HEATHER MARTINEZ, NP
Adult Health Nurse Practitioner in LOVELAND, Colorado. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
HEATHER MARTINEZ, NP reported a CMS MIPS final score of 89.3322/100 — above the 83.1 national average — and filed 479 Medicare Part D claims in 2023.
- 89.3322/100
- MIPS score · +6 vs avg
- 479
- Part D claims, 2023
- 87%
- generic prescribing
- $288.95
- 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.
HEATHER MARTINEZ, NP's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure
89 Top 42% higher than 58% of 477,587 scored providers
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 HEATHER MARTINEZ, NP?
High performer (top quartile)Primary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Colorado
How Adult Health Nurse Practitioner compares to other specialties among Colorado providers
Adult Health Nurse Practitioner share within Colorado
Adult Health Nurse Practitioner is one of the more visible NUCC categories in Colorado
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
HEATHER MARTINEZ, NP's 2023 MIPS final score plotted against the Adult Health Nurse Practitioner national average
- MIPS Final Score
- 89.3322/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Adult Health Nurse Practitioner) — 89.3322/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Cost dim CMS Cost category
- Specialty volume Adult Health Nurse Practitioner US NPIs
89.3322/100 MIPS final score — 6.2 pts above the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Adult Health Nurse Practitioner. Cost dim: 61.8954.
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).
HEATHER MARTINEZ, NP appears in the CMS NPPES registry as a Adult Health Nurse Practitioner provider holding NP credentials at 2000 N BOISE AVE, LOVELAND, CO, 80538, with a listed phone of (970) 810-3894. NPI 1770819922 was issued on 10/22/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MARTINEZ 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 479 prescription claims written by this provider, covering 152 Medicare beneficiaries and totaling roughly $445K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 3.8%. 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 89.3322/100 for the 2023 performance year, compared with the national average of 83.1.
Adult Health Nurse Practitioner is a mid-sized specialty nationwide, with 29,492 enrolled providers across 55 states and an average of 1,201 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
Provider Details
| NPI | 1770819922 |
|---|---|
| Specialty | Adult Health Nurse Practitioner |
| Credentials | NP |
| Gender | Female |
| NPI Issued | 10/22/2009 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm HEATHER MARTINEZ, NP's current license status, disciplinary history, and board certifications with the Colorado Medical Board in Colorado before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
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 HEATHER MARTINEZ, NP. Source: openpaymentsdata.cms.gov.
Total received
$289
Largest payer
Janssen Pharmaceuticals, 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.
Brand vs generic prescribing mix · Typical
13% brand-name claims vs 87% generic, on 479 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.
Prescribing Breakdown
- 30-Day Fills
- 787
- Total Day Supply
- 21,170
- Brand vs Generic
- 13% brand / 87% generic
- Brand Drug Cost
- $431K
- Generic Drug Cost
- $14K
- Opioid Claims
- 18 (3.8% rate)
- Antibiotic Claims
- 40
Patient Demographics
- Average Patient Age
- 73.2 years
- Avg HCC Risk Score
- 2.09
- Gender Split
- 70% female / 30% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What HEATHER MARTINEZ, NP prescribes most
Top Medicare Part D drugs by claim count, 2023
- Letrozole
Letrozole
65 claims
- Anastrozole
Anastrozole
28 claims
- Gabapentin 25
Gabapentin
25 claims
- Ondansetron Hcl 19
Ondansetron Hcl
19 claims
- Tamoxifen Citrate 19
Tamoxifen Citrate
19 claims
- Hydroxyurea 18
Hydroxyurea
18 claims
- Potassium Chloride 14
Potassium Chloride
14 claims
- Prochlorperazine M… 14
Prochlorperazine Maleate
14 claims
| Drug | Claims |
|---|---|
| Letrozole | 65 |
| Anastrozole | 28 |
| Gabapentin | 25 |
| Ondansetron Hcl | 19 |
| Tamoxifen Citrate | 19 |
| Hydroxyurea | 18 |
| Potassium Chloride | 14 |
| Prochlorperazine Maleate | 14 |
| Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim | 14 |
| Ciprofloxacin Hcl | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Adult Health Nurse Practitioner Overview
How HEATHER MARTINEZ, NP fits within the Adult Health Nurse Practitioner landscape nationally.
HEATHER MARTINEZ, NP's 479 claims are below the specialty average of 1,201.
Nearby Adult Health Nurse Practitioner Providers in Colorado
Other clinicians with the same primary specialty enrolled in Colorado, drawn from the same CMS NPPES roster as MARTINEZ.
Compare Adult Health Nurse Practitioner nationally: see state-by-state distribution →
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Frequently Asked Questions
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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