2026 NPPES data Primary Care Nurse Practitioner NPI 1043210032 CRNP
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ELIZABETH SIPALA, CRNP

Primary Care Nurse Practitioner in CHESTERTOWN, Maryland. 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
4K
Medicare Part D claims · 223 beneficiaries · Primary Care Nurse Practitioner avg: 1K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
62.2006/100
▼ 21 pts below national avg 83.1 · [object Object]
Industry payments
$277.97
15 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ELIZABETH SIPALA, CRNP reported a CMS MIPS final score of 62.2006/100 — below the 83.1 national average — and filed 4,237 Medicare Part D claims in 2023.

62.2006/100
MIPS score · -21 vs avg
4K
Part D claims, 2023
87%
generic prescribing
$277.97
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.

ELIZABETH SIPALA, CRNP's MIPS score vs every scored U.S. clinician

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

62 6th percentile higher than 6% 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 ELIZABETH SIPALA, CRNP?

Below national average

NPI registry status

Active

Issued 07/30/2005

NPI 1043210032

Primary specialty

Primary Care Nurse Practitioner

Mid-sized

10,138 US NPIs in this specialty

Medicare Part D claims

4,237 211% vs specialty avg

2023 prescription claims

Specialty avg: 1,363

MIPS final score

62.2006/100 20.899399999999993% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Maryland

How Primary Care Nurse Practitioner compares to other specialties among Maryland providers

Maryland providers

Primary Care Nurse Practitioner share within Maryland

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

Medicare quality performance — MIPS

ELIZABETH SIPALA, CRNP's 2023 MIPS final score plotted against the Primary Care Nurse Practitioner national average

Below national average
MIPS Final Score
62.2006/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Primary Care Nurse Practitioner) — 62.2006/100 vs national avg 83.1

0%100%National avg83%62.2%
MIPS final score (Primary Care Nurse Practitioner) — 62.2006/100 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).

ELIZABETH SIPALA, CRNP is a Primary Care Nurse Practitioner provider practicing in CHESTERTOWN, Maryland, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: CRNP. NPI: 1043210032. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ELIZABETH SIPALA, CRNP appears in the CMS NPPES registry as a Primary Care Nurse Practitioner provider holding CRNP credentials at 6602 CHURCH HILL RD, CHESTERTOWN, MD, 21620, with a listed phone of (410) 778-0300. NPI 1043210032 was issued on 07/30/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SIPALA 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 4,237 prescription claims written by this provider, covering 223 Medicare beneficiaries and totaling roughly $525K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 3.7%. 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 62.2006/100 for the 2023 performance year (Quality 47.4018, Cost 44.133), compared with the national average of 83.1.

Primary Care Nurse Practitioner is a mid-sized specialty nationwide, with 10,138 enrolled providers across 54 states and an average of 1,363 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

6602 CHURCH HILL RD
CHESTERTOWN, MD 21620

Provider Details

NPI 1043210032
Specialty Primary Care Nurse Practitioner
Credentials CRNP
Gender Female
NPI Issued 07/30/2005

CMS Quality Score (MIPS)

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

62.2006
Final Score
Avg: 83.1
47.4018
Quality
44.133
Cost

Reporting: Group practice

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 ELIZABETH SIPALA, CRNP. Source: openpaymentsdata.cms.gov.

Total received

$278

Largest payer

Amgen 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 · Typical

ELIZABETH SIPALA, CRNP — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 4,237 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.

4,237
Total Claims
$525K
Total Drug Cost
223
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
8,585
Total Day Supply
247,328
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$436K
Generic Drug Cost
$85K
Opioid Claims
158 (3.7% rate)
Antibiotic Claims
144

Patient Demographics

Average Patient Age
71.9 years
Avg HCC Risk Score
1.05
Gender Split
61% female / 39% male
Age Distribution
<65: 34, 65-74: 106, 75-84: 58, 85+: 25

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
211
Lisinopril
159
Metoprolol Succinate
145
Levothyroxine Sodium
117
Amlodipine Besylate
108
Pantoprazole Sodium
96
Hydrochlorothiazide
84
Losartan Potassium
81
Omeprazole
80
Metformin Hcl
74

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

Primary Care Nurse Practitioner Overview

How ELIZABETH SIPALA, CRNP fits within the Primary Care Nurse Practitioner landscape nationally.

10,138
Primary Care Nurse Practitioner Providers in US
54
States with Primary Care Nurse Practitioner
1,363
Avg Claims per Provider

ELIZABETH SIPALA, CRNP's 4,237 claims are above the specialty average of 1,363.

Nearby Primary Care Nurse Practitioner Providers in Maryland

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

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

Frequently Asked Questions

What is ELIZABETH SIPALA, CRNP's specialty?
ELIZABETH SIPALA, CRNP specializes in Primary Care Nurse Practitioner and practices in CHESTERTOWN, Maryland. Credentials: CRNP.
How much does ELIZABETH SIPALA, CRNP prescribe under Medicare Part D?
In 2023, ELIZABETH SIPALA, CRNP wrote 4,237 Medicare Part D claims totaling $525K in drug costs for 223 beneficiaries.
What is ELIZABETH SIPALA, CRNP's Medicare quality score?
ELIZABETH SIPALA, CRNP has a CMS MIPS Final Score of 62.2006/100 (Quality: 47.4018, Cost: 44.133). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ELIZABETH SIPALA, CRNP located?
ELIZABETH SIPALA, CRNP is located at 6602 CHURCH HILL RD, CHESTERTOWN, MD, 21620. Phone: (410) 778-0300.
What is ELIZABETH SIPALA, CRNP's NPI number?
ELIZABETH SIPALA, CRNP's National Provider Identifier (NPI) is 1043210032, issued on 07/30/2005.
Does ELIZABETH SIPALA, CRNP prescribe more brand-name or generic drugs?
ELIZABETH SIPALA, CRNP's prescribing is 13% brand-name and 87% generic drugs by claim count, with $436K in brand drug costs.
Does ELIZABETH SIPALA, CRNP prescribe opioids?
Yes, ELIZABETH SIPALA, CRNP had 158 opioid claims in 2023 with an opioid prescribing rate of 3.7%.
How many Primary Care Nurse Practitioner providers are there in the US?
There are 10,138 Primary Care Nurse Practitioner providers across 54 states in the US. The average Primary Care Nurse Practitioner provider writes 1,363 Medicare Part D claims per year.
What drugs does ELIZABETH SIPALA, CRNP prescribe most often?
Based on 2023 Medicare Part D data, ELIZABETH SIPALA, CRNP's most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ELIZABETH SIPALA, CRNP accept Medicare?
ELIZABETH SIPALA, CRNP appears in CMS Medicare data with 4,237 Part D claims and 223 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ELIZABETH SIPALA, CRNP's credentials?
ELIZABETH SIPALA, CRNP's NPI is 1043210032 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