2026 NPPES data Gerontology Nurse Practitioner NPI 1790369593 NP-C
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Justine Fratz-Orr, NP-C

Gerontology Nurse Practitioner in Oakland, Maryland.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,706 in Gerontology 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
450
Medicare Part D claims · 90 beneficiaries · Gerontology Nurse Practitioner avg: 1K
Generic prescribing
97%
generic claims · 3% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
70.9/100
▼ 12 pts below national avg 83.1 · Mid-tier
Industry payments
$21.53
1 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Justine Fratz-Orr, NP-C reported a CMS MIPS final score of 70.9/100 - below the 83.1 national average - and filed 450 Medicare Part D claims in 2023.

70.9/100
MIPS score · -12 vs avg
450
Part D claims, 2023
97%
generic prescribing
$21.53
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.

Justine Fratz-Orr, NP-C's MIPS score vs every scored U.S. clinician

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

71 8th percentile higher than 8% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 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 Justine Fratz-Orr, NP-C sits

This provider among gerontology nurse practitioner peers

Across the 1,301 gerontology nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Justine Fratz-Orr, NP-C writes more Part D claims than 49% of them and scores higher on MIPS quality than 9% - placing this provider in the lower-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 quality0255075100023.146.269.392.4Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 88Justine Fratz-Orr, NP-C-Part D claim volume, percentile in specialty: 49 · MIPS quality, percentile: 9
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one gerontology nurse practitioner peer from a representative sample of 60; the gold marker is Justine Fratz-Orr, NP-C. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Justine Fratz-Orr, NP-C?

Below national average

NPI registry status

Active

Issued 05/07/2021

NPI 1790369593

Primary specialty

Gerontology Nurse Practitioner

Mid-sized

9,706 US NPIs in this specialty

Medicare Part D claims

450 65% vs specialty avg

2023 prescription claims

Specialty avg: 1,283

MIPS final score

70.9/100 12.2 pts vs avg

Mid-tier band

vs 83.1 national avg

Specialty distribution in Maryland

How Gerontology Nurse Practitioner compares to other specialties among Maryland providers

Maryland providers
Behavior Technician - 14.1%Behavior Technician14.1%Clinical Social Worker - 5.5%Clinical Social Worker5.5%Student in an Organized Health Care Education/Training Program - 4.5%Student in an Organized Health Care Education/Training Program4.5%Home Health Aide - 4.4%Home Health Aide4.4%Physical Therapist - 3.9%Physical Therapist3.9%Pharmacist - 3.6%Pharmacist3.6%Gerontology Nurse Practitioner - 0.1%Gerontology Nurse Practitioner0.1%
Largest specialties in Maryland (% of in-state providers)

Medicare quality performance, MIPS

Justine Fratz-Orr, NP-C's 2023 MIPS final score plotted against the Gerontology Nurse Practitioner national average

Below national average
MIPS Final Score
70.9/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gerontology Nurse Practitioner) - 70.9/100 vs national avg 83.1

0%100%National avg83%70.9%
MIPS final score (Gerontology Nurse Practitioner) - 70.9/100 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).

Justine Fratz-Orr, NP-C appears in the CMS NPPES registry as a Gerontology Nurse Practitioner provider holding NP-C credentials at 215 N 4TH ST, Oakland, MD, 21550, with a listed phone of (301) 533-4290. NPI 1790369593 was issued on 05/07/2021.

Medicare Part D records for calendar year 2023 show 450 prescription claims written by this provider, covering 90 Medicare beneficiaries and totaling roughly $15K in drug spend, split 3% brand-name and 97% generic by claim count, with an opioid prescribing rate of 52.7%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 70.9/100 for the 2023 performance year (Quality 68.4, Cost 76.7), compared with the national average of 83.1.

Gerontology Nurse Practitioner is a mid-sized specialty nationwide, with 9,706 enrolled providers across 54 states and an average of 1,283 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

215 N 4TH ST
Oakland, MD 21550

Provider Details

NPI 1790369593
Specialty Gerontology Nurse Practitioner
Credentials NP-C
Gender Female
NPI Issued 05/07/2021

CMS Quality Score (MIPS)

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

70.9425
Final Score
Avg: 83.1
68.4086
Quality
76.7381
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Justine Fratz-Orr, 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.

Specialty Physicians OF Garrett County, LLC
Oakland, MD

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 Justine Fratz-Orr, NP-C. Source: openpaymentsdata.cms.gov.

Total received

$22

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 · Generic-heavy

Justine Fratz-Orr, NP-C - brand share 3.0%
Gerontology Nurse Practitioner average

3% brand-name claims vs 97% generic, on 450 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.

450
Total Claims
$15K
Total Drug Cost
90
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
465
Total Day Supply
13,159
Brand vs Generic
3% brand / 97% generic
Brand Drug Cost
$2K
Generic Drug Cost
$13K
Opioid Claims
237 (52.7% rate)

Patient Demographics

Average Patient Age
68.5 years
Avg HCC Risk Score
1.56
Gender Split
59% female / 41% male
Age Distribution
<65: 27, 65-74: 38, 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 Justine Fratz-Orr, NP-C 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
Gabapentin
96
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
71
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
62
Oxycodone Hcl
37
Tizanidine Hcl
29
Duloxetine Hcl
20
Tramadol Hcl
17
Diclofenac Sodium
16
Fentanyl
15
Pregabalin
14

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

Gerontology Nurse Practitioner Overview

How Justine Fratz-Orr, NP-C fits within the Gerontology Nurse Practitioner landscape nationally.

9,706
Gerontology Nurse Practitioner Providers in US
54
States with Gerontology Nurse Practitioner
1,283
Avg Claims per Provider

Justine Fratz-Orr, NP-C's 450 claims are below the specialty average of 1,283.

Nearby Gerontology Nurse Practitioner Providers in Maryland

Other clinicians with the same primary specialty enrolled in Maryland, drawn from the same CMS NPPES roster as Fratz-Orr.

Compare Gerontology 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 Maryland medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Gerontology 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 Justine Fratz-Orr, NP-C's specialty?
Justine Fratz-Orr, NP-C specializes in Gerontology Nurse Practitioner and practices in Oakland, Maryland. Credentials: NP-C.
How much does Justine Fratz-Orr, NP-C prescribe under Medicare Part D?
In 2023, Justine Fratz-Orr, NP-C wrote 450 Medicare Part D claims totaling $15K in drug costs for 90 beneficiaries.
What is Justine Fratz-Orr, NP-C's Medicare quality score?
Justine Fratz-Orr, NP-C has a CMS MIPS Final Score of 70.9/100 (Quality: 68.4, Cost: 76.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Justine Fratz-Orr, NP-C located?
Justine Fratz-Orr, NP-C is located at 215 N 4TH ST, Oakland, MD, 21550. Phone: (301) 533-4290.
What is Justine Fratz-Orr, NP-C's NPI number?
Justine Fratz-Orr, NP-C's National Provider Identifier (NPI) is 1790369593, issued on 05/07/2021.
Does Justine Fratz-Orr, NP-C prescribe more brand-name or generic drugs?
Justine Fratz-Orr, NP-C's prescribing is 3% brand-name and 97% generic drugs by claim count, with $2K in brand drug costs.
Does Justine Fratz-Orr, NP-C prescribe opioids?
Yes, Justine Fratz-Orr, NP-C had 237 opioid claims in 2023 with an opioid prescribing rate of 52.7%.
How many Gerontology Nurse Practitioner providers are there in the US?
There are 9,706 Gerontology Nurse Practitioner providers across 54 states in the US. The average Gerontology Nurse Practitioner provider writes 1,283 Medicare Part D claims per year.
What drugs does Justine Fratz-Orr, NP-C prescribe most often?
Based on 2023 Medicare Part D data, Justine Fratz-Orr, NP-C's most frequently prescribed drugs include Gabapentin, Oxycodone-Acetaminophen, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Justine Fratz-Orr, NP-C accept Medicare?
Justine Fratz-Orr, NP-C appears in CMS Medicare data with 450 Part D claims and 90 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Justine Fratz-Orr, NP-C's credentials?
Justine Fratz-Orr, NP-C's NPI is 1790369593 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

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.