2026 NPPES data Primary Care Nurse Practitioner NPI 1639599483 NP-C
Verify on CMS →

JOSHUA RIVERS, NP-C

Primary Care Nurse Practitioner in MOBILE, Alabama. 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
2K
Medicare Part D claims · 635 beneficiaries · Primary Care Nurse Practitioner avg: 1K
Generic prescribing
76%
generic claims · 24% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.8442/100
▲ 8 pts above national avg 83.1 · [object Object]
Industry payments
$1.5K
79 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JOSHUA RIVERS, NP-C is a Primary Care Nurse Practitioner ([object Object]) practicing in MOBILE, Alabama with a Medicare Part D prescribing footprint of 2K claims across 635 beneficiaries — 24% brand-name prescribing . Their CMS MIPS Final Score of 90.8442/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.5K across 79 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JOSHUA RIVERS, NP-C reported a CMS MIPS final score of 90.8442 out of 100, above the 83.1 national average, and filed 2,460 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

JOSHUA RIVERS, NP-C at a glance

High performer (top quartile)

NPI registry status

Active

Issued 04/21/2014

NPI 1639599483

Primary specialty

Primary Care Nurse Practitioner

Mid-sized

10,138 US NPIs in this specialty

Medicare Part D claims

2,460 80% vs specialty avg

2023 prescription claims

Specialty avg: 1,363

MIPS final score

90.8442/100 7.744200000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Alabama

How Primary Care Nurse Practitioner compares to other specialties among Alabama providers

Alabama providers

Primary Care Nurse Practitioner share within Alabama

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

Medicare quality performance — MIPS

JOSHUA RIVERS, NP-C's 2023 MIPS final score plotted against the Primary Care Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
90.8442/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Primary Care Nurse Practitioner) — 90.8442/100 vs national avg 83.1

0%100%National avg83%90.8%
MIPS final score (Primary Care Nurse Practitioner) — 90.8442/100 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 RIVERS, NP-C is a Primary Care Nurse Practitioner provider practicing in MOBILE, Alabama, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: NP-C. NPI: 1639599483. 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 RIVERS, NP-C appears in the CMS NPPES registry as a Primary Care Nurse Practitioner provider holding NP-C credentials at 6701 AIRPORT BLVD, MOBILE, AL, 36608, with a listed phone of (251) 639-2101. NPI 1639599483 was issued on 04/21/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what RIVERS 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 2,460 prescription claims written by this provider, covering 635 Medicare beneficiaries and totaling roughly $771K in drug spend, split 24% brand-name and 76% 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 90.8442/100 for the 2023 performance year (Quality 81.6885), compared with the national average of 83.1.

Primary Care Nurse Practitioner is a mid-sized specialty nationwide, with 10,138 enrolled providers across 54 states and an average of 1,363 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

6701 AIRPORT BLVD
MOBILE, AL 36608

Provider Details

NPI 1639599483
Specialty Primary Care Nurse Practitioner
Credentials NP-C
Gender Male
NPI Issued 04/21/2014

CMS Quality Score (MIPS)

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

90.8442
Final Score
Avg: 83.1
81.6885
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where JOSHUA RIVERS, NP-C 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.

USA HEALTH COMMUNITY PROVIDERS LLC
MOBILE, AL

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 JOSHUA RIVERS, NP-C. Source: openpaymentsdata.cms.gov.

Total received

$1.5K

Largest payer

ABBVIE 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 · Typical

JOSHUA RIVERS, NP-C — brand share 24.0%
Specialty average (est.)

24% brand-name claims vs 76% generic, on 2,460 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.

2,460
Total Claims
$771K
Total Drug Cost
635
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,363
Total Day Supply
121,634
Brand vs Generic
24% brand / 76% generic
Brand Drug Cost
$679K
Generic Drug Cost
$93K
Antibiotic Claims
44

Patient Demographics

Average Patient Age
70.0 years
Avg HCC Risk Score
1.41
Gender Split
57% female / 43% male
Age Distribution
<65: 111, 65-74: 327, 75-84: 171, 85+: 26

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Famotidine
730
Pantoprazole Sodium
385
Peg 3350-Electrolyte
Sodium Chloride/Nahco3/Kcl/Peg
229
Sucralfate
195
Linzess
Linaclotide
177
Omeprazole
97
Creon
Lipase/Protease/Amylase
84
Lactulose
54
Movantik
Naloxegol Oxalate
50
Dicyclomine Hcl
49

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

Primary Care Nurse Practitioner Overview

How JOSHUA RIVERS, NP-C fits within the Primary Care Nurse Practitioner landscape nationally.

10,138
Primary Care Nurse Practitioner Providers in US
54
States with Primary Care Nurse Practitioner
1,363
Avg Claims per Provider

JOSHUA RIVERS, NP-C's 2,460 claims are above the specialty average of 1,363.

Nearby Primary Care Nurse Practitioner Providers in Alabama

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

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

Frequently Asked Questions

What is JOSHUA RIVERS, NP-C's specialty?
JOSHUA RIVERS, NP-C specializes in Primary Care Nurse Practitioner and practices in MOBILE, Alabama. Credentials: NP-C.
How much does JOSHUA RIVERS, NP-C prescribe under Medicare Part D?
In 2023, JOSHUA RIVERS, NP-C wrote 2,460 Medicare Part D claims totaling $771K in drug costs for 635 beneficiaries.
What is JOSHUA RIVERS, NP-C's Medicare quality score?
JOSHUA RIVERS, NP-C has a CMS MIPS Final Score of 90.8442/100 (Quality: 81.6885). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOSHUA RIVERS, NP-C located?
JOSHUA RIVERS, NP-C is located at 6701 AIRPORT BLVD, MOBILE, AL, 36608. Phone: (251) 639-2101.
What is JOSHUA RIVERS, NP-C's NPI number?
JOSHUA RIVERS, NP-C's National Provider Identifier (NPI) is 1639599483, issued on 04/21/2014.
Does JOSHUA RIVERS, NP-C prescribe more brand-name or generic drugs?
JOSHUA RIVERS, NP-C's prescribing is 24% brand-name and 76% generic drugs by claim count, with $679K in brand drug costs.
How many Primary Care Nurse Practitioner providers are there in the US?
There are 10,138 Primary Care Nurse Practitioner providers across 54 states in the US. The average Primary Care Nurse Practitioner provider writes 1,363 Medicare Part D claims per year.
What drugs does JOSHUA RIVERS, NP-C prescribe most often?
Based on 2023 Medicare Part D data, JOSHUA RIVERS, NP-C's most frequently prescribed drugs include Famotidine, Pantoprazole Sodium, Peg 3350-Electrolyte. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSHUA RIVERS, NP-C accept Medicare?
JOSHUA RIVERS, NP-C appears in CMS Medicare data with 2,460 Part D claims and 635 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSHUA RIVERS, NP-C's credentials?
JOSHUA RIVERS, NP-C's NPI is 1639599483 with credentials NP-C. 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