2026 NPPES data Nurse Practitioner NPI 1265028187 NP
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Erin Fanikos, NP

Nurse Practitioner in Worcester, Massachusetts. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 87,227 in 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
1K
Medicare Part D claims · 405 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
0%
generic claims · 63% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97/100
▲ 14 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Erin Fanikos, NP reported a CMS MIPS final score of 97/100 - above the 83.1 national average - and filed 1,388 Medicare Part D claims in 2023.

97/100
MIPS score · +14 vs avg
1K
Part D claims, 2023
0%
generic prescribing

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.

Erin Fanikos, NP'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+: 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

Where Erin Fanikos, NP sits

This provider among nurse practitioner peers

Across the 13,476 nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Erin Fanikos, NP writes more Part D claims than 77% of them and scores higher on MIPS quality than 85% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.148.372.496.6Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 43Erin Fanikos, NP-Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 85
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one nurse practitioner peer from a representative sample of 60; the gold marker is Erin Fanikos, NP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Erin Fanikos, NP?

High performer (top quartile)

NPI registry status

Active

Issued 12/15/2020

NPI 1265028187

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

1,388 28% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

97/100 13.9 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Massachusetts

How Nurse Practitioner compares to other specialties among Massachusetts providers

Massachusetts providers

Largest specialties in Massachusetts (% of in-state providers)

Mental Health Counselor - 8.3%Mental Health Counselor8.3%Clinical Social Worker - 7.8%Clinical Social Worker7.8%Student in an Organized Health Care Education/Training Program - 6.2%Student in an Organized Health Care Education/Training Program6.2%Behavior Technician - 4.9%Behavior Technician4.9%Counselor - 4.3%Counselor4.3%Internal Medicine Physician - 3.7%Internal Medicine Physician3.7%Nurse Practitioner - 1.5%Nurse Practitioner1.5%
Largest specialties in Massachusetts (% of in-state providers)

Medicare quality performance, MIPS

Erin Fanikos, NP's 2023 MIPS final score plotted against the Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
97/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) - 97/100 vs national avg 83.1

0%100%National avg83%97%
MIPS final score (Nurse Practitioner) - 97/100 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).

Erin Fanikos, NP appears in the CMS NPPES registry as a Nurse Practitioner provider holding NP credentials at 55 LAKE AVE N, Worcester, MA, 01655, with a listed phone of (508) 856-1975. NPI 1265028187 was issued on 12/15/2020. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Fanikos 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 1,388 prescription claims written by this provider, covering 405 Medicare beneficiaries and totaling roughly $957K in drug spend, split 63% brand-name and 0% 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 97/100 for the 2023 performance year (Quality 78.1), 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

55 LAKE AVE N
Worcester, MA 01655

Provider Details

NPI 1265028187
Specialty Nurse Practitioner
Credentials NP
Gender Female
NPI Issued 12/15/2020

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 Erin Fanikos, NP 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.

Umass Memorial Medical Group Inc
Worcester, MA

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 - 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 Erin Fanikos, NP. To verify Erin Fanikos, NP'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 · Brand-heavy

Erin Fanikos, NP - brand share 63.0%
Nurse Practitioner average

63% brand-name claims vs 0% generic, on 1,388 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.

1,388
Total Claims
$957K
Total Drug Cost
405
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,963
Total Day Supply
54,042
Brand vs Generic
63% brand / 0% generic
Brand Drug Cost
$839K
Antibiotic Claims
70

Patient Demographics

Average Patient Age
68.9 years
Avg HCC Risk Score
1.80
Gender Split
63% female / 37% male
Age Distribution
<65: 97, 65-74: 180, 75-84: 105, 85+: 23

Top Prescribed Drugs (Medicare Part D)

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

What Erin Fanikos, NP 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
Albuterol Sulfate Hfa
Albuterol Sulfate
135
Incruse Ellipta
Umeclidinium Bromide
91
Symbicort
Budesonide/Formoterol Fumarate
91
Ventolin Hfa
Albuterol Sulfate
86
Fluticasone Propionate
79
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
78
Prednisone
70
Ipratropium Bromide
60
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
59
Spiriva Respimat
Tiotropium Bromide
49

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

Nurse Practitioner Overview

How Erin Fanikos, NP 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

Erin Fanikos, NP's 1,388 claims are above the specialty average of 1,084.

Nearby Nurse Practitioner Providers in Massachusetts

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

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

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Massachusetts medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Nurse Practitioner peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Erin Fanikos, NP's specialty?
Erin Fanikos, NP specializes in Nurse Practitioner and practices in Worcester, Massachusetts. Credentials: NP.
How much does Erin Fanikos, NP prescribe under Medicare Part D?
In 2023, Erin Fanikos, NP wrote 1,388 Medicare Part D claims totaling $957K in drug costs for 405 beneficiaries.
What is Erin Fanikos, NP's Medicare quality score?
Erin Fanikos, NP has a CMS MIPS Final Score of 97/100 (Quality: 78.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Erin Fanikos, NP located?
Erin Fanikos, NP is located at 55 LAKE AVE N, Worcester, MA, 01655. Phone: (508) 856-1975.
What is Erin Fanikos, NP's NPI number?
Erin Fanikos, NP's National Provider Identifier (NPI) is 1265028187, issued on 12/15/2020.
Does Erin Fanikos, NP prescribe more brand-name or generic drugs?
Erin Fanikos, NP's prescribing is 63% brand-name and 0% generic drugs by claim count, with $839K in brand drug costs.
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 Erin Fanikos, NP prescribe most often?
Based on 2023 Medicare Part D data, Erin Fanikos, NP's most frequently prescribed drugs include Albuterol Sulfate Hfa, Incruse Ellipta, Symbicort. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Erin Fanikos, NP accept Medicare?
Erin Fanikos, NP appears in CMS Medicare data with 1,388 Part D claims and 405 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Erin Fanikos, NP's credentials?
Erin Fanikos, NP's NPI is 1265028187 with credentials NP. 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

Compiled from official public sources by the PlainDoctor editorial team.