2026 NPPES data Adult Health Nurse Practitioner NPI 1679008973
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Delia Acuna

Adult Health Nurse Practitioner in Chester, Virginia.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 29,519 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
12K
Medicare Part D claims · 304 beneficiaries · Adult Health Nurse Practitioner avg: 1K
Generic prescribing
83%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
CMS neutral threshold · no category scores published

What the federal data shows

Delia Acuna carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 11,688 Medicare Part D claims in 2023.

75/100
CMS neutral score · not measured
12K
Part D claims, 2023
83%
generic prescribing
≥98th
pct by Part D claim volume (lower-bound band)

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.

CMS NPPES provider registry desk

NPI 1679008973 · Adult Health Nurse Practitioner

NPI-10 · ENUM-RECENT · TAX-MID · MIPS-NEUTRAL · RX-HEAVY · BOOK-LIGHT · PHOTO-ENUM

  • NPI-10 1679008973
  • ENUM-RECENT 2017
  • TAX-MID 30K Adult Health
  • MIPS-NEUTRAL 75/100
  • RX-HEAVY 12K claims
  • BOOK-LIGHT 564 in Virginia
  • PHOTO-ENUM Nadine Williams · 2017

Delia Acuna's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023, across all CMS prescribers nationally

11,688 ≥ 98th percentile 98% of 1,370,886 prescribers are in lower value bands

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2K+: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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.

The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.

Source CMS Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about Delia Acuna?

CMS neutral score, not measured

NPI registry status

Active

Issued 04/24/2017

NPI 1679008973

Primary specialty

Adult Health Nurse Practitioner

Mid-sized

29,519 US NPIs in this specialty

Medicare Part D claims

11,688 10× vs specialty avg

2023 prescription claims

Specialty avg: 1,201

MIPS final score

75/100

CMS neutral score, not measured

No category scores published; CMS assigned the performance threshold

Specialty distribution in Virginia

How Adult Health Nurse Practitioner compares to other specialties among Virginia providers

Virginia providers
Behavior Technician5.2%Clinical Social Worker5.1%Student in an Organized Heal…4.7%Physical Therapist4.6%Pharmacist4.5%Professional Counselor4%Adult Health Nurse Practitio…0.4%
Largest specialties in Virginia (% of in-state providers)

MIPS score not measured

CMS assigned a neutral 75/100 threshold

CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.

How MIPS and board certification work

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).

Practice Address

4313 OLD HUNDRED RD
Chester, VA 23831

Provider Details

NPI 1679008973
Specialty Adult Health Nurse Practitioner
Gender Female
NPI Issued 04/24/2017

CMS Quality Score (MIPS)

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

75
Final Score
CMS neutral threshold · not measured

Reporting: Group practice

Hospital and facility affiliations

Facilities where Delia Acuna 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.

Bloom Geriatrics LLC
Chester, VA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Typical

Delia Acuna - brand share 16.0%
Adult Health Nurse Practitioner average

16% brand-name claims vs 83% generic, on 11,688 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.

11,688
Total Claims
$887K
Total Drug Cost
304
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
11,703
Total Day Supply
259,414
Brand vs Generic
16% brand / 83% generic
Brand Drug Cost
$616K
Generic Drug Cost
$269K
Opioid Claims
525 (4.5% rate)
Antibiotic Claims
352

Patient Demographics

Average Patient Age
74.7 years
Avg HCC Risk Score
2.81
Gender Split
55% female / 45% male
Age Distribution
<65: 55, 65-74: 94, 75-84: 91, 85+: 64

Top Prescribed Drugs (Medicare Part D)

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

What Delia Acuna 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
Gabapentin
661
Atorvastatin Calcium
547
Trulicity
Dulaglutide
415
Eliquis
Apixaban
351
Amlodipine Besylate
326
Potassium Chloride
299
Furosemide
261
Metformin Hcl
258
Levothyroxine Sodium
241
Tramadol Hcl
234

* 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 Delia Acuna fits within the Adult Health Nurse Practitioner landscape nationally.

29,519
Adult Health Nurse Practitioner Providers in US
55
States with Adult Health Nurse Practitioner
1,201
Avg Claims per Provider

Delia Acuna's 11,688 claims are above the specialty average of 1,201.

Nationwide Adult Health Nurse Practitioner peers with similar MIPS or enrollment year

Two federal-record peer sets for Acuna, both outside Virginia so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (75 here).

Same NPPES enumeration year (2017)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Adult Health Nurse Practitioner Providers in Virginia

Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Acuna.

One of 564 Adult Health Nurse Practitioner providers enrolled in Virginia, 5 are shown here.

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

Frequently Asked Questions

What is Delia Acuna's specialty?
Delia Acuna specializes in Adult Health Nurse Practitioner and practices in Chester, Virginia.
How much does Delia Acuna prescribe under Medicare Part D?
In 2023, Delia Acuna wrote 11,688 Medicare Part D claims totaling $887K in drug costs for 304 beneficiaries.
What is Delia Acuna's Medicare quality score?
Delia Acuna has a CMS MIPS Final Score of 75/100. CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score for this clinician, so the final score is the neutral performance threshold CMS assigns rather than a measured result. The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Delia Acuna located?
Delia Acuna is located at 4313 OLD HUNDRED RD, Chester, VA, 23831. Phone: (757) 340-3489.
What is Delia Acuna's NPI number?
Delia Acuna's National Provider Identifier (NPI) is 1679008973, issued on 04/24/2017.
Does Delia Acuna prescribe more brand-name or generic drugs?
Delia Acuna's prescribing is 16% brand-name and 83% generic drugs by claim count, with $616K in brand drug costs.
Does Delia Acuna prescribe opioids?
Yes, Delia Acuna had 525 opioid claims in 2023 with an opioid prescribing rate of 4.5%.
How many Adult Health Nurse Practitioner providers are there in the US?
There are 29,519 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 Delia Acuna prescribe most often?
Based on 2023 Medicare Part D data, Delia Acuna's most frequently prescribed drugs include Gabapentin, Atorvastatin Calcium, Trulicity. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Delia Acuna accept Medicare?
Delia Acuna appears in CMS Medicare data with 11,688 Part D claims and 304 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Delia Acuna's credentials?
Delia Acuna's NPI is 1679008973. 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

View source datasets and methodology notes
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

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.