2026 NPPES data Gerontology Nurse Practitioner NPI 1871143578 ARNP
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Garry Desulme, ARNP

Gerontology Nurse Practitioner in Fort Pierce, Florida.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 10,056 in Gerontology 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
84
Medicare Part D claims · 21 beneficiaries · Gerontology Nurse Practitioner avg: 1K
Generic prescribing
74%
generic claims · 26% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$37.48
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Garry Desulme, ARNP filed 84 Medicare Part D claims in 2024 as a Gerontology Nurse Practitioner in Fort Pierce, Florida, prescribing 74% generic.

84
Part D claims, 2024
74%
generic prescribing
$37.48
industry payments (Sunshine Act)
≥0th
pct by Part D claim volume (lower-bound band)

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.

Federal trust snapshot

What official records show about Garry Desulme, ARNP

Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1871143578), first enumerated 09/14/2019.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 84 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    Hospital affiliations

    2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $37.48 in reported industry payments (2 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    Florida statewide board action statistics are published annually — these figures describe aggregate state activity, not Garry Desulme, ARNP's individual license status. Verify directly with the state medical board.

    Source: FLDOH annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1871143578 · Gerontology Nurse Practitioner

NPI-10 · ENUM-RECENT · TAX-MID · RX-TRACE · BOOK-LIGHT · PHOTO-ENUM

  • NPI-10 1871143578
  • ENUM-RECENT 2019
  • TAX-MID 10K Gerontology Nurse
  • RX-TRACE 84
  • BOOK-LIGHT 1,008 in Florida
  • PHOTO-ENUM Jancy Manoj · 2019

Garry Desulme, ARNP's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2024, across all CMS prescribers nationally

84 ≥ 0th percentile 0% of 1,416,883 prescribers are in lower value bands

0–200: 679,947 prescribers (48%). This entry sits in this band. 200–400: 188,835 prescribers (13%). Above this entry. 400–600: 95,866 prescribers (7%). Above this entry. 600–800: 60,107 prescribers (4%). Above this entry. 800–1,000: 43,043 prescribers (3%). Above this entry. 1,000–1,200: 33,612 prescribers (2%). Above this entry. 1,200–1,400: 27,889 prescribers (2%). Above this entry. 1,400–1,600: 23,183 prescribers (2%). Above this entry. 1,600–1,800: 19,917 prescribers (1%). Above this entry. 1,800–2,000: 17,585 prescribers (1%). Above this entry. 2K+: 226,899 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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.

The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.

Source CMS Medicare Part D Prescriber Public Use File · 2024

What does the federal data show about Garry Desulme, ARNP?

Quality data not reported

NPI registry status

Active

Issued 09/14/2019

NPI 1871143578

Primary specialty

Gerontology Nurse Practitioner

Mid-sized

10,056 US NPIs in this specialty

Medicare Part D claims

84 94% vs specialty avg

2024 prescription claims

Specialty avg: 1,350

Specialty distribution in Florida

How Gerontology Nurse Practitioner compares to other specialties among Florida providers

Florida providers
Behavior Technician16.3%Mental Health Counselor4.8%Family Nurse Practitioner4.5%Pharmacist4.1%Student in an Organized Heal…4.1%Physical Therapist3%Gerontology Nurse Practition…0.2%
Largest specialties in Florida (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Gerontology Nurse Practitioner. Verify directly:

How MIPS and board certification work

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).

Practice Address

1700 S 23RD ST
Fort Pierce, FL 34950

Provider Details

NPI 1871143578
Specialty Gerontology Nurse Practitioner
Credentials ARNP
Gender Male
NPI Issued 09/14/2019

Hospital and facility affiliations

Facilities where Garry Desulme, ARNP 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.

Hospital Medicine Services OF FL, LLC
Fort Pierce, FL
Optimus Care Physician Services PLLC
Port St Lucie, 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 Garry Desulme, ARNP. Source: openpaymentsdata.cms.gov.

Total received

$37

Largest payer

Teva Pharmaceuticals USA, 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 - Florida FLDOH 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 ~75K Florida medical licensees in 2023 - they are NOT specific to Garry Desulme, ARNP. To verify Garry Desulme, ARNP's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

Garry Desulme, ARNP - brand share 26.0%
Gerontology Nurse Practitioner average

26% brand-name claims vs 74% generic, on 84 2024 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 2024.

84
Total Claims
$8K
Total Drug Cost
21
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
103.8
Total Day Supply
2,556
Brand vs Generic
26% brand / 74% generic
Brand Drug Cost
$7K
Generic Drug Cost
$775
Antibiotic Claims
14

Patient Demographics

Average Patient Age
72.1 years
Avg HCC Risk Score
2.34

Gerontology Nurse Practitioner Overview

How Garry Desulme, ARNP fits within the Gerontology Nurse Practitioner landscape nationally.

10,056
Gerontology Nurse Practitioner Providers in US
54
States with Gerontology Nurse Practitioner
1,350
Avg Claims per Provider

Garry Desulme, ARNP's 84 claims are below the specialty average of 1,350.

Nationwide Gerontology Nurse Practitioner peers with similar MIPS or enrollment year

Two federal-record peer sets for Desulme, both outside Florida so the neighborhoods are not geographic containment.

Same NPPES enumeration year (2019)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Gerontology Nurse Practitioner Providers in Florida

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

One of 1,008 Gerontology Nurse Practitioner providers enrolled in Florida, 5 are shown here.

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

Frequently Asked Questions

What is Garry Desulme, ARNP's specialty?
Garry Desulme, ARNP specializes in Gerontology Nurse Practitioner and practices in Fort Pierce, Florida. Credentials: ARNP.
How much does Garry Desulme, ARNP prescribe under Medicare Part D?
In 2024, Garry Desulme, ARNP wrote 84 Medicare Part D claims totaling $8K in drug costs for 21 beneficiaries.
Where is Garry Desulme, ARNP located?
Garry Desulme, ARNP is located at 1700 S 23RD ST, Fort Pierce, FL, 34950. Phone: (772) 203-2661.
What is Garry Desulme, ARNP's NPI number?
Garry Desulme, ARNP's National Provider Identifier (NPI) is 1871143578, issued on 09/14/2019.
Does Garry Desulme, ARNP prescribe more brand-name or generic drugs?
Garry Desulme, ARNP's prescribing is 26% brand-name and 74% generic drugs by claim count, with $7K in brand drug costs.
How many Gerontology Nurse Practitioner providers are there in the US?
There are 10,056 Gerontology Nurse Practitioner providers across 54 states in the US. The average Gerontology Nurse Practitioner provider writes 1,350 Medicare Part D claims per year.
Does Garry Desulme, ARNP accept Medicare?
Garry Desulme, ARNP appears in CMS Medicare data with 84 Part D claims and 21 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Garry Desulme, ARNP's credentials?
Garry Desulme, ARNP's NPI is 1871143578 with credentials ARNP. 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

View source datasets and methodology notes
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 (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
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 August 2026 (NPPES) / 2024 (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

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.