2026 NPPES data Nurse Practitioner NPI 1275012858 APN
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ESTHER WALLACE, APN

Nurse Practitioner in LIVINGSTON, New Jersey. 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
32
Medicare Part D claims · 12 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
59%
generic claims · 41% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75.8046/100
▼ 7 pts below national avg 83.1 · [object Object]
Industry payments
$180.26
11 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ESTHER WALLACE, APN reported a CMS MIPS final score of 75.8046/100 — below the 83.1 national average — and filed 32 Medicare Part D claims in 2023.

75.8046/100
MIPS score · -7 vs avg
32
Part D claims, 2023
59%
generic prescribing
$180.26
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.

ESTHER WALLACE, APN's MIPS score vs every scored U.S. clinician

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

76 15th percentile higher than 15% 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

What does the federal data show about ESTHER WALLACE, APN?

Below national average

NPI registry status

Active

Issued 08/14/2018

NPI 1275012858

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

32 97% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

75.8046/100 7.295400000000001% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New Jersey

How Nurse Practitioner compares to other specialties among New Jersey providers

New Jersey providers

Nurse Practitioner share within New Jersey

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

Medicare quality performance — MIPS

ESTHER WALLACE, APN's 2023 MIPS final score plotted against the Nurse Practitioner national average

Below national average
MIPS Final Score
75.8046/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) — 75.8046/100 vs national avg 83.1

0%100%National avg83%75.8%
MIPS final score (Nurse Practitioner) — 75.8046/100 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).

ESTHER WALLACE, APN appears in the CMS NPPES registry as a Nurse Practitioner provider holding APN credentials at 94 OLD SHORT HILLS RD STE 144, LIVINGSTON, NJ, 07039, with a listed phone of (973) 322-2200. NPI 1275012858 was issued on 08/14/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WALLACE 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 32 prescription claims written by this provider, covering 12 Medicare beneficiaries and totaling roughly $13K in drug spend, split 41% brand-name and 59% 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 75.8046/100 for the 2023 performance year (Quality 68.6551, Cost 50.6935), 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

94 OLD SHORT HILLS RD STE 144
LIVINGSTON, NJ 07039

Provider Details

NPI 1275012858
Specialty Nurse Practitioner
Credentials APN
Gender Female
NPI Issued 08/14/2018

CMS Quality Score (MIPS)

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

75.8046
Final Score
Avg: 83.1
68.6551
Quality
50.6935
Cost
100
Promoting Interoperability

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 ESTHER WALLACE, APN. Source: openpaymentsdata.cms.gov.

Total received

$180

Largest payer

Boston Scientific Corporation

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 · Above average

ESTHER WALLACE, APN — brand share 41.0%
Specialty average (est.)

41% brand-name claims vs 59% generic, on 32 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.

32
Total Claims
$13K
Total Drug Cost
12
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
69
Total Day Supply
2,072
Brand vs Generic
41% brand / 59% generic
Brand Drug Cost
$13K
Generic Drug Cost
$300

Patient Demographics

Average Patient Age
81.6 years
Avg HCC Risk Score
1.85
Age Distribution
<65: 0, 65-74: N/A, 75-84: N/A, 85+: N/A

Nurse Practitioner Overview

How ESTHER WALLACE, APN 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

ESTHER WALLACE, APN's 32 claims are below the specialty average of 1,084.

Nearby Nurse Practitioner Providers in New Jersey

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

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

Frequently Asked Questions

What is ESTHER WALLACE, APN's specialty?
ESTHER WALLACE, APN specializes in Nurse Practitioner and practices in LIVINGSTON, New Jersey. Credentials: APN.
How much does ESTHER WALLACE, APN prescribe under Medicare Part D?
In 2023, ESTHER WALLACE, APN wrote 32 Medicare Part D claims totaling $13K in drug costs for 12 beneficiaries.
What is ESTHER WALLACE, APN's Medicare quality score?
ESTHER WALLACE, APN has a CMS MIPS Final Score of 75.8046/100 (Quality: 68.6551, Cost: 50.6935). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ESTHER WALLACE, APN located?
ESTHER WALLACE, APN is located at 94 OLD SHORT HILLS RD STE 144, LIVINGSTON, NJ, 07039. Phone: (973) 322-2200.
What is ESTHER WALLACE, APN's NPI number?
ESTHER WALLACE, APN's National Provider Identifier (NPI) is 1275012858, issued on 08/14/2018.
Does ESTHER WALLACE, APN prescribe more brand-name or generic drugs?
ESTHER WALLACE, APN's prescribing is 41% brand-name and 59% generic drugs by claim count, with $13K 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.
Does ESTHER WALLACE, APN accept Medicare?
ESTHER WALLACE, APN appears in CMS Medicare data with 32 Part D claims and 12 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ESTHER WALLACE, APN's credentials?
ESTHER WALLACE, APN's NPI is 1275012858 with credentials APN. 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