2026 NPPES data Family Medicine Physician NPI 1326775156 APRN
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ERICA KOWALSKI, APRN

Family Medicine Physician in KEENE, New Hampshire. 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
1K
Medicare Part D claims · 397 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
78.6154/100
▼ 4 pts below national avg 83.1 · [object Object]

What the federal data shows

ERICA KOWALSKI, APRN reported a CMS MIPS final score of 78.6154/100 — below the 83.1 national average — and filed 1,043 Medicare Part D claims in 2023.

78.6154/100
MIPS score · -4 vs avg
1K
Part D claims, 2023
89%
generic prescribing
Likely
board-certified (heuristic)

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.

ERICA KOWALSKI, APRN's MIPS score vs every scored U.S. clinician

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

79 27th percentile higher than 27% 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%). This entry sits in this band. 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

Board certification likely (heuristic — not verified)

ERICA KOWALSKI, APRN practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about ERICA KOWALSKI, APRN?

Near national average

NPI registry status

Active

Issued 08/02/2022

NPI 1326775156

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

1,043 69% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

78.6154/100 4.4846% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New Hampshire

How Family Medicine Physician compares to other specialties among New Hampshire providers

New Hampshire providers

Family Medicine Physician share within New Hampshire

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within New Hampshire

Medicare quality performance — MIPS

ERICA KOWALSKI, APRN's 2023 MIPS final score plotted against the Family Medicine Physician national average

Near national average
MIPS Final Score
78.6154/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 78.6154/100 vs national avg 83.1

0%100%National avg83%78.6%
MIPS final score (Family Medicine Physician) — 78.6154/100 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).

ERICA KOWALSKI, APRN appears in the CMS NPPES registry as a Family Medicine Physician provider holding APRN credentials at 590 COURT ST, KEENE, NH, 03431, with a listed phone of (603) 354-5454. NPI 1326775156 was issued on 08/02/2022. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KOWALSKI 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 1,043 prescription claims written by this provider, covering 397 Medicare beneficiaries and totaling roughly $85K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 8.5%. 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 78.6154/100 for the 2023 performance year (Quality 75.2274, Cost 53.4905), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

590 COURT ST
KEENE, NH 03431

Provider Details

NPI 1326775156
Specialty Family Medicine Physician
Credentials APRN
Gender Female
NPI Issued 08/02/2022

CMS Quality Score (MIPS)

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

78.6154
Final Score
Avg: 83.1
75.2274
Quality
53.4905
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ERICA KOWALSKI, APRN 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.

CHESHIRE MEDICAL CENTER
★★★★☆ 4/5
KEENE, NH
Acute Care Hospitals
CMS CCN: 300019
MARY HITCHCOCK MEMORIAL HOSPITAL
★★★☆☆ 3/5
KEENE, NH
Acute Care Hospitals
CMS CCN: 300003

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

ERICA KOWALSKI, APRN — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 1,043 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.

1,043
Total Claims
$85K
Total Drug Cost
397
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,755
Total Day Supply
44,717
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$64K
Generic Drug Cost
$21K
Opioid Claims
89 (8.5% rate)
Antibiotic Claims
140

Patient Demographics

Average Patient Age
69.3 years
Avg HCC Risk Score
1.12
Gender Split
69% female / 31% male
Age Distribution
<65: 88, 65-74: 178, 75-84: 98, 85+: 33

Top Prescribed Drugs (Medicare Part D)

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

What ERICA KOWALSKI, APRN 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
Prednisone
38
Cephalexin
36
Doxycycline Hyclate
36
Oxycodone Hcl
36
Atorvastatin Calcium
34
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
28
Lisinopril
28
Omeprazole
28
Eliquis
Apixaban
25
Metoprolol Tartrate
23

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

Family Medicine Physician Overview

How ERICA KOWALSKI, APRN fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

ERICA KOWALSKI, APRN's 1,043 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in New Hampshire

Other clinicians with the same primary specialty enrolled in New Hampshire, drawn from the same CMS NPPES roster as KOWALSKI.

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ERICA KOWALSKI, APRN's specialty?
ERICA KOWALSKI, APRN specializes in Family Medicine Physician and practices in KEENE, New Hampshire. Credentials: APRN.
How much does ERICA KOWALSKI, APRN prescribe under Medicare Part D?
In 2023, ERICA KOWALSKI, APRN wrote 1,043 Medicare Part D claims totaling $85K in drug costs for 397 beneficiaries.
What is ERICA KOWALSKI, APRN's Medicare quality score?
ERICA KOWALSKI, APRN has a CMS MIPS Final Score of 78.6154/100 (Quality: 75.2274, Cost: 53.4905). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ERICA KOWALSKI, APRN located?
ERICA KOWALSKI, APRN is located at 590 COURT ST, KEENE, NH, 03431. Phone: (603) 354-5454.
What is ERICA KOWALSKI, APRN's NPI number?
ERICA KOWALSKI, APRN's National Provider Identifier (NPI) is 1326775156, issued on 08/02/2022.
Does ERICA KOWALSKI, APRN prescribe more brand-name or generic drugs?
ERICA KOWALSKI, APRN's prescribing is 11% brand-name and 89% generic drugs by claim count, with $64K in brand drug costs.
Does ERICA KOWALSKI, APRN prescribe opioids?
Yes, ERICA KOWALSKI, APRN had 89 opioid claims in 2023 with an opioid prescribing rate of 8.5%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does ERICA KOWALSKI, APRN prescribe most often?
Based on 2023 Medicare Part D data, ERICA KOWALSKI, APRN's most frequently prescribed drugs include Prednisone, Cephalexin, Doxycycline Hyclate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ERICA KOWALSKI, APRN accept Medicare?
ERICA KOWALSKI, APRN appears in CMS Medicare data with 1,043 Part D claims and 397 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ERICA KOWALSKI, APRN's credentials?
ERICA KOWALSKI, APRN's NPI is 1326775156 with credentials APRN. 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