2026 NPPES data Nurse Practitioner NPI 1184086324 APRN
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JOSHUA LEDUC, APRN

Nurse Practitioner in KEENE, New Hampshire. 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
5K
Medicare Part D claims · 555 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
78.6154/100
▼ 4 pts below national avg 83.1 · [object Object]
What the federal data reveals: JOSHUA LEDUC, APRN is a Nurse Practitioner ([object Object]) practicing in KEENE, New Hampshire with a Medicare Part D prescribing footprint of 5K claims across 555 beneficiaries — 13% brand-name prescribing . Their CMS MIPS Final Score of 78.6154/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: JOSHUA LEDUC, APRN reported a CMS MIPS final score of 78.6154 out of 100, below the 83.1 national average, and filed 5,168 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

JOSHUA LEDUC, APRN at a glance

Near national average

NPI registry status

Active

Issued 03/27/2016

NPI 1184086324

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

5,168 377% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

78.6154/100 4.4846% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New Hampshire

How Nurse Practitioner compares to other specialties among New Hampshire providers

New Hampshire providers

Nurse Practitioner share within New Hampshire

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

Medicare quality performance — MIPS

JOSHUA LEDUC, APRN's 2023 MIPS final score plotted against the Nurse Practitioner national average

Near national average
MIPS Final Score
78.6154/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) — 78.6154/100 vs national avg 83.1

0%100%National avg83%78.6%
MIPS final score (Nurse Practitioner) — 78.6154/100 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).

JOSHUA LEDUC, APRN is a Nurse Practitioner provider practicing in KEENE, New Hampshire, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: APRN. NPI: 1184086324. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JOSHUA LEDUC, APRN appears in the CMS NPPES registry as a Nurse Practitioner provider holding APRN credentials at 590 COURT ST, KEENE, NH, 03431, with a listed phone of (603) 354-5400. NPI 1184086324 was issued on 03/27/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LEDUC 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 5,168 prescription claims written by this provider, covering 555 Medicare beneficiaries and totaling roughly $510K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 2.9%. 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 78.6154/100 for the 2023 performance year (Quality 75.2274, Cost 53.4905), 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

590 COURT ST
KEENE, NH 03431

Provider Details

NPI 1184086324
Specialty Nurse Practitioner
Credentials APRN
Gender Male
NPI Issued 03/27/2016

CMS Quality Score (MIPS)

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

78.6154
Final Score
Avg: 83.1
75.2274
Quality
53.4905
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JOSHUA LEDUC, 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.

CHESHIRE MEDICAL CENTER
★★★★☆ 4/5
KEENE, NH
Acute Care Hospitals
CMS CCN: 300019
MARY HITCHCOCK MEMORIAL HOSPITAL
★★★☆☆ 3/5
KEENE, NH
Acute Care Hospitals
CMS CCN: 300003

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 · Typical

JOSHUA LEDUC, APRN — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 5,168 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.

5,168
Total Claims
$510K
Total Drug Cost
555
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
11,259
Total Day Supply
329,121
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$393K
Generic Drug Cost
$114K
Opioid Claims
151 (2.9% rate)
Antibiotic Claims
66

Patient Demographics

Average Patient Age
69.5 years
Avg HCC Risk Score
1.19
Gender Split
56% female / 44% male
Age Distribution
<65: 129, 65-74: 238, 75-84: 135, 85+: 53

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
319
Levothyroxine Sodium
231
Losartan Potassium
217
Lisinopril
216
Omeprazole
180
Amlodipine Besylate
171
Gabapentin
157
Simvastatin
152
Metoprolol Succinate
121
Rosuvastatin Calcium
113

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

Nurse Practitioner Overview

How JOSHUA LEDUC, APRN 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

JOSHUA LEDUC, APRN's 5,168 claims are above the specialty average of 1,084.

Nearby Nurse Practitioner Providers in New Hampshire

Other clinicians with the same primary specialty enrolled in New Hampshire, drawn from the same CMS NPPES roster as LEDUC.

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

Frequently Asked Questions

What is JOSHUA LEDUC, APRN's specialty?
JOSHUA LEDUC, APRN specializes in Nurse Practitioner and practices in KEENE, New Hampshire. Credentials: APRN.
How much does JOSHUA LEDUC, APRN prescribe under Medicare Part D?
In 2023, JOSHUA LEDUC, APRN wrote 5,168 Medicare Part D claims totaling $510K in drug costs for 555 beneficiaries.
What is JOSHUA LEDUC, APRN's Medicare quality score?
JOSHUA LEDUC, APRN has a CMS MIPS Final Score of 78.6154/100 (Quality: 75.2274, Cost: 53.4905). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOSHUA LEDUC, APRN located?
JOSHUA LEDUC, APRN is located at 590 COURT ST, KEENE, NH, 03431. Phone: (603) 354-5400.
What is JOSHUA LEDUC, APRN's NPI number?
JOSHUA LEDUC, APRN's National Provider Identifier (NPI) is 1184086324, issued on 03/27/2016.
Does JOSHUA LEDUC, APRN prescribe more brand-name or generic drugs?
JOSHUA LEDUC, APRN's prescribing is 13% brand-name and 87% generic drugs by claim count, with $393K in brand drug costs.
Does JOSHUA LEDUC, APRN prescribe opioids?
Yes, JOSHUA LEDUC, APRN had 151 opioid claims in 2023 with an opioid prescribing rate of 2.9%.
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 JOSHUA LEDUC, APRN prescribe most often?
Based on 2023 Medicare Part D data, JOSHUA LEDUC, APRN's most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Losartan Potassium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSHUA LEDUC, APRN accept Medicare?
JOSHUA LEDUC, APRN appears in CMS Medicare data with 5,168 Part D claims and 555 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSHUA LEDUC, APRN's credentials?
JOSHUA LEDUC, APRN's NPI is 1184086324 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.
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