2026 NPPES data Nurse Practitioner NPI 1922618388
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Janean Vargas

Nurse Practitioner in San Antonio, Texas.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 87,700 in 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
564
Medicare Part D claims · 196 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
44%
generic claims · 51% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
72.3/100
▼ 11 pts below national avg 83.5 · Mid-tier
Industry payments
$188.58
7 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Janean Vargas reported a CMS MIPS final score of 72.3/100 - below the 83.5 national average - and filed 564 Medicare Part D claims in 2023.

72.3/100
MIPS score · -11 vs avg
564
Part D claims, 2023
44%
generic prescribing
$188.58
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.

Janean Vargas's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

72 ≥ 10th percentile 10% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). This entry sits in this band. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Janean Vargas sits

This provider among nurse practitioner peers

Across the 13,205 nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Janean Vargas writes more Part D claims than 59% of them and scores higher on MIPS quality than 9% - 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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.148.372.496.6Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 45Janean Vargas, Part D claim volume, percentile in specialty: 59 · MIPS quality, percentile: 9
Part D claim volume vs MIPS quality, by specialty percentile

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

What does the federal data show about Janean Vargas?

Below national average

NPI registry status

Active

Issued 07/31/2020

NPI 1922618388

Primary specialty

Nurse Practitioner

High-volume

87,700 US NPIs in this specialty

Medicare Part D claims

564 48% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

72.3/100 11.2 pts vs avg

Mid-tier band

vs 83.5 national avg

Specialty distribution in Texas

How Nurse Practitioner compares to other specialties among Texas providers

Texas providers
Behavior Technician5.6%Student in an Organized Heal…5.1%Family Nurse Practitioner4.5%Professional Counselor4.4%Pharmacist4.4%Speech-Language Pathologist3.9%Nurse Practitioner1.2%
Largest specialties in Texas (% of in-state providers)

Medicare quality performance, MIPS

Janean Vargas's 2023 MIPS final score plotted against the Nurse Practitioner national average

Below national average
MIPS Final Score
72.3/100
vs 83.5 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) - 72.3/100 vs national avg 83.5

0%100%National avg84%72.3%
MIPS final score (Nurse Practitioner) - 72.3/100 vs national avg 83.5
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).

Janean Vargas appears in the CMS NPPES registry as a Nurse Practitioner provider at 2829 BABCOCK RD STE 700, San Antonio, TX, 78229, with a listed phone of (210) 630-4650. NPI 1922618388 was issued on 07/31/2020.

Medicare Part D records for calendar year 2023 show 564 prescription claims written by this provider, covering 196 Medicare beneficiaries and totaling roughly $889K in drug spend, split 51% brand-name and 44% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 72.3/100 for the 2023 performance year (Quality 63.7, Cost 52.2), compared with the 83.5 average among clinicians with a measured score.

Nurse Practitioner is a high-volume specialty nationwide, with 87,700 enrolled providers across 56 states and an average of 1,084 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

2829 BABCOCK RD STE 700
San Antonio, TX 78229

Provider Details

NPI 1922618388
Specialty Nurse Practitioner
Gender Female
NPI Issued 07/31/2020

CMS Quality Score (MIPS)

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

72.2881
Final Score
Measured-score avg: 83.5
63.7359
Quality
52.2243
Cost
90
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Janean Vargas 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.

The San Antonio Orthopaedic Group LLP
San Antonio, TX

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 Janean Vargas. Source: openpaymentsdata.cms.gov.

Total received

$189

Largest payer

Amgen 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.

License & disciplinary context - Texas TMB 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 - they are NOT specific to Janean Vargas. To verify Janean Vargas's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

Janean Vargas - brand share 51.0%
Nurse Practitioner average

51% brand-name claims vs 44% generic, on 564 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.

564
Total Claims
$889K
Total Drug Cost
196
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,475
Total Day Supply
43,971
Brand vs Generic
51% brand / 44% generic
Brand Drug Cost
$885K
Generic Drug Cost
$3K

Patient Demographics

Average Patient Age
74.0 years
Avg HCC Risk Score
1.34
Gender Split
91% female / 9% male

Top Prescribed Drugs (Medicare Part D)

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

What Janean Vargas 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
Alendronate Sodium
237
Forteo
Teriparatide
115
Prolia
Denosumab
86
Tymlos
Abaloparatide
55
Teriparatide
29
Ibandronate Sodium
11

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

Nurse Practitioner Overview

How Janean Vargas fits within the Nurse Practitioner landscape nationally.

87,700
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,084
Avg Claims per Provider

Janean Vargas's 564 claims are below the specialty average of 1,084.

Nearby Nurse Practitioner Providers in Texas

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

Compare 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 Texas medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby 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 Janean Vargas's specialty?
Janean Vargas specializes in Nurse Practitioner and practices in San Antonio, Texas.
How much does Janean Vargas prescribe under Medicare Part D?
In 2023, Janean Vargas wrote 564 Medicare Part D claims totaling $889K in drug costs for 196 beneficiaries.
What is Janean Vargas's Medicare quality score?
Janean Vargas has a CMS MIPS Final Score of 72.3/100 (Quality: 63.7, Cost: 52.2). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Janean Vargas located?
Janean Vargas is located at 2829 BABCOCK RD STE 700, San Antonio, TX, 78229. Phone: (210) 630-4650.
What is Janean Vargas's NPI number?
Janean Vargas's National Provider Identifier (NPI) is 1922618388, issued on 07/31/2020.
Does Janean Vargas prescribe more brand-name or generic drugs?
Janean Vargas's prescribing is 51% brand-name and 44% generic drugs by claim count, with $885K in brand drug costs.
How many Nurse Practitioner providers are there in the US?
There are 87,700 Nurse Practitioner providers across 56 states in the US. The average Nurse Practitioner provider writes 1,084 Medicare Part D claims per year.
What drugs does Janean Vargas prescribe most often?
Based on 2023 Medicare Part D data, Janean Vargas's most frequently prescribed drugs include Alendronate Sodium, Forteo, Prolia. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Janean Vargas accept Medicare?
Janean Vargas appears in CMS Medicare data with 564 Part D claims and 196 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Janean Vargas's credentials?
Janean Vargas's NPI is 1922618388. 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

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.