2026 NPPES data Advanced Practice Midwife NPI 1265506000 CNM
Verify on CMS →

HELENE REUSSER, CNM

Advanced Practice Midwife in MERIDIAN, Idaho. 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
39
Medicare Part D claims · Advanced Practice Midwife avg: 99
Generic prescribing
54%
generic claims · 46% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
83.3209/100
▲ 0 pts above national avg 83.1 · [object Object]
What the federal data reveals: HELENE REUSSER, CNM is a Advanced Practice Midwife ([object Object]) practicing in MERIDIAN, Idaho with a Medicare Part D prescribing footprint of 39 claims — 46% brand-name prescribing . Their CMS MIPS Final Score of 83.3209/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: HELENE REUSSER, CNM reported a CMS MIPS final score of 83.3209 out of 100, above the 83.1 national average, and filed 39 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

HELENE REUSSER, CNM at a glance

Near national average

NPI registry status

Active

Issued 11/20/2006

NPI 1265506000

Primary specialty

Advanced Practice Midwife

Mid-sized

10,893 US NPIs in this specialty

Medicare Part D claims

39 61% vs specialty avg

2023 prescription claims

Specialty avg: 99

MIPS final score

83.3209/100 0.22090000000000032% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Idaho

How Advanced Practice Midwife compares to other specialties among Idaho providers

Idaho providers

Advanced Practice Midwife share within Idaho

1. Advanced Practice Midwife42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Advanced Practice Midwife share within Idaho

Medicare quality performance — MIPS

HELENE REUSSER, CNM's 2023 MIPS final score plotted against the Advanced Practice Midwife national average

Near national average
MIPS Final Score
83.3209/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Advanced Practice Midwife) — 83.3209/100 vs national avg 83.1

0%100%National avg83%83.3%
MIPS final score (Advanced Practice Midwife) — 83.3209/100 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).

HELENE REUSSER, CNM is a Advanced Practice Midwife provider practicing in MERIDIAN, Idaho, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: CNM. NPI: 1265506000. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

HELENE REUSSER, CNM appears in the CMS NPPES registry as a Advanced Practice Midwife provider holding CNM credentials at 520 S EAGLE RD, MERIDIAN, ID, 83642, with a listed phone of (208) 706-3220. NPI 1265506000 was issued on 11/20/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what REUSSER 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 39 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $3K in drug spend, split 46% brand-name and 54% 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 83.3209/100 for the 2023 performance year (Quality 79.5148, Cost 64.8883), compared with the national average of 83.1.

Advanced Practice Midwife is a mid-sized specialty nationwide, with 10,893 enrolled providers across 55 states and an average of 99 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

520 S EAGLE RD
MERIDIAN, ID 83642

Provider Details

NPI 1265506000
Specialty Advanced Practice Midwife
Credentials CNM
Gender Female
NPI Issued 11/20/2006

CMS Quality Score (MIPS)

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

83.3209
Final Score
Avg: 83.1
79.5148
Quality
64.8883
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where HELENE REUSSER, CNM 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.

ST LUKES CLINIC-TREASURE VALLEY LLC
MERIDIAN, ID

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Above average

HELENE REUSSER, CNM — brand share 46.0%
Specialty average (est.)

46% brand-name claims vs 54% generic, on 39 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.

39
Total Claims
$3K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
65
Total Day Supply
1,932
Brand vs Generic
46% brand / 54% generic
Brand Drug Cost
$626
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
59.7 years
Avg HCC Risk Score
1.19

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Estradiol (Once Weekly)
Estradiol
12

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

Advanced Practice Midwife Overview

How HELENE REUSSER, CNM fits within the Advanced Practice Midwife landscape nationally.

10,893
Advanced Practice Midwife Providers in US
55
States with Advanced Practice Midwife
99
Avg Claims per Provider

HELENE REUSSER, CNM's 39 claims are below the specialty average of 99.

Nearby Advanced Practice Midwife Providers in Idaho

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

Compare Advanced Practice Midwife nationally: see state-by-state distribution →

Frequently Asked Questions

What is HELENE REUSSER, CNM's specialty?
HELENE REUSSER, CNM specializes in Advanced Practice Midwife and practices in MERIDIAN, Idaho. Credentials: CNM.
How much does HELENE REUSSER, CNM prescribe under Medicare Part D?
In 2023, HELENE REUSSER, CNM wrote 39 Medicare Part D claims totaling $3K in drug costs for N/A beneficiaries.
What is HELENE REUSSER, CNM's Medicare quality score?
HELENE REUSSER, CNM has a CMS MIPS Final Score of 83.3209/100 (Quality: 79.5148, Cost: 64.8883). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is HELENE REUSSER, CNM located?
HELENE REUSSER, CNM is located at 520 S EAGLE RD, MERIDIAN, ID, 83642. Phone: (208) 706-3220.
What is HELENE REUSSER, CNM's NPI number?
HELENE REUSSER, CNM's National Provider Identifier (NPI) is 1265506000, issued on 11/20/2006.
Does HELENE REUSSER, CNM prescribe more brand-name or generic drugs?
HELENE REUSSER, CNM's prescribing is 46% brand-name and 54% generic drugs by claim count, with $626 in brand drug costs.
How many Advanced Practice Midwife providers are there in the US?
There are 10,893 Advanced Practice Midwife providers across 55 states in the US. The average Advanced Practice Midwife provider writes 99 Medicare Part D claims per year.
What drugs does HELENE REUSSER, CNM prescribe most often?
Based on 2023 Medicare Part D data, HELENE REUSSER, CNM's most frequently prescribed drugs include Estradiol (Once Weekly). This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HELENE REUSSER, CNM accept Medicare?
HELENE REUSSER, CNM appears in CMS Medicare data with 39 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HELENE REUSSER, CNM's credentials?
HELENE REUSSER, CNM's NPI is 1265506000 with credentials CNM. 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