2026 NPPES data Psychiatric/Mental Health Nurse Practitioner NPI 1063970234 CNP
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EDITH CLAROS, CNP

Psychiatric/Mental Health Nurse Practitioner in WORCESTER, Massachusetts. 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
670
Medicare Part D claims · 42 beneficiaries · Psychiatric/Mental Health Nurse Practitioner avg: 927
Generic prescribing
98%
generic claims · 2% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.0218/100
▲ 14 pts above national avg 83.1 · [object Object]
Industry payments
$100.08
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

EDITH CLAROS, CNP reported a CMS MIPS final score of 97.0218/100 — above the 83.1 national average — and filed 670 Medicare Part D claims in 2023.

97.0218/100
MIPS score · +14 vs avg
670
Part D claims, 2023
98%
generic prescribing
$100.08
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.

EDITH CLAROS, CNP's MIPS score vs every scored U.S. clinician

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

97 Top 15% higher than 85% 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 EDITH CLAROS, CNP?

High performer (top quartile)

NPI registry status

Active

Issued 03/06/2019

NPI 1063970234

Primary specialty

Psychiatric/Mental Health Nurse Practitioner

Mid-sized

39,953 US NPIs in this specialty

Medicare Part D claims

670 28% vs specialty avg

2023 prescription claims

Specialty avg: 927

MIPS final score

97.0218/100 13.921800000000005% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Massachusetts

How Psychiatric/Mental Health Nurse Practitioner compares to other specialties among Massachusetts providers

Massachusetts providers

Psychiatric/Mental Health Nurse Practitioner share within Massachusetts

1. Psychiatric/Mental Health Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Psychiatric/Mental Health Nurse Practitioner share within Massachusetts

Medicare quality performance — MIPS

EDITH CLAROS, CNP's 2023 MIPS final score plotted against the Psychiatric/Mental Health Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
97.0218/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Psychiatric/Mental Health Nurse Practitioner) — 97.0218/100 vs national avg 83.1

0%100%National avg83%97%
MIPS final score (Psychiatric/Mental Health Nurse Practitioner) — 97.0218/100 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).

EDITH CLAROS, CNP appears in the CMS NPPES registry as a Psychiatric/Mental Health Nurse Practitioner provider holding CNP credentials at 19 TACOMA ST, WORCESTER, MA, 01605, with a listed phone of (508) 852-1805. NPI 1063970234 was issued on 03/06/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CLAROS 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 670 prescription claims written by this provider, covering 42 Medicare beneficiaries and totaling roughly $44K in drug spend, split 2% brand-name and 98% 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 97.0218/100 for the 2023 performance year (Quality 78.0983), compared with the national average of 83.1.

Psychiatric/Mental Health Nurse Practitioner is a mid-sized specialty nationwide, with 39,953 enrolled providers across 54 states and an average of 927 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

19 TACOMA ST
WORCESTER, MA 01605

Provider Details

NPI 1063970234
Specialty Psychiatric/Mental Health Nurse Practitioner
Credentials CNP
Gender Female
NPI Issued 03/06/2019

CMS Quality Score (MIPS)

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

97.0218
Final Score
Avg: 83.1
78.0983
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where EDITH CLAROS, CNP 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.

NEW VIEW HEALTH AND WELLNESS LLC
WEST BOYLSTON, MA
UMASS MEMORIAL MEDICAL GROUP INC
PUNTA GORDA, FL

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 EDITH CLAROS, CNP. Source: openpaymentsdata.cms.gov.

Total received

$100

Largest payer

Axonics, 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.

License & disciplinary context — Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 — they are NOT specific to EDITH CLAROS, CNP. To verify EDITH CLAROS, CNP's current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM 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 Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

EDITH CLAROS, CNP — brand share 2.0%
Specialty average (est.)

2% brand-name claims vs 98% generic, on 670 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.

670
Total Claims
$44K
Total Drug Cost
42
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,018
Total Day Supply
30,228
Brand vs Generic
2% brand / 98% generic
Brand Drug Cost
$30K
Generic Drug Cost
$14K

Patient Demographics

Average Patient Age
61.1 years
Avg HCC Risk Score
1.26
Gender Split
67% female / 33% male
Age Distribution
<65: 29, 65-74: 13, 75-84: 0, 85+: 0

Top Prescribed Drugs (Medicare Part D)

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

What EDITH CLAROS, CNP 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
Trazodone Hcl
81
Clonazepam
72
Escitalopram Oxalate
54
Gabapentin
43
Lorazepam
35
Sertraline Hcl
34
Duloxetine Hcl
32
Alprazolam
22
Risperidone
22
Aripiprazole
21

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

Psychiatric/Mental Health Nurse Practitioner Overview

How EDITH CLAROS, CNP fits within the Psychiatric/Mental Health Nurse Practitioner landscape nationally.

39,953
Psychiatric/Mental Health Nurse Practitioner Providers in US
54
States with Psychiatric/Mental Health Nurse Practitioner
927
Avg Claims per Provider

EDITH CLAROS, CNP's 670 claims are below the specialty average of 927.

Nearby Psychiatric/Mental Health Nurse Practitioner Providers in Massachusetts

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

Compare Psychiatric/Mental Health Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is EDITH CLAROS, CNP's specialty?
EDITH CLAROS, CNP specializes in Psychiatric/Mental Health Nurse Practitioner and practices in WORCESTER, Massachusetts. Credentials: CNP.
How much does EDITH CLAROS, CNP prescribe under Medicare Part D?
In 2023, EDITH CLAROS, CNP wrote 670 Medicare Part D claims totaling $44K in drug costs for 42 beneficiaries.
What is EDITH CLAROS, CNP's Medicare quality score?
EDITH CLAROS, CNP has a CMS MIPS Final Score of 97.0218/100 (Quality: 78.0983). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is EDITH CLAROS, CNP located?
EDITH CLAROS, CNP is located at 19 TACOMA ST, WORCESTER, MA, 01605. Phone: (508) 852-1805.
What is EDITH CLAROS, CNP's NPI number?
EDITH CLAROS, CNP's National Provider Identifier (NPI) is 1063970234, issued on 03/06/2019.
Does EDITH CLAROS, CNP prescribe more brand-name or generic drugs?
EDITH CLAROS, CNP's prescribing is 2% brand-name and 98% generic drugs by claim count, with $30K in brand drug costs.
How many Psychiatric/Mental Health Nurse Practitioner providers are there in the US?
There are 39,953 Psychiatric/Mental Health Nurse Practitioner providers across 54 states in the US. The average Psychiatric/Mental Health Nurse Practitioner provider writes 927 Medicare Part D claims per year.
What drugs does EDITH CLAROS, CNP prescribe most often?
Based on 2023 Medicare Part D data, EDITH CLAROS, CNP's most frequently prescribed drugs include Trazodone Hcl, Clonazepam, Escitalopram Oxalate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does EDITH CLAROS, CNP accept Medicare?
EDITH CLAROS, CNP appears in CMS Medicare data with 670 Part D claims and 42 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify EDITH CLAROS, CNP's credentials?
EDITH CLAROS, CNP's NPI is 1063970234 with credentials CNP. 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