2026 NPPES data Primary Care Nurse Practitioner NPI 1083290423 APRN
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Ivanna Tsykhulyak, APRN

Primary Care Nurse Practitioner in Waterbury, Connecticut.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 10,179 in Primary Care 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
4K
Medicare Part D claims · 406 beneficiaries · Primary Care Nurse Practitioner avg: 1K
Generic prescribing
86%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.8/100
▲ 15 pts above national avg 83.1 · Exceptional
Industry payments
$1.5K
91 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Ivanna Tsykhulyak, APRN reported a CMS MIPS final score of 97.8/100 - above the 83.1 national average - and filed 3,885 Medicare Part D claims in 2023.

97.8/100
MIPS score · +15 vs avg
4K
Part D claims, 2023
86%
generic prescribing
$1.5K
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.

Ivanna Tsykhulyak, APRN's MIPS score vs every scored U.S. clinician

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

98 Top 15% higher than 85% 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%). Below this entry. 90+: 189,403 scored providers (40%). This entry sits in this band. 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

Where Ivanna Tsykhulyak, APRN sits

This provider among primary care nurse practitioner peers

Across the 958 primary care nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Ivanna Tsykhulyak, APRN writes more Part D claims than 89% of them and scores higher on MIPS quality than 91% - placing this provider in the high-volume, high-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 60Ivanna Tsykhulyak, APRN-Part D claim volume, percentile in specialty: 89 · MIPS quality, percentile: 91
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one primary care nurse practitioner peer from a representative sample of 60; the gold marker is Ivanna Tsykhulyak, APRN. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Ivanna Tsykhulyak, APRN?

High performer (top quartile)

NPI registry status

Active

Issued 03/23/2021

NPI 1083290423

Primary specialty

Primary Care Nurse Practitioner

Mid-sized

10,179 US NPIs in this specialty

Medicare Part D claims

3,885 185% vs specialty avg

2023 prescription claims

Specialty avg: 1,363

MIPS final score

97.8/100 14.7 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Connecticut

How Primary Care Nurse Practitioner compares to other specialties among Connecticut providers

Connecticut providers
Clinical Social Worker - 8.4%Clinical Social Worker8.4%Student in an Organized Health Care Education/Training Program - 7.7%Student in an Organized Health Care Education/Training Program7.7%Physical Therapist - 4.2%Physical Therapist4.2%Pharmacist - 3.9%Pharmacist3.9%Internal Medicine Physician - 3.4%Internal Medicine Physician3.4%Mental Health Counselor - 3.2%Mental Health Counselor3.2%Primary Care Nurse Practitioner - 0.2%Primary Care Nurse Practitioner0.2%
Largest specialties in Connecticut (% of in-state providers)

Medicare quality performance, MIPS

Ivanna Tsykhulyak, APRN's 2023 MIPS final score plotted against the Primary Care Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
97.8/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Primary Care Nurse Practitioner) - 97.8/100 vs national avg 83.1

0%100%National avg83%97.8%
MIPS final score (Primary Care Nurse Practitioner) - 97.8/100 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).

Ivanna Tsykhulyak, APRN appears in the CMS NPPES registry as a Primary Care Nurse Practitioner provider holding APRN credentials at 2247 E MAIN ST STE 103, Waterbury, CT, 06705, with a listed phone of (203) 527-7269. NPI 1083290423 was issued on 03/23/2021.

Medicare Part D records for calendar year 2023 show 3,885 prescription claims written by this provider, covering 406 Medicare beneficiaries and totaling roughly $379K in drug spend, split 13% brand-name and 86% generic by claim count, with an opioid prescribing rate of 1.9%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 97.8/100 for the 2023 performance year (Quality 85.6), compared with the national average of 83.1.

Primary Care Nurse Practitioner is a mid-sized specialty nationwide, with 10,179 enrolled providers across 54 states and an average of 1,363 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

2247 E MAIN ST STE 103
Waterbury, CT 06705

Provider Details

NPI 1083290423
Specialty Primary Care Nurse Practitioner
Credentials APRN
Gender Female
NPI Issued 03/23/2021

CMS Quality Score (MIPS)

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

97.819
Final Score
Avg: 83.1
85.638
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where Ivanna Tsykhulyak, APRN 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.

Care Beyond Medicine PLLC
Waterbury, CT

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

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 Ivanna Tsykhulyak, APRN. Source: openpaymentsdata.cms.gov.

Total received

$1.5K

Largest payer

Bayer Healthcare 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

Ivanna Tsykhulyak, APRN - brand share 13.0%
Primary Care Nurse Practitioner average

13% brand-name claims vs 86% generic, on 3,885 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.

3,885
Total Claims
$379K
Total Drug Cost
406
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,667
Total Day Supply
154,698
Brand vs Generic
13% brand / 86% generic
Brand Drug Cost
$299K
Generic Drug Cost
$79K
Opioid Claims
74 (1.9% rate)
Antibiotic Claims
231

Patient Demographics

Average Patient Age
70.5 years
Avg HCC Risk Score
1.25
Gender Split
59% female / 41% male
Age Distribution
<65: 82, 65-74: 194, 75-84: 94, 85+: 36

Top Prescribed Drugs (Medicare Part D)

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

What Ivanna Tsykhulyak, APRN 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
Alprazolam
288
Zolpidem Tartrate
157
Lorazepam
149
Gabapentin
126
Amlodipine Besylate
98
Azithromycin
96
Levothyroxine Sodium
92
Albuterol Sulfate Hfa
Albuterol Sulfate
91
Clonazepam
89
Trazodone Hcl
89

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

Primary Care Nurse Practitioner Overview

How Ivanna Tsykhulyak, APRN fits within the Primary Care Nurse Practitioner landscape nationally.

10,179
Primary Care Nurse Practitioner Providers in US
54
States with Primary Care Nurse Practitioner
1,363
Avg Claims per Provider

Ivanna Tsykhulyak, APRN's 3,885 claims are above the specialty average of 1,363.

Nearby Primary Care Nurse Practitioner Providers in Connecticut

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

Compare Primary Care 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 Connecticut medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Primary Care 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.

Frequently Asked Questions

What is Ivanna Tsykhulyak, APRN's specialty?
Ivanna Tsykhulyak, APRN specializes in Primary Care Nurse Practitioner and practices in Waterbury, Connecticut. Credentials: APRN.
How much does Ivanna Tsykhulyak, APRN prescribe under Medicare Part D?
In 2023, Ivanna Tsykhulyak, APRN wrote 3,885 Medicare Part D claims totaling $379K in drug costs for 406 beneficiaries.
What is Ivanna Tsykhulyak, APRN's Medicare quality score?
Ivanna Tsykhulyak, APRN has a CMS MIPS Final Score of 97.8/100 (Quality: 85.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Ivanna Tsykhulyak, APRN located?
Ivanna Tsykhulyak, APRN is located at 2247 E MAIN ST STE 103, Waterbury, CT, 06705. Phone: (203) 527-7269.
What is Ivanna Tsykhulyak, APRN's NPI number?
Ivanna Tsykhulyak, APRN's National Provider Identifier (NPI) is 1083290423, issued on 03/23/2021.
Does Ivanna Tsykhulyak, APRN prescribe more brand-name or generic drugs?
Ivanna Tsykhulyak, APRN's prescribing is 13% brand-name and 86% generic drugs by claim count, with $299K in brand drug costs.
Does Ivanna Tsykhulyak, APRN prescribe opioids?
Yes, Ivanna Tsykhulyak, APRN had 74 opioid claims in 2023 with an opioid prescribing rate of 1.9%.
How many Primary Care Nurse Practitioner providers are there in the US?
There are 10,179 Primary Care Nurse Practitioner providers across 54 states in the US. The average Primary Care Nurse Practitioner provider writes 1,363 Medicare Part D claims per year.
What drugs does Ivanna Tsykhulyak, APRN prescribe most often?
Based on 2023 Medicare Part D data, Ivanna Tsykhulyak, APRN's most frequently prescribed drugs include Alprazolam, Zolpidem Tartrate, Lorazepam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ivanna Tsykhulyak, APRN accept Medicare?
Ivanna Tsykhulyak, APRN appears in CMS Medicare data with 3,885 Part D claims and 406 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ivanna Tsykhulyak, APRN's credentials?
Ivanna Tsykhulyak, APRN's NPI is 1083290423 with credentials APRN. 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.