2026 NPPES data Family Nurse Practitioner NPI 1154617454 ARNP
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Jose Vergara, ARNP

Family Nurse Practitioner in Hialeah, Florida.

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
19K
Medicare Part D claims · 464 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
87%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
10.4/100
▼ 73 pts below national avg 83.1 · Penalty band
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Jose Vergara, ARNP reported a CMS MIPS final score of 10.4/100 - below the 83.1 national average - and filed 19,358 Medicare Part D claims in 2023.

10.4/100
MIPS score · -73 vs avg
19K
Part D claims, 2023
87%
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.

Jose Vergara, ARNP's MIPS score vs every scored U.S. clinician

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

10 2nd percentile higher than 2% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). This entry sits in this band. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 189,403 scored providers (40%). Above this entry. 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 Jose Vergara, ARNP 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, Jose Vergara, ARNP writes more Part D claims than 100% of them and scores higher on MIPS quality than 1% - 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 quality0255075100022.344.666.989.2Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 43Jose Vergara, ARNP-Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 1
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 Jose Vergara, ARNP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Jose Vergara, ARNP?

Below national average

NPI registry status

Active

Issued 06/24/2011

NPI 1154617454

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

19,358 16× vs specialty avg

2023 prescription claims

Specialty avg: 1,222

MIPS final score

10.4/100 72.7 pts vs avg

Penalty band band

vs 83.1 national avg

Specialty distribution in Florida

How Family Nurse Practitioner compares to other specialties among Florida providers

Florida providers
Behavior Technician - 16.1%Behavior Technician16.1%Mental Health Counselor - 4.8%Mental Health Counselor4.8%Family Nurse Practitioner - 4.5%Family Nurse Practitioner4.5%Pharmacist - 4.2%Pharmacist4.2%Student in an Organized Health Care Education/Training Program - 3.8%Student in an Organized Health Care Education/Training Program3.8%Physical Therapist - 3.1%Physical Therapist3.1%
Largest specialties in Florida (% of in-state providers)

Medicare quality performance, MIPS

Jose Vergara, ARNP's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

Below national average
MIPS Final Score
10.4/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Nurse Practitioner) - 10.4/100 vs national avg 83.1

0%100%National avg83%10.4%
MIPS final score (Family Nurse Practitioner) - 10.4/100 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).

Jose Vergara, ARNP appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding ARNP credentials at 7375 W 18 AVE, Hialeah, FL, 33014, with a listed phone of (305) 333-8623. NPI 1154617454 was issued on 06/24/2011.

Medicare Part D records for calendar year 2023 show 19,358 prescription claims written by this provider, covering 464 Medicare beneficiaries and totaling roughly $1.2 million in drug spend, split 11% brand-name and 87% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 10.4/100 for the 2023 performance year (Quality 0, Cost 34.6), 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

7375 W 18 AVE
Hialeah, FL 33014

Provider Details

NPI 1154617454
Specialty Family Nurse Practitioner
Credentials ARNP
Gender Male
NPI Issued 06/24/2011

CMS Quality Score (MIPS)

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

10.3845
Final Score
Avg: 83.1
0
Quality
34.615
Cost

Reporting: Individual

License & disciplinary context - Florida FLDOH 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 ~75K Florida medical licensees in 2023 - they are NOT specific to Jose Vergara, ARNP. To verify Jose Vergara, ARNP's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Jose Vergara, ARNP - brand share 11.0%
Family Nurse Practitioner average

11% brand-name claims vs 87% generic, on 19,358 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.

19,358
Total Claims
$1.2M
Total Drug Cost
464
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
20,352
Total Day Supply
589,903
Brand vs Generic
11% brand / 87% generic
Brand Drug Cost
$792K
Generic Drug Cost
$445K
Antibiotic Claims
282

Patient Demographics

Average Patient Age
78.7 years
Avg HCC Risk Score
2.84
Gender Split
68% female / 32% male
Age Distribution
<65: 61, 65-74: 77, 75-84: 133, 85+: 193

Top Prescribed Drugs (Medicare Part D)

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

What Jose Vergara, ARNP 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
Quetiapine Fumarate
1,012
Atorvastatin Calcium
659
Mirtazapine
498
Levothyroxine Sodium
493
Trazodone Hcl
441
Pantoprazole Sodium
433
Famotidine
368
Sertraline Hcl
358
Divalproex Sodium
352
Temazepam
347

* 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 Jose Vergara, ARNP 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

Jose Vergara, ARNP's 19,358 claims are above the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in Florida

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

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 Florida 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.

Frequently Asked Questions

What is Jose Vergara, ARNP's specialty?
Jose Vergara, ARNP specializes in Family Nurse Practitioner and practices in Hialeah, Florida. Credentials: ARNP.
How much does Jose Vergara, ARNP prescribe under Medicare Part D?
In 2023, Jose Vergara, ARNP wrote 19,358 Medicare Part D claims totaling $1.2M in drug costs for 464 beneficiaries.
What is Jose Vergara, ARNP's Medicare quality score?
Jose Vergara, ARNP has a CMS MIPS Final Score of 10.4/100 (Quality: 0, Cost: 34.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Jose Vergara, ARNP located?
Jose Vergara, ARNP is located at 7375 W 18 AVE, Hialeah, FL, 33014. Phone: (305) 333-8623.
What is Jose Vergara, ARNP's NPI number?
Jose Vergara, ARNP's National Provider Identifier (NPI) is 1154617454, issued on 06/24/2011.
Does Jose Vergara, ARNP prescribe more brand-name or generic drugs?
Jose Vergara, ARNP's prescribing is 11% brand-name and 87% generic drugs by claim count, with $792K 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 Jose Vergara, ARNP prescribe most often?
Based on 2023 Medicare Part D data, Jose Vergara, ARNP's most frequently prescribed drugs include Quetiapine Fumarate, Atorvastatin Calcium, Mirtazapine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Jose Vergara, ARNP accept Medicare?
Jose Vergara, ARNP appears in CMS Medicare data with 19,358 Part D claims and 464 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Jose Vergara, ARNP's credentials?
Jose Vergara, ARNP's NPI is 1154617454 with credentials ARNP. 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.