2026 NPPES data Critical Care Medicine Nurse Practitioner NPI 1093094161 NP
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GRACE LE, NP

Critical Care Medicine Nurse Practitioner in SAN JOSE, California. 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
709
Medicare Part D claims · 194 beneficiaries · Critical Care Medicine Nurse Practitioner avg: 426
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
80.5834/100
▼ 3 pts below national avg 83.1 · [object Object]

What the federal data shows

GRACE LE, NP reported a CMS MIPS final score of 80.5834/100 — below the 83.1 national average — and filed 709 Medicare Part D claims in 2023.

80.5834/100
MIPS score · -3 vs avg
709
Part D claims, 2023
83%
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.

GRACE LE, NP's MIPS score vs every scored U.S. clinician

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

81 33rd percentile higher than 33% 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%). This entry sits in this band. 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 GRACE LE, NP?

Near national average

NPI registry status

Active

Issued 08/08/2011

NPI 1093094161

Primary specialty

Critical Care Medicine Nurse Practitioner

Niche

1,410 US NPIs in this specialty

Medicare Part D claims

709 66% vs specialty avg

2023 prescription claims

Specialty avg: 426

MIPS final score

80.5834/100 2.516599999999997% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Critical Care Medicine Nurse Practitioner compares to other specialties among California providers

California providers

Critical Care Medicine Nurse Practitioner share within California

1. Critical Care Medicine Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Critical Care Medicine Nurse Practitioner share within California

Medicare quality performance — MIPS

GRACE LE, NP's 2023 MIPS final score plotted against the Critical Care Medicine Nurse Practitioner national average

Near national average
MIPS Final Score
80.5834/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Critical Care Medicine Nurse Practitioner) — 80.5834/100 vs national avg 83.1

0%100%National avg83%80.6%
MIPS final score (Critical Care Medicine Nurse Practitioner) — 80.5834/100 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).

GRACE LE, NP appears in the CMS NPPES registry as a Critical Care Medicine Nurse Practitioner provider holding NP credentials at 751 S BASCOM AVE, SAN JOSE, CA, 95128, with a listed phone of (408) 885-5000. NPI 1093094161 was issued on 08/08/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LE 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 709 prescription claims written by this provider, covering 194 Medicare beneficiaries and totaling roughly $121K in drug spend, split 17% brand-name and 83% 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 80.5834/100 for the 2023 performance year (Quality 67.4314, Cost 46.5098), compared with the national average of 83.1.

Critical Care Medicine Nurse Practitioner is a narrow specialty nationwide, with 1,410 enrolled providers across 50 states and an average of 426 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

751 S BASCOM AVE
SAN JOSE, CA 95128

Provider Details

NPI 1093094161
Specialty Critical Care Medicine Nurse Practitioner
Credentials NP
Gender Female
NPI Issued 08/08/2011

CMS Quality Score (MIPS)

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

80.5834
Final Score
Avg: 83.1
67.4314
Quality
46.5098
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where GRACE LE, 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.

COUNTY OF SANTA CLARA
SAN JOSE, CA

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 — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to GRACE LE, NP. To verify GRACE LE, NP's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

GRACE LE, NP — brand share 17.0%
Specialty average (est.)

17% brand-name claims vs 83% generic, on 709 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.

709
Total Claims
$121K
Total Drug Cost
194
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,725
Total Day Supply
51,344
Brand vs Generic
17% brand / 83% generic
Brand Drug Cost
$108K
Generic Drug Cost
$13K

Patient Demographics

Average Patient Age
73.8 years
Avg HCC Risk Score
1.77
Gender Split
55% female / 45% male
Age Distribution
<65: 17, 65-74: 89, 75-84: 62, 85+: 26

Top Prescribed Drugs (Medicare Part D)

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

What GRACE LE, 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
Metoprolol Succinate
98
Furosemide
74
Eliquis
Apixaban
64
Carvedilol
62
Isosorbide Mononitrate Er
Isosorbide Mononitrate
53
Metoprolol Tartrate
47
Amlodipine Besylate
37
Atorvastatin Calcium
32
Nitroglycerin
26
Ranolazine Er
Ranolazine
24

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

Critical Care Medicine Nurse Practitioner Overview

How GRACE LE, NP fits within the Critical Care Medicine Nurse Practitioner landscape nationally.

1,410
Critical Care Medicine Nurse Practitioner Providers in US
50
States with Critical Care Medicine Nurse Practitioner
426
Avg Claims per Provider

GRACE LE, NP's 709 claims are above the specialty average of 426.

Nearby Critical Care Medicine Nurse Practitioner Providers in California

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

Compare Critical Care Medicine Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is GRACE LE, NP's specialty?
GRACE LE, NP specializes in Critical Care Medicine Nurse Practitioner and practices in SAN JOSE, California. Credentials: NP.
How much does GRACE LE, NP prescribe under Medicare Part D?
In 2023, GRACE LE, NP wrote 709 Medicare Part D claims totaling $121K in drug costs for 194 beneficiaries.
What is GRACE LE, NP's Medicare quality score?
GRACE LE, NP has a CMS MIPS Final Score of 80.5834/100 (Quality: 67.4314, Cost: 46.5098). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is GRACE LE, NP located?
GRACE LE, NP is located at 751 S BASCOM AVE, SAN JOSE, CA, 95128. Phone: (408) 885-5000.
What is GRACE LE, NP's NPI number?
GRACE LE, NP's National Provider Identifier (NPI) is 1093094161, issued on 08/08/2011.
Does GRACE LE, NP prescribe more brand-name or generic drugs?
GRACE LE, NP's prescribing is 17% brand-name and 83% generic drugs by claim count, with $108K in brand drug costs.
How many Critical Care Medicine Nurse Practitioner providers are there in the US?
There are 1,410 Critical Care Medicine Nurse Practitioner providers across 50 states in the US. The average Critical Care Medicine Nurse Practitioner provider writes 426 Medicare Part D claims per year.
What drugs does GRACE LE, NP prescribe most often?
Based on 2023 Medicare Part D data, GRACE LE, NP's most frequently prescribed drugs include Metoprolol Succinate, Furosemide, Eliquis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GRACE LE, NP accept Medicare?
GRACE LE, NP appears in CMS Medicare data with 709 Part D claims and 194 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GRACE LE, NP's credentials?
GRACE LE, NP's NPI is 1093094161 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