2026 NPPES data Psychiatric/Mental Health Nurse Practitioner NPI 1720064215 PSYD, APN-BC
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GERARD MACHADO, PSYD, APN-BC

Psychiatric/Mental Health Nurse Practitioner in PHILLIPSBURG, 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
886
Medicare Part D claims · 118 beneficiaries · Psychiatric/Mental Health Nurse Practitioner avg: 927
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.6426/100
▲ 13 pts above national avg 83.1 · [object Object]

What the federal data shows

GERARD MACHADO, PSYD, APN-BC reported a CMS MIPS final score of 95.6426/100 — above the 83.1 national average — and filed 886 Medicare Part D claims in 2023.

95.6426/100
MIPS score · +13 vs avg
886
Part D claims, 2023
92%
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.

GERARD MACHADO, PSYD, APN-BC's MIPS score vs every scored U.S. clinician

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

96 Top 21% higher than 79% 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. 90–100: 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

What does the federal data show about GERARD MACHADO, PSYD, APN-BC?

High performer (top quartile)

NPI registry status

Active

Issued 12/16/2005

NPI 1720064215

Primary specialty

Psychiatric/Mental Health Nurse Practitioner

Mid-sized

39,953 US NPIs in this specialty

Medicare Part D claims

886 4% vs specialty avg

2023 prescription claims

Specialty avg: 927

MIPS final score

95.6426/100 12.542600000000007% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New Jersey

How Psychiatric/Mental Health Nurse Practitioner compares to other specialties among New Jersey providers

New Jersey providers

Psychiatric/Mental Health Nurse Practitioner share within New Jersey

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

Medicare quality performance — MIPS

GERARD MACHADO, PSYD, APN-BC's 2023 MIPS final score plotted against the Psychiatric/Mental Health Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
95.6426/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Psychiatric/Mental Health Nurse Practitioner) — 95.6426/100 vs national avg 83.1

0%100%National avg83%95.6%
MIPS final score (Psychiatric/Mental Health Nurse Practitioner) — 95.6426/100 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).

GERARD MACHADO, PSYD, APN-BC appears in the CMS NPPES registry as a Psychiatric/Mental Health Nurse Practitioner provider holding PSYD, APN-BC credentials at 305 ROSEBERRY ST, PHILLIPSBURG, NJ, 08865, with a listed phone of (908) 454-7244. NPI 1720064215 was issued on 12/16/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MACHADO 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 886 prescription claims written by this provider, covering 118 Medicare beneficiaries and totaling roughly $105K in drug spend, split 8% brand-name and 92% 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 95.6426/100 for the 2023 performance year (Quality 80.5735), compared with the national average of 83.1.

Psychiatric/Mental Health Nurse Practitioner is a mid-sized specialty nationwide, with 39,953 enrolled providers across 54 states and an average of 927 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

305 ROSEBERRY ST
PHILLIPSBURG, NJ 08865

Provider Details

NPI 1720064215
Specialty Psychiatric/Mental Health Nurse Practitioner
Credentials PSYD, APN-BC
Gender Male
NPI Issued 12/16/2005

CMS Quality Score (MIPS)

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

95.6426
Final Score
Avg: 83.1
80.5735
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Brand vs generic prescribing mix · Generic-heavy

GERARD MACHADO, PSYD, APN-BC — brand share 8.0%
Specialty average (est.)

8% brand-name claims vs 92% generic, on 886 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.

886
Total Claims
$105K
Total Drug Cost
118
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,260
Total Day Supply
37,685
Brand vs Generic
8% brand / 92% generic
Brand Drug Cost
$80K
Generic Drug Cost
$25K

Patient Demographics

Average Patient Age
66.9 years
Avg HCC Risk Score
1.39
Gender Split
62% female / 38% male
Age Distribution
<65: 35, 65-74: 54, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What GERARD MACHADO, PSYD, APN-BC 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
Escitalopram Oxalate
95
Alprazolam
77
Trazodone Hcl
76
Duloxetine Hcl
38
Lorazepam
35
Quetiapine Fumarate
35
Desvenlafaxine Succinate Er
Desvenlafaxine Succinate
33
Sertraline Hcl
33
Risperidone
30
Lamotrigine
28

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

Psychiatric/Mental Health Nurse Practitioner Overview

How GERARD MACHADO, PSYD, APN-BC fits within the Psychiatric/Mental Health Nurse Practitioner landscape nationally.

39,953
Psychiatric/Mental Health Nurse Practitioner Providers in US
54
States with Psychiatric/Mental Health Nurse Practitioner
927
Avg Claims per Provider

GERARD MACHADO, PSYD, APN-BC's 886 claims are below the specialty average of 927.

Nearby Psychiatric/Mental Health 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 MACHADO.

Compare Psychiatric/Mental Health Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is GERARD MACHADO, PSYD, APN-BC's specialty?
GERARD MACHADO, PSYD, APN-BC specializes in Psychiatric/Mental Health Nurse Practitioner and practices in PHILLIPSBURG, New Jersey. Credentials: PSYD, APN-BC.
How much does GERARD MACHADO, PSYD, APN-BC prescribe under Medicare Part D?
In 2023, GERARD MACHADO, PSYD, APN-BC wrote 886 Medicare Part D claims totaling $105K in drug costs for 118 beneficiaries.
What is GERARD MACHADO, PSYD, APN-BC's Medicare quality score?
GERARD MACHADO, PSYD, APN-BC has a CMS MIPS Final Score of 95.6426/100 (Quality: 80.5735). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is GERARD MACHADO, PSYD, APN-BC located?
GERARD MACHADO, PSYD, APN-BC is located at 305 ROSEBERRY ST, PHILLIPSBURG, NJ, 08865. Phone: (908) 454-7244.
What is GERARD MACHADO, PSYD, APN-BC's NPI number?
GERARD MACHADO, PSYD, APN-BC's National Provider Identifier (NPI) is 1720064215, issued on 12/16/2005.
Does GERARD MACHADO, PSYD, APN-BC prescribe more brand-name or generic drugs?
GERARD MACHADO, PSYD, APN-BC's prescribing is 8% brand-name and 92% generic drugs by claim count, with $80K in brand drug costs.
How many Psychiatric/Mental Health Nurse Practitioner providers are there in the US?
There are 39,953 Psychiatric/Mental Health Nurse Practitioner providers across 54 states in the US. The average Psychiatric/Mental Health Nurse Practitioner provider writes 927 Medicare Part D claims per year.
What drugs does GERARD MACHADO, PSYD, APN-BC prescribe most often?
Based on 2023 Medicare Part D data, GERARD MACHADO, PSYD, APN-BC's most frequently prescribed drugs include Escitalopram Oxalate, Alprazolam, Trazodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GERARD MACHADO, PSYD, APN-BC accept Medicare?
GERARD MACHADO, PSYD, APN-BC appears in CMS Medicare data with 886 Part D claims and 118 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GERARD MACHADO, PSYD, APN-BC's credentials?
GERARD MACHADO, PSYD, APN-BC's NPI is 1720064215 with credentials PSYD, APN-BC. 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