NPI registry status
Active
2026 NPPES data Obstetrics & Gynecology Nurse Practitioner NPI 1760460562 NP
Verify on CMS → Julia Koestner, NP
Obstetrics & Gynecology Nurse Practitioner in Paw Paw, Michigan.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,867 in Obstetrics & Gynecology 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
502
Medicare Part D claims · 151 beneficiaries · Obstetrics & Gynecology Nurse Practitioner avg: 232
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84.9/100
▲ 2 pts above national avg 83.1 · Above neutral
Industry payments
$249.36
13 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Julia Koestner, NP reported a CMS MIPS final score of 84.9/100 - above the 83.1 national average - and filed 502 Medicare Part D claims in 2023.
- 84.9/100
- MIPS score · +2 vs avg
- 502
- Part D claims, 2023
- 91%
- generic prescribing
- $249.36
- 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.
Julia Koestner, NP's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
85 45th percentile higher than 45% of 477,587 scored providers
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 Julia Koestner, NP sits
This provider among obstetrics & gynecology nurse practitioner peers
Across the 240 obstetrics & gynecology nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Julia Koestner, NP writes more Part D claims than 91% of them and scores higher on MIPS quality than 48% - 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
Each dot is one obstetrics & gynecology nurse practitioner peer from a representative sample of 60; the gold marker is Julia Koestner, NP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Julia Koestner, NP?
Near national averagePrimary specialty
Obstetrics & Gynecology Nurse Practitioner
Medicare Part D claims
502 116% vs specialty avg
MIPS final score
84.9/100 1.8 pts vs avg
Specialty distribution in Michigan
How Obstetrics & Gynecology Nurse Practitioner compares to other specialties among Michigan providers
Medicare quality performance, MIPS
Julia Koestner, NP's 2023 MIPS final score plotted against the Obstetrics & Gynecology Nurse Practitioner national average
- MIPS Final Score
- 84.9/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Obstetrics & Gynecology Nurse Practitioner) - 84.9/100 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).
Julia Koestner, NP appears in the CMS NPPES registry as an Obstetrics & Gynecology Nurse Practitioner provider holding NP credentials at 451 HEALTH PKWY, Paw Paw, MI, 49079, with a listed phone of (269) 655-3070. NPI 1760460562 was issued on 01/03/2006.
Medicare Part D records for calendar year 2023 show 502 prescription claims written by this provider, covering 151 Medicare beneficiaries and totaling roughly $34K in drug spend, split 9% brand-name and 91% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 84.9/100 for the 2023 performance year (Quality 81.3, Cost 68.3), compared with the national average of 83.1.
Obstetrics & Gynecology Nurse Practitioner is a narrow specialty nationwide, with 2,867 enrolled providers across 52 states and an average of 232 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
Provider Details
| NPI | 1760460562 |
|---|---|
| Specialty | Obstetrics & Gynecology Nurse Practitioner |
| Credentials | NP |
| Gender | Female |
| NPI Issued | 01/03/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
84.8851
Final Score
Avg: 83.1
81.2912
Quality
68.3258
Cost
100
Promoting Interoperability
Reporting: Group practice
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 Julia Koestner, NP. Source: openpaymentsdata.cms.gov.
Total received
$249
Largest payer
Exeltis, USA 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.
License & disciplinary context - Michigan MI-BOM 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 ~41K Michigan medical licensees in 2023 - they are NOT specific to Julia Koestner, NP. To verify Julia Koestner, NP's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases
MI-BOM 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 Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
Julia Koestner, NP - brand share 9.0%
Obstetrics & Gynecology Nurse Practitioner average
9% brand-name claims vs 91% generic, on 502 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.
502
Total Claims
$34K
Total Drug Cost
151
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 925
- Total Day Supply
- 25,715
- Brand vs Generic
- 9% brand / 91% generic
- Brand Drug Cost
- $13K
- Generic Drug Cost
- $21K
- Antibiotic Claims
- 28
Patient Demographics
- Average Patient Age
- 66.1 years
- Avg HCC Risk Score
- 0.99
- Gender Split
- 100% female / 0% male
- Age Distribution
- <65: 43, 65-74: 67, 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 Julia Koestner, NP prescribes most
Top Medicare Part D drugs by claim count, 2023
- Estradiol
Estradiol
108 claims
- Tolterodine Tartra… 31
Tolterodine Tartrate Er
31 claims
- Alendronate Sodium 29
Alendronate Sodium
29 claims
- Imiquimod 28
Imiquimod
28 claims
- Fluconazole 24
Fluconazole
24 claims
- Clobetasol Emollient 22
Clobetasol Emollient
22 claims
- Terconazole 22
Terconazole
22 claims
- Clobetasol Propion… 21
Clobetasol Propionate
21 claims
| Drug | Claims |
|---|---|
| Estradiol | 108 |
| Tolterodine Tartrate Er Tolterodine Tartrate | 31 |
| Alendronate Sodium | 29 |
| Imiquimod | 28 |
| Fluconazole | 24 |
| Clobetasol Emollient Clobetasol Propionate/Emoll | 22 |
| Terconazole | 22 |
| Clobetasol Propionate | 21 |
| Medroxyprogesterone Acetate | 20 |
| Minocycline Hcl | 20 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Obstetrics & Gynecology Nurse Practitioner in MI →
All providers in Michigan →
Compare specialties →
Obstetrics & Gynecology Nurse Practitioner Overview
How Julia Koestner, NP fits within the Obstetrics & Gynecology Nurse Practitioner landscape nationally.
2,867
Obstetrics & Gynecology Nurse Practitioner Providers in US
52
States with Obstetrics & Gynecology Nurse Practitioner
232
Avg Claims per Provider
Julia Koestner, NP's 502 claims are above the specialty average of 232.
Nearby Obstetrics & Gynecology Nurse Practitioner Providers in Michigan
Other clinicians with the same primary specialty enrolled in Michigan, drawn from the same CMS NPPES roster as Koestner.
Dr. Jaimie Allen
MSN, FNP-BC
West Bloomfield, MI
Dr. Mary Barringer
WHNP-BC
Dearborn, MI
Dr. Shelly Betancourt
MSN,MHA,WHNP-BC
Carson City, MI
Dr. Myrtie Biery
CNP
Saginaw, MI
Dr. Paula Blankenship
NP
Howell, MI
Compare Obstetrics & Gynecology 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 Michigan medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Obstetrics & Gynecology 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.
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Frequently Asked Questions
What is Julia Koestner, NP's specialty? ▼
Julia Koestner, NP specializes in Obstetrics & Gynecology Nurse Practitioner and practices in Paw Paw, Michigan. Credentials: NP.
How much does Julia Koestner, NP prescribe under Medicare Part D? ▼
In 2023, Julia Koestner, NP wrote 502 Medicare Part D claims totaling $34K in drug costs for 151 beneficiaries.
What is Julia Koestner, NP's Medicare quality score? ▼
Julia Koestner, NP has a CMS MIPS Final Score of 84.9/100 (Quality: 81.3, Cost: 68.3). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Julia Koestner, NP located? ▼
Julia Koestner, NP is located at 451 HEALTH PKWY, Paw Paw, MI, 49079. Phone: (269) 655-3070.
What is Julia Koestner, NP's NPI number? ▼
Julia Koestner, NP's National Provider Identifier (NPI) is 1760460562, issued on 01/03/2006.
Does Julia Koestner, NP prescribe more brand-name or generic drugs? ▼
Julia Koestner, NP's prescribing is 9% brand-name and 91% generic drugs by claim count, with $13K in brand drug costs.
How many Obstetrics & Gynecology Nurse Practitioner providers are there in the US? ▼
There are 2,867 Obstetrics & Gynecology Nurse Practitioner providers across 52 states in the US. The average Obstetrics & Gynecology Nurse Practitioner provider writes 232 Medicare Part D claims per year.
What drugs does Julia Koestner, NP prescribe most often? ▼
Based on 2023 Medicare Part D data, Julia Koestner, NP's most frequently prescribed drugs include Estradiol, Tolterodine Tartrate Er, Alendronate Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Julia Koestner, NP accept Medicare? ▼
Julia Koestner, NP appears in CMS Medicare data with 502 Part D claims and 151 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Julia Koestner, NP's credentials? ▼
Julia Koestner, NP's NPI is 1760460562 with credentials NP. 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.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.