2026 NPPES data Nurse Practitioner NPI 1225380447 CRNP
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DENISE MARTINEZ, CRNP

Nurse Practitioner in ALLENTOWN, Pennsylvania. 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
168
Medicare Part D claims · 104 beneficiaries · Nurse Practitioner avg: 1K
MIPS score
95.6426/100
▲ 13 pts above national avg 83.1 · [object Object]

What the federal data shows

DENISE MARTINEZ, CRNP reported a CMS MIPS final score of 95.6426/100 — above the 83.1 national average — and filed 168 Medicare Part D claims in 2023.

95.6426/100
MIPS score · +13 vs avg
168
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.

DENISE MARTINEZ, CRNP's MIPS score vs every scored U.S. clinician

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

96 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 DENISE MARTINEZ, CRNP?

High performer (top quartile)

NPI registry status

Active

Issued 10/11/2012

NPI 1225380447

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

168 85% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

95.6426/100 12.542600000000007% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Nurse Practitioner compares to other specialties among Pennsylvania providers

Pennsylvania providers

Nurse Practitioner share within Pennsylvania

1. Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nurse Practitioner share within Pennsylvania

Medicare quality performance — MIPS

DENISE MARTINEZ, CRNP's 2023 MIPS final score plotted against the Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
95.6426/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) — 95.6426/100 vs national avg 83.1

0%100%National avg83%95.6%
MIPS final score (Nurse Practitioner) — 95.6426/100 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).

DENISE MARTINEZ, CRNP appears in the CMS NPPES registry as a Nurse Practitioner provider holding CRNP credentials at 5018 MEDICAL CENTER CIR, ALLENTOWN, PA, 18106, with a listed phone of (484) 876-5649. NPI 1225380447 was issued on 10/11/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MARTINEZ 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 168 prescription claims written by this provider, covering 104 Medicare beneficiaries and totaling roughly $2K in drug spend, with an opioid prescribing rate of 17.3%. 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 95.6426/100 for the 2023 performance year (Quality 80.5735), compared with the national average of 83.1.

Nurse Practitioner is a high-volume specialty nationwide, with 87,227 enrolled providers across 56 states and an average of 1,084 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

5018 MEDICAL CENTER CIR
ALLENTOWN, PA 18106

Provider Details

NPI 1225380447
Specialty Nurse Practitioner
Credentials CRNP
Gender Female
NPI Issued 10/11/2012

CMS Quality Score (MIPS)

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

95.6426
Final Score
Avg: 83.1
80.5735
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where DENISE MARTINEZ, CRNP 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.

GSLPG, INC
ORWIGSBURG, PA
ST LUKES PHYSICIAN GROUP INC
STROUDSBURG, PA

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 — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to DENISE MARTINEZ, CRNP. To verify DENISE MARTINEZ, CRNP's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania 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.

168
Total Claims
$2K
Total Drug Cost
104
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
180
Total Day Supply
2,407
Generic Drug Cost
$2K
Opioid Claims
29 (17.3% rate)
Antibiotic Claims
45

Patient Demographics

Average Patient Age
75.2 years
Avg HCC Risk Score
1.87
Gender Split
22% female / 78% male

Top Prescribed Drugs (Medicare Part D)

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

What DENISE MARTINEZ, CRNP 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
Oxybutynin Chloride
36
Oxycodone Hcl
25
Cephalexin
19
Tamsulosin Hcl
13
Finasteride
12
Oxybutynin Chloride Er
Oxybutynin Chloride
12

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

Nurse Practitioner Overview

How DENISE MARTINEZ, CRNP fits within the Nurse Practitioner landscape nationally.

87,227
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,084
Avg Claims per Provider

DENISE MARTINEZ, CRNP's 168 claims are below the specialty average of 1,084.

Nearby Nurse Practitioner Providers in Pennsylvania

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

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

Frequently Asked Questions

What is DENISE MARTINEZ, CRNP's specialty?
DENISE MARTINEZ, CRNP specializes in Nurse Practitioner and practices in ALLENTOWN, Pennsylvania. Credentials: CRNP.
How much does DENISE MARTINEZ, CRNP prescribe under Medicare Part D?
In 2023, DENISE MARTINEZ, CRNP wrote 168 Medicare Part D claims totaling $2K in drug costs for 104 beneficiaries.
What is DENISE MARTINEZ, CRNP's Medicare quality score?
DENISE MARTINEZ, CRNP has a CMS MIPS Final Score of 95.6426/100 (Quality: 80.5735). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DENISE MARTINEZ, CRNP located?
DENISE MARTINEZ, CRNP is located at 5018 MEDICAL CENTER CIR, ALLENTOWN, PA, 18106. Phone: (484) 876-5649.
What is DENISE MARTINEZ, CRNP's NPI number?
DENISE MARTINEZ, CRNP's National Provider Identifier (NPI) is 1225380447, issued on 10/11/2012.
Does DENISE MARTINEZ, CRNP prescribe opioids?
Yes, DENISE MARTINEZ, CRNP had 29 opioid claims in 2023 with an opioid prescribing rate of 17.3%.
How many Nurse Practitioner providers are there in the US?
There are 87,227 Nurse Practitioner providers across 56 states in the US. The average Nurse Practitioner provider writes 1,084 Medicare Part D claims per year.
What drugs does DENISE MARTINEZ, CRNP prescribe most often?
Based on 2023 Medicare Part D data, DENISE MARTINEZ, CRNP's most frequently prescribed drugs include Oxybutynin Chloride, Oxycodone Hcl, Cephalexin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DENISE MARTINEZ, CRNP accept Medicare?
DENISE MARTINEZ, CRNP appears in CMS Medicare data with 168 Part D claims and 104 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DENISE MARTINEZ, CRNP's credentials?
DENISE MARTINEZ, CRNP's NPI is 1225380447 with credentials CRNP. 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