2026 NPPES data Nurse Practitioner NPI 1225018914 NP
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JILL DEFIBAUGH, NP

Nurse Practitioner in WINCHESTER, Virginia. 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
279
Medicare Part D claims · 129 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$813.59
31 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JILL DEFIBAUGH, NP filed 279 Medicare Part D claims in 2023 as a Nurse Practitioner in WINCHESTER, Virginia, prescribing 92% generic.

279
Part D claims, 2023
92%
generic prescribing
$813.59
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.

JILL DEFIBAUGH, NP's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

279 49th percentile higher than 49% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about JILL DEFIBAUGH, NP?

Quality data not reported

NPI registry status

Active

Issued 01/19/2006

NPI 1225018914

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

279 74% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

Specialty distribution in Virginia

How Nurse Practitioner compares to other specialties among Virginia providers

Virginia providers

Nurse Practitioner share within Virginia

1. Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nurse Practitioner share within Virginia

Specialty board-certification context

Estimated specialty board-certified rate — Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Nurse Practitioner) — ABMS / AOA estimate

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).

JILL DEFIBAUGH, NP appears in the CMS NPPES registry as a Nurse Practitioner provider holding NP credentials at 2913 VALLEY AVE, WINCHESTER, VA, 22601, with a listed phone of (540) 678-0792. NPI 1225018914 was issued on 01/19/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DEFIBAUGH 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 279 prescription claims written by this provider, covering 129 Medicare beneficiaries and totaling roughly $119K in drug spend, split 8% brand-name and 92% generic by claim count, with an opioid prescribing rate of 34.1%. 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.

Nurse Practitioner is a high-volume specialty nationwide, with 87,227 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

2913 VALLEY AVE
WINCHESTER, VA 22601

Provider Details

NPI 1225018914
Specialty Nurse Practitioner
Credentials NP
Gender Female
NPI Issued 01/19/2006

Hospital and facility affiliations

Facilities where JILL DEFIBAUGH, NP 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.

SHENANDOAH ONCOLOGY PC
WINCHESTER, VA

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 JILL DEFIBAUGH, NP. Source: openpaymentsdata.cms.gov.

Total received

$814

Largest payer

Aveo 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 · Generic-heavy

JILL DEFIBAUGH, NP — brand share 8.0%
Specialty average (est.)

8% brand-name claims vs 92% generic, on 279 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.

279
Total Claims
$119K
Total Drug Cost
129
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
333
Total Day Supply
6,945
Brand vs Generic
8% brand / 92% generic
Brand Drug Cost
$81K
Generic Drug Cost
$38K
Opioid Claims
95 (34.1% rate)
Antibiotic Claims
13

Patient Demographics

Average Patient Age
71.4 years
Avg HCC Risk Score
1.99
Gender Split
57% female / 43% male

Top Prescribed Drugs (Medicare Part D)

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

What JILL DEFIBAUGH, NP 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
Oxycodone Hcl
36
Gabapentin
16
Hydromorphone Hcl
16
Duloxetine Hcl
12
Lidocaine-Prilocaine
Lidocaine/Prilocaine
12

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

Nurse Practitioner Overview

How JILL DEFIBAUGH, NP fits within the Nurse Practitioner landscape nationally.

87,227
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,084
Avg Claims per Provider

JILL DEFIBAUGH, NP's 279 claims are below the specialty average of 1,084.

Nearby Nurse Practitioner Providers in Virginia

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

Compare Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is JILL DEFIBAUGH, NP's specialty?
JILL DEFIBAUGH, NP specializes in Nurse Practitioner and practices in WINCHESTER, Virginia. Credentials: NP.
How much does JILL DEFIBAUGH, NP prescribe under Medicare Part D?
In 2023, JILL DEFIBAUGH, NP wrote 279 Medicare Part D claims totaling $119K in drug costs for 129 beneficiaries.
Where is JILL DEFIBAUGH, NP located?
JILL DEFIBAUGH, NP is located at 2913 VALLEY AVE, WINCHESTER, VA, 22601. Phone: (540) 678-0792.
What is JILL DEFIBAUGH, NP's NPI number?
JILL DEFIBAUGH, NP's National Provider Identifier (NPI) is 1225018914, issued on 01/19/2006.
Does JILL DEFIBAUGH, NP prescribe more brand-name or generic drugs?
JILL DEFIBAUGH, NP's prescribing is 8% brand-name and 92% generic drugs by claim count, with $81K in brand drug costs.
Does JILL DEFIBAUGH, NP prescribe opioids?
Yes, JILL DEFIBAUGH, NP had 95 opioid claims in 2023 with an opioid prescribing rate of 34.1%.
How many Nurse Practitioner providers are there in the US?
There are 87,227 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 JILL DEFIBAUGH, NP prescribe most often?
Based on 2023 Medicare Part D data, JILL DEFIBAUGH, NP's most frequently prescribed drugs include Oxycodone Hcl, Gabapentin, Hydromorphone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JILL DEFIBAUGH, NP accept Medicare?
JILL DEFIBAUGH, NP appears in CMS Medicare data with 279 Part D claims and 129 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JILL DEFIBAUGH, NP's credentials?
JILL DEFIBAUGH, NP's NPI is 1225018914 with credentials NP. 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.
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