DARRELL AREVALO
Family Nurse Practitioner in WESTMONT, Illinois. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
DARRELL AREVALO reported a CMS MIPS final score of 12.4409/100 — below the 83.1 national average — and filed 12,652 Medicare Part D claims in 2023.
- 12.4409/100
- MIPS score · -71 vs avg
- 13K
- Part D claims, 2023
- 91%
- 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.
DARRELL AREVALO's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure
12 2nd percentile higher than 2% 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
What does the federal data show about DARRELL AREVALO?
Below national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Illinois
How Family Nurse Practitioner compares to other specialties among Illinois providers
Family Nurse Practitioner share within Illinois
Family Nurse Practitioner is one of the more visible NUCC categories in Illinois
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
DARRELL AREVALO's 2023 MIPS final score plotted against the Family Nurse Practitioner national average
- MIPS Final Score
- 12.4409/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Family Nurse Practitioner) — 12.4409/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Family Nurse Practitioner US NPIs
12.4409/100 MIPS final score — 70.7 pts below the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Family Nurse Practitioner. Quality dim: 0. Cost dim: 41.4695.
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).
DARRELL AREVALO appears in the CMS NPPES registry as a Family Nurse Practitioner provider at 700 E OGDEN AVE STE 202, WESTMONT, IL, 60559, with a listed phone of (630) 789-9785. NPI 1417444373 was issued on 04/17/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AREVALO 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 12,652 prescription claims written by this provider, covering 384 Medicare beneficiaries and totaling roughly $453K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 0.3%. 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 12.4409/100 for the 2023 performance year (Quality 0, Cost 41.4695), compared with the national average of 83.1.
Family Nurse Practitioner is a high-volume specialty nationwide, with 209,817 enrolled providers across 56 states and an average of 1,222 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 | 1417444373 |
|---|---|
| Specialty | Family Nurse Practitioner |
| Gender | Male |
| NPI Issued | 04/17/2018 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm DARRELL AREVALO's current license status, disciplinary history, and board certifications with the Illinois Department of Financial and Professional Regulation in Illinois before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Individual
Hospital and facility affiliations
Facilities where DARRELL AREVALO 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.
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 — Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 — they are NOT specific to DARRELL AREVALO. To verify DARRELL AREVALO's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
9% brand-name claims vs 91% generic, on 12,652 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.
Prescribing Breakdown
- 30-Day Fills
- 13,132
- Total Day Supply
- 218,787
- Brand vs Generic
- 9% brand / 91% generic
- Brand Drug Cost
- $280K
- Generic Drug Cost
- $166K
- Opioid Claims
- 35 (0.3% rate)
- Antibiotic Claims
- 256
Patient Demographics
- Average Patient Age
- 83.8 years
- Avg HCC Risk Score
- 2.31
- Gender Split
- 74% female / 26% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What DARRELL AREVALO prescribes most
Top Medicare Part D drugs by claim count, 2023
- Amlodipine Besylate
Amlodipine Besylate
703 claims
- Levothyroxine Sodium
Levothyroxine Sodium
604 claims
- Atorvastatin Calcium
Atorvastatin Calcium
580 claims
- Sertraline Hcl
Sertraline Hcl
546 claims
- Donepezil Hcl
Donepezil Hcl
472 claims
- Escitalopram Oxalate
Escitalopram Oxalate
386 claims
- Memantine Hcl
Memantine Hcl
384 claims
- Furosemide
Furosemide
310 claims
| Drug | Claims |
|---|---|
| Amlodipine Besylate | 703 |
| Levothyroxine Sodium | 604 |
| Atorvastatin Calcium | 580 |
| Sertraline Hcl | 546 |
| Donepezil Hcl | 472 |
| Escitalopram Oxalate | 386 |
| Memantine Hcl | 384 |
| Furosemide | 310 |
| Metoprolol Succinate | 308 |
| Potassium Chloride | 308 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Nurse Practitioner Overview
How DARRELL AREVALO fits within the Family Nurse Practitioner landscape nationally.
DARRELL AREVALO's 12,652 claims are above the specialty average of 1,222.
Nearby Family Nurse Practitioner Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as AREVALO.
Compare Family Nurse Practitioner nationally: see state-by-state distribution →
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Frequently Asked Questions
What is DARRELL AREVALO's specialty? ▼
How much does DARRELL AREVALO prescribe under Medicare Part D? ▼
What is DARRELL AREVALO's Medicare quality score? ▼
Where is DARRELL AREVALO located? ▼
What is DARRELL AREVALO's NPI number? ▼
Does DARRELL AREVALO prescribe more brand-name or generic drugs? ▼
Does DARRELL AREVALO prescribe opioids? ▼
How many Family Nurse Practitioner providers are there in the US? ▼
What drugs does DARRELL AREVALO prescribe most often? ▼
Does DARRELL AREVALO accept Medicare? ▼
How can I verify DARRELL AREVALO's credentials? ▼
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