NPI registry status
Active
2026 NPPES data Advanced Practice Midwife NPI 1265506000 CNM
Verify on CMS → Helene Reusser, CNM
Advanced Practice Midwife in Meridian, Idaho.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 10,937 in Advanced Practice Midwife, 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
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
83.3/100
▲ 0 pts above national avg 83.1 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Helene Reusser, CNM reported a CMS MIPS final score of 83.3/100 - above the 83.1 national average - and filed 39 Medicare Part D claims in 2023.
- 83.3/100
- MIPS score · +0 vs avg
- 39
- Part D claims, 2023
- 54%
- 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.
Helene Reusser, CNM's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
83 42nd percentile higher than 42% 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
Where Helene Reusser, CNM sits
This provider among advanced practice midwife peers
Across the 572 advanced practice midwife providers who report both Medicare Part D prescribing and a MIPS quality score, Helene Reusser, CNM writes more Part D claims than 58% of them and scores higher on MIPS quality than 38% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one advanced practice midwife peer from a representative sample of 60; the gold marker is Helene Reusser, CNM. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Helene Reusser, CNM?
Near national averagePrimary specialty
Advanced Practice Midwife
Medicare Part D claims
39 61% vs specialty avg
MIPS final score
83.3/100 0.2 pts vs avg
Specialty distribution in Idaho
How Advanced Practice Midwife compares to other specialties among Idaho providers
Medicare quality performance, MIPS
Helene Reusser, CNM's 2023 MIPS final score plotted against the Advanced Practice Midwife national average
- MIPS Final Score
- 83.3/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Advanced Practice Midwife) - 83.3/100 vs national avg 83.1
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).
Helene Reusser, CNM appears in the CMS NPPES registry as an 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.
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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 83.3/100 for the 2023 performance year (Quality 79.5, Cost 64.9), compared with the national average of 83.1.
Advanced Practice Midwife is a mid-sized specialty nationwide, with 10,937 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
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%
Advanced Practice Midwife average
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.
10,937
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.
Dr. Georgianna Ainslie
CNM
Boise, ID
Dr. Shandra Averett
FNP-C
Blackfoot, ID
Dr. Joan Ball
RN, CNM
Boise, ID
Dr. Jessica Bennett
CNM
Boise, ID
Dr. Danielle Clarkson
CNM
Coeur D Alene, ID
Compare Advanced Practice Midwife nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Idaho medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Advanced Practice Midwife peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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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 83.3/100 (Quality: 79.5, Cost: 64.9). 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 10,937 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
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 (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
Compiled from official public sources by the PlainDoctor editorial team.
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 May 2026.