NP has a CMS MIPS Final Score of 95.3578/100 (Quality: 84.2235). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DAINA WORCESTER, NP located?
DAINA WORCESTER, NP is located at 355 PRAIRIE AVE, PROVIDENCE, RI, 02905. Phone: (401) 444-0570.
What is DAINA WORCESTER, NP's NPI number?
DAINA WORCESTER, NP's National Provider Identifier (NPI) is 1275099152, issued on 02/15/2019.
Does DAINA WORCESTER, NP prescribe opioids?
Yes, DAINA WORCESTER, NP had 18 opioid claims in 2023 with an opioid prescribing rate of 3.2%.
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 DAINA WORCESTER, NP prescribe most often?
Based on 2023 Medicare Part D data, DAINA WORCESTER, NP's most frequently prescribed drugs include Clonazepam, Omeprazole, Meloxicam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DAINA WORCESTER, NP accept Medicare?
DAINA WORCESTER, NP appears in CMS Medicare data with 559 Part D claims and 192 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DAINA WORCESTER, NP's credentials?
DAINA WORCESTER, NP's NPI is 1275099152 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