2026 NPPES data Family Nurse Practitioner NPI 1831666197 APRN
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JOSEPH GIRAMATA, APRN

Family Nurse Practitioner in WISHEK, North Dakota. 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
436
Medicare Part D claims · 113 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
53%
generic claims · 47% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$79.05
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOSEPH GIRAMATA, APRN filed 436 Medicare Part D claims in 2023 as a Family Nurse Practitioner in WISHEK, North Dakota, prescribing 53% generic.

436
Part D claims, 2023
53%
generic prescribing
$79.05
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.

JOSEPH GIRAMATA, APRN's Medicare Part D volume vs every U.S. prescriber

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

436 Top 38% higher than 62% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). This entry sits in this band. 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 JOSEPH GIRAMATA, APRN?

Quality data not reported

NPI registry status

Active

Issued 10/25/2018

NPI 1831666197

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

436 64% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

Specialty distribution in North Dakota

How Family Nurse Practitioner compares to other specialties among North Dakota providers

North Dakota providers

Family Nurse Practitioner share within North Dakota

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

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Family 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).

JOSEPH GIRAMATA, APRN appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding APRN credentials at 1007 4TH AVE S, WISHEK, ND, 58495, with a listed phone of (701) 452-2326. NPI 1831666197 was issued on 10/25/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GIRAMATA 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 436 prescription claims written by this provider, covering 113 Medicare beneficiaries and totaling roughly $190K in drug spend, split 47% brand-name and 53% 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.

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

1007 4TH AVE S
WISHEK, ND 58495

Provider Details

NPI 1831666197
Specialty Family Nurse Practitioner
Credentials APRN
Gender Male
NPI Issued 10/25/2018

Hospital and facility affiliations

Facilities where JOSEPH GIRAMATA, 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.

DUKE HEALTH INTEGRATED PRACTICE INC
DURHAM, NC
PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL
PINE RIDGE, SD

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 JOSEPH GIRAMATA, APRN. Source: openpaymentsdata.cms.gov.

Total received

$79

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.

Brand vs generic prescribing mix · Above average

JOSEPH GIRAMATA, APRN — brand share 47.0%
Specialty average (est.)

47% brand-name claims vs 53% generic, on 436 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.

436
Total Claims
$190K
Total Drug Cost
113
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
840
Total Day Supply
24,585
Brand vs Generic
47% brand / 53% generic
Brand Drug Cost
$184K
Generic Drug Cost
$4K

Patient Demographics

Average Patient Age
67.8 years
Avg HCC Risk Score
2.20
Gender Split
55% female / 45% male
Age Distribution
<65: 31, 65-74: 50, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What JOSEPH GIRAMATA, 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
Jardiance
Empagliflozin
48
Levothyroxine Sodium
44
Methimazole
34
Metformin Hcl Er
Metformin Hcl
30
Ozempic
Semaglutide
23
Metformin Hcl
19
Atorvastatin Calcium
18
Glimepiride
14
Humalog Kwikpen U-100
Insulin Lispro
14
Trulicity
Dulaglutide
13

* 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 JOSEPH GIRAMATA, APRN 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

JOSEPH GIRAMATA, APRN's 436 claims are below the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in North Dakota

Other clinicians with the same primary specialty enrolled in North Dakota, drawn from the same CMS NPPES roster as GIRAMATA.

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

Frequently Asked Questions

What is JOSEPH GIRAMATA, APRN's specialty?
JOSEPH GIRAMATA, APRN specializes in Family Nurse Practitioner and practices in WISHEK, North Dakota. Credentials: APRN.
How much does JOSEPH GIRAMATA, APRN prescribe under Medicare Part D?
In 2023, JOSEPH GIRAMATA, APRN wrote 436 Medicare Part D claims totaling $190K in drug costs for 113 beneficiaries.
Where is JOSEPH GIRAMATA, APRN located?
JOSEPH GIRAMATA, APRN is located at 1007 4TH AVE S, WISHEK, ND, 58495. Phone: (701) 452-2326.
What is JOSEPH GIRAMATA, APRN's NPI number?
JOSEPH GIRAMATA, APRN's National Provider Identifier (NPI) is 1831666197, issued on 10/25/2018.
Does JOSEPH GIRAMATA, APRN prescribe more brand-name or generic drugs?
JOSEPH GIRAMATA, APRN's prescribing is 47% brand-name and 53% generic drugs by claim count, with $184K 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 JOSEPH GIRAMATA, APRN prescribe most often?
Based on 2023 Medicare Part D data, JOSEPH GIRAMATA, APRN's most frequently prescribed drugs include Jardiance, Levothyroxine Sodium, Methimazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSEPH GIRAMATA, APRN accept Medicare?
JOSEPH GIRAMATA, APRN appears in CMS Medicare data with 436 Part D claims and 113 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSEPH GIRAMATA, APRN's credentials?
JOSEPH GIRAMATA, APRN's NPI is 1831666197 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

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