NPI registry status
Active
2026 NPPES data Family Nurse Practitioner NPI 1053085746 FNP-BC
Verify on CMS → Hilary Buotte, FNP-BC
Family Nurse Practitioner in Exeter, New Hampshire.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 209,817 in Family Nurse Practitioner, 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
253
Medicare Part D claims · 98 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
75%
generic claims · 25% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
79.4/100
▼ 4 pts below national avg 83.1 · Above neutral
Industry payments
$134.87
3 payments · CMS Open Payments (Sunshine Act)
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
Hilary Buotte, FNP-BC reported a CMS MIPS final score of 79.4/100 - below the 83.1 national average - and filed 253 Medicare Part D claims in 2023.
- 79.4/100
- MIPS score · -4 vs avg
- 253
- Part D claims, 2023
- 75%
- generic prescribing
- $134.87
- 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.
Hilary Buotte, FNP-BC's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
79 30th percentile higher than 30% 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 Hilary Buotte, FNP-BC sits
This provider among family nurse practitioner peers
Across the 27,154 family nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Hilary Buotte, FNP-BC writes more Part D claims than 39% of them and scores higher on MIPS quality than 28% - placing this provider in the lower-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 family nurse practitioner peer from a representative sample of 60; the gold marker is Hilary Buotte, FNP-BC. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Hilary Buotte, FNP-BC?
Near national averagePrimary specialty
Family Nurse Practitioner
Medicare Part D claims
253 79% vs specialty avg
MIPS final score
79.4/100 3.7 pts vs avg
Specialty distribution in New Hampshire
How Family Nurse Practitioner compares to other specialties among New Hampshire providers
Medicare quality performance, MIPS
Hilary Buotte, FNP-BC's 2023 MIPS final score plotted against the Family Nurse Practitioner national average
- MIPS Final Score
- 79.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Family Nurse Practitioner) - 79.4/100 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).
Hilary Buotte, FNP-BC appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding FNP-BC credentials at 3 ALUMNI DR STE 201, Exeter, NH, 03833, with a listed phone of (603) 772-5528. NPI 1053085746 was issued on 08/05/2021.
Medicare Part D records for calendar year 2023 show 253 prescription claims written by this provider, covering 98 Medicare beneficiaries and totaling roughly $168K in drug spend, split 25% brand-name and 75% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 79.4/100 for the 2023 performance year (Quality 57.7), compared with the national average of 83.1.
Family Nurse Practitioner is a high-volume specialty nationwide, with 209,817 enrolled providers across 56 states and an average of 1,222 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 | 1053085746 |
|---|---|
| Specialty | Family Nurse Practitioner |
| Credentials | FNP-BC |
| Gender | Female |
| NPI Issued | 08/05/2021 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
79.3772
Final Score
Avg: 83.1
57.662
Quality
99
Promoting Interoperability
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 Hilary Buotte, FNP-BC. Source: openpaymentsdata.cms.gov.
Total received
$135
Largest payer
GENZYME CORPORATION
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 · Above average
Hilary Buotte, FNP-BC - brand share 25.0%
Family Nurse Practitioner average
25% brand-name claims vs 75% generic, on 253 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.
253
Total Claims
$168K
Total Drug Cost
98
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 479
- Total Day Supply
- 14,071
- Brand vs Generic
- 25% brand / 75% generic
- Brand Drug Cost
- $138K
- Generic Drug Cost
- $30K
Patient Demographics
- Average Patient Age
- 67.9 years
- Avg HCC Risk Score
- 1.21
- Gender Split
- 76% female / 24% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Hilary Buotte, FNP-BC prescribes most
Top Medicare Part D drugs by claim count, 2023
- Omeprazole
Omeprazole
54 claims
- Linzess
Linzess
38 claims
- Pantoprazole Sodium
Pantoprazole Sodium
24 claims
- Mesalamine 21
Mesalamine
21 claims
- Budesonide Dr 15
Budesonide Dr
15 claims
- Ursodiol 14
Ursodiol
14 claims
| Drug | Claims |
|---|---|
| Omeprazole | 54 |
| Linzess Linaclotide | 38 |
| Pantoprazole Sodium | 24 |
| Mesalamine | 21 |
| Budesonide Dr Budesonide | 15 |
| Ursodiol | 14 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Nurse Practitioner Overview
How Hilary Buotte, FNP-BC fits within the Family Nurse Practitioner landscape nationally.
209,817
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider
Hilary Buotte, FNP-BC's 253 claims are below the specialty average of 1,222.
Nearby Family Nurse Practitioner Providers in New Hampshire
Other clinicians with the same primary specialty enrolled in New Hampshire, drawn from the same CMS NPPES roster as Buotte.
Elibel Abanilla
Derry, NH
Dr. Judith Abbe
APRN
Concord, NH
Dr. Cara Abbott
APRN
Lee, NH
Dr. McCall Abbott
APRN
Lebanon, NH
Dr. Janet Abreu
APRN
Pelham, NH
Compare Family Nurse Practitioner 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 New Hampshire medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Family Nurse Practitioner 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.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore New Hampshire
Frequently Asked Questions
What is Hilary Buotte, FNP-BC's specialty? ▼
Hilary Buotte, FNP-BC specializes in Family Nurse Practitioner and practices in Exeter, New Hampshire. Credentials: FNP-BC.
How much does Hilary Buotte, FNP-BC prescribe under Medicare Part D? ▼
In 2023, Hilary Buotte, FNP-BC wrote 253 Medicare Part D claims totaling $168K in drug costs for 98 beneficiaries.
What is Hilary Buotte, FNP-BC's Medicare quality score? ▼
Hilary Buotte, FNP-BC has a CMS MIPS Final Score of 79.4/100 (Quality: 57.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Hilary Buotte, FNP-BC located? ▼
Hilary Buotte, FNP-BC is located at 3 ALUMNI DR STE 201, Exeter, NH, 03833. Phone: (603) 772-5528.
What is Hilary Buotte, FNP-BC's NPI number? ▼
Hilary Buotte, FNP-BC's National Provider Identifier (NPI) is 1053085746, issued on 08/05/2021.
Does Hilary Buotte, FNP-BC prescribe more brand-name or generic drugs? ▼
Hilary Buotte, FNP-BC's prescribing is 25% brand-name and 75% generic drugs by claim count, with $138K in brand drug costs.
How many Family Nurse Practitioner providers are there in the US? ▼
There are 209,817 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
What drugs does Hilary Buotte, FNP-BC prescribe most often? ▼
Based on 2023 Medicare Part D data, Hilary Buotte, FNP-BC's most frequently prescribed drugs include Omeprazole, Linzess, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Hilary Buotte, FNP-BC accept Medicare? ▼
Hilary Buotte, FNP-BC appears in CMS Medicare data with 253 Part D claims and 98 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Hilary Buotte, FNP-BC's credentials? ▼
Hilary Buotte, FNP-BC's NPI is 1053085746 with credentials FNP-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
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.