2026 NPPES data Nurse Practitioner NPI 1225704257
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JINBAO ZHAO

Nurse Practitioner in MILFORD, Connecticut. 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
224
Medicare Part D claims · 110 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
93.2757/100
▲ 10 pts above national avg 83.1 · [object Object]

What the federal data shows

JINBAO ZHAO reported a CMS MIPS final score of 93.2757/100 — above the 83.1 national average — and filed 224 Medicare Part D claims in 2023.

93.2757/100
MIPS score · +10 vs avg
224
Part D claims, 2023
92%
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.

JINBAO ZHAO's MIPS score vs every scored U.S. clinician

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

93 Top 29% higher than 71% 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. 90–100: 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

What does the federal data show about JINBAO ZHAO?

High performer (top quartile)

NPI registry status

Active

Issued 08/19/2021

NPI 1225704257

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

224 79% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

93.2757/100 10.175700000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Connecticut

How Nurse Practitioner compares to other specialties among Connecticut providers

Connecticut providers

Nurse Practitioner share within Connecticut

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

Medicare quality performance — MIPS

JINBAO ZHAO's 2023 MIPS final score plotted against the Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
93.2757/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) — 93.2757/100 vs national avg 83.1

0%100%National avg83%93.3%
MIPS final score (Nurse Practitioner) — 93.2757/100 vs national avg 83.1

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).

JINBAO ZHAO appears in the CMS NPPES registry as a Nurse Practitioner provider at 300 SEASIDE AVE, MILFORD, CT, 06460, with a listed phone of (203) 301-1100. NPI 1225704257 was issued on 08/19/2021. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ZHAO 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 224 prescription claims written by this provider, covering 110 Medicare beneficiaries and totaling roughly $18K in drug spend, split 8% brand-name and 92% generic by claim count. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 93.2757/100 for the 2023 performance year (Quality 81.7219), compared with the national average of 83.1.

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

300 SEASIDE AVE
MILFORD, CT 06460

Provider Details

NPI 1225704257
Specialty Nurse Practitioner
Gender Male
NPI Issued 08/19/2021

CMS Quality Score (MIPS)

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

93.2757
Final Score
Avg: 83.1
81.7219
Quality
78.0315
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where JINBAO ZHAO 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.

NORTHEAST MEDICAL GROUP INC
MILFORD, 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).

Brand vs generic prescribing mix · Generic-heavy

JINBAO ZHAO — brand share 8.0%
Specialty average (est.)

8% brand-name claims vs 92% generic, on 224 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.

224
Total Claims
$18K
Total Drug Cost
110
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
277
Total Day Supply
5,501
Brand vs Generic
8% brand / 92% generic
Brand Drug Cost
$11K
Generic Drug Cost
$7K
Antibiotic Claims
65

Patient Demographics

Average Patient Age
76.7 years
Avg HCC Risk Score
1.95
Gender Split
59% female / 41% male

Top Prescribed Drugs (Medicare Part D)

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

What JINBAO ZHAO 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
Prednisone
24
Ceftriaxone
Ceftriaxone Sodium
21
Cefuroxime
Cefuroxime Axetil
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 JINBAO ZHAO 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

JINBAO ZHAO's 224 claims are below the specialty average of 1,084.

Nearby Nurse Practitioner Providers in Connecticut

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

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

Frequently Asked Questions

What is JINBAO ZHAO's specialty?
JINBAO ZHAO specializes in Nurse Practitioner and practices in MILFORD, Connecticut.
How much does JINBAO ZHAO prescribe under Medicare Part D?
In 2023, JINBAO ZHAO wrote 224 Medicare Part D claims totaling $18K in drug costs for 110 beneficiaries.
What is JINBAO ZHAO's Medicare quality score?
JINBAO ZHAO has a CMS MIPS Final Score of 93.2757/100 (Quality: 81.7219). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JINBAO ZHAO located?
JINBAO ZHAO is located at 300 SEASIDE AVE, MILFORD, CT, 06460. Phone: (203) 301-1100.
What is JINBAO ZHAO's NPI number?
JINBAO ZHAO's National Provider Identifier (NPI) is 1225704257, issued on 08/19/2021.
Does JINBAO ZHAO prescribe more brand-name or generic drugs?
JINBAO ZHAO's prescribing is 8% brand-name and 92% generic drugs by claim count, with $11K in brand drug costs.
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 JINBAO ZHAO prescribe most often?
Based on 2023 Medicare Part D data, JINBAO ZHAO's most frequently prescribed drugs include Prednisone, Ceftriaxone, Cefuroxime. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JINBAO ZHAO accept Medicare?
JINBAO ZHAO appears in CMS Medicare data with 224 Part D claims and 110 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JINBAO ZHAO's credentials?
JINBAO ZHAO's NPI is 1225704257. 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.
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