2026 NPPES data Emergency Registered Nurse NPI 1528462975 AGACNP/FNP
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DARIO SAN ROMAN, AGACNP/FNP

Emergency Registered Nurse in TRINIDAD, Colorado. 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
694
Medicare Part D claims · 320 beneficiaries · Emergency Registered Nurse avg: 710
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
69.8615/100
▼ 13 pts below national avg 83.1 · [object Object]
Industry payments
$164.39
9 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

DARIO SAN ROMAN, AGACNP/FNP reported a CMS MIPS final score of 69.8615/100 — below the 83.1 national average — and filed 694 Medicare Part D claims in 2023.

69.8615/100
MIPS score · -13 vs avg
694
Part D claims, 2023
96%
generic prescribing
$164.39
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.

DARIO SAN ROMAN, AGACNP/FNP's MIPS score vs every scored U.S. clinician

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

70 8th percentile higher than 8% 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%). This entry sits in this band. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 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 DARIO SAN ROMAN, AGACNP/FNP?

Below national average

NPI registry status

Active

Issued 10/14/2014

NPI 1528462975

Primary specialty

Emergency Registered Nurse

Niche

4,284 US NPIs in this specialty

Medicare Part D claims

694 2% vs specialty avg

2023 prescription claims

Specialty avg: 710

MIPS final score

69.8615/100 13.238499999999988% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Colorado

How Emergency Registered Nurse compares to other specialties among Colorado providers

Colorado providers

Emergency Registered Nurse share within Colorado

1. Emergency Registered Nurse42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Registered Nurse share within Colorado

Medicare quality performance — MIPS

DARIO SAN ROMAN, AGACNP/FNP's 2023 MIPS final score plotted against the Emergency Registered Nurse national average

Below national average
MIPS Final Score
69.8615/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Registered Nurse) — 69.8615/100 vs national avg 83.1

0%100%National avg83%69.9%
MIPS final score (Emergency Registered Nurse) — 69.8615/100 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).

DARIO SAN ROMAN, AGACNP/FNP appears in the CMS NPPES registry as a Emergency Registered Nurse provider holding AGACNP/FNP credentials at 410 BENEDICTA AVE, TRINIDAD, CO, 81082, with a listed phone of (719) 846-4262. NPI 1528462975 was issued on 10/14/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SAN ROMAN 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 694 prescription claims written by this provider, covering 320 Medicare beneficiaries and totaling roughly $10K in drug spend, split 4% brand-name and 96% 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 69.8615/100 for the 2023 performance year (Quality 77.0425, Cost 15.83), compared with the national average of 83.1.

Emergency Registered Nurse is a narrow specialty nationwide, with 4,284 enrolled providers across 54 states and an average of 710 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

410 BENEDICTA AVE
TRINIDAD, CO 81082

Provider Details

NPI 1528462975
Specialty Emergency Registered Nurse
Credentials AGACNP/FNP
Gender Male
NPI Issued 10/14/2014

CMS Quality Score (MIPS)

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

69.8615
Final Score
Avg: 83.1
77.0425
Quality
15.83
Cost
95
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where DARIO SAN ROMAN, AGACNP/FNP 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.

TRINIDAD AREA HEALTH ASSOCIATION
TRINIDAD, CO

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 DARIO SAN ROMAN, AGACNP/FNP. Source: openpaymentsdata.cms.gov.

Total received

$164

Largest payer

Astellas Pharma US Inc

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.

Brand vs generic prescribing mix · Generic-heavy

DARIO SAN ROMAN, AGACNP/FNP — brand share 4.0%
Specialty average (est.)

4% brand-name claims vs 96% generic, on 694 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.

694
Total Claims
$10K
Total Drug Cost
320
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
747
Total Day Supply
10,559
Brand vs Generic
4% brand / 96% generic
Brand Drug Cost
$4K
Generic Drug Cost
$6K
Antibiotic Claims
238

Patient Demographics

Average Patient Age
71.6 years
Avg HCC Risk Score
1.15
Gender Split
59% female / 41% male
Age Distribution
<65: 38, 65-74: 165, 75-84: 92, 85+: 25

Top Prescribed Drugs (Medicare Part D)

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

What DARIO SAN ROMAN, AGACNP/FNP 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
Prednisone
98
Cephalexin
51
Doxycycline Hyclate
42
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
38
Amoxicillin
29
Gabapentin
23
Azithromycin
22
Cefdinir
21
Methylprednisolone
21
Mupirocin
17

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

Emergency Registered Nurse Overview

How DARIO SAN ROMAN, AGACNP/FNP fits within the Emergency Registered Nurse landscape nationally.

4,284
Emergency Registered Nurse Providers in US
54
States with Emergency Registered Nurse
710
Avg Claims per Provider

DARIO SAN ROMAN, AGACNP/FNP's 694 claims are below the specialty average of 710.

Nearby Emergency Registered Nurse Providers in Colorado

Other clinicians with the same primary specialty enrolled in Colorado, drawn from the same CMS NPPES roster as SAN ROMAN.

Compare Emergency Registered Nurse nationally: see state-by-state distribution →

Frequently Asked Questions

What is DARIO SAN ROMAN, AGACNP/FNP's specialty?
DARIO SAN ROMAN, AGACNP/FNP specializes in Emergency Registered Nurse and practices in TRINIDAD, Colorado. Credentials: AGACNP/FNP.
How much does DARIO SAN ROMAN, AGACNP/FNP prescribe under Medicare Part D?
In 2023, DARIO SAN ROMAN, AGACNP/FNP wrote 694 Medicare Part D claims totaling $10K in drug costs for 320 beneficiaries.
What is DARIO SAN ROMAN, AGACNP/FNP's Medicare quality score?
DARIO SAN ROMAN, AGACNP/FNP has a CMS MIPS Final Score of 69.8615/100 (Quality: 77.0425, Cost: 15.83). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DARIO SAN ROMAN, AGACNP/FNP located?
DARIO SAN ROMAN, AGACNP/FNP is located at 410 BENEDICTA AVE, TRINIDAD, CO, 81082. Phone: (719) 846-4262.
What is DARIO SAN ROMAN, AGACNP/FNP's NPI number?
DARIO SAN ROMAN, AGACNP/FNP's National Provider Identifier (NPI) is 1528462975, issued on 10/14/2014.
Does DARIO SAN ROMAN, AGACNP/FNP prescribe more brand-name or generic drugs?
DARIO SAN ROMAN, AGACNP/FNP's prescribing is 4% brand-name and 96% generic drugs by claim count, with $4K in brand drug costs.
How many Emergency Registered Nurse providers are there in the US?
There are 4,284 Emergency Registered Nurse providers across 54 states in the US. The average Emergency Registered Nurse provider writes 710 Medicare Part D claims per year.
What drugs does DARIO SAN ROMAN, AGACNP/FNP prescribe most often?
Based on 2023 Medicare Part D data, DARIO SAN ROMAN, AGACNP/FNP's most frequently prescribed drugs include Prednisone, Cephalexin, Doxycycline Hyclate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DARIO SAN ROMAN, AGACNP/FNP accept Medicare?
DARIO SAN ROMAN, AGACNP/FNP appears in CMS Medicare data with 694 Part D claims and 320 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DARIO SAN ROMAN, AGACNP/FNP's credentials?
DARIO SAN ROMAN, AGACNP/FNP's NPI is 1528462975 with credentials AGACNP/FNP. 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