PlainDoctor

2026 NPPES data Family Nurse Practitioner NPI 1972226926 FNP-C
Verify on CMS →

Kara Fiore, FNP-C

Family Nurse Practitioner in Portsmouth, New Hampshire.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 216,959 in Family 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
456
Medicare Part D claims · 248 beneficiaries · Family Nurse Practitioner avg: 1K
MIPS score
84.9/100
▲ 1 pts above national avg 83.5 · Above neutral
Industry payments
$115.74
6 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Kara Fiore, FNP-C reported a CMS MIPS final score of 84.9/100 - above the 83.5 national average - and filed 456 Medicare Part D claims in 2024.

84.9/100
MIPS score · +1 vs avg
456
Part D claims, 2024
$115.74
industry payments (Sunshine Act)
≥42nd
pct among measured MIPS (lower-bound band)

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.

Federal trust snapshot

What official records show about Kara Fiore, FNP-C

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1972226926), first enumerated 09/23/2022.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 456 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 84.9/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $115.74 in reported industry payments (6 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

Compare Fiore with other Family Nurse Practitioner providers

Same primary specialty, same federal CMS NPPES roster.

All 38 Family Nurse Practitioner providers in Portsmouth, NH →

Also enrolled in New Hampshire

Other specialties in Portsmouth: Mental Health Counselor (154) · Counselor (119) · Student in an Organized Health Care Education/Training Program (108) · Behavior Analyst (104)

CMS NPPES provider registry desk

NPI 1972226926 · Family Nurse Practitioner

NPI-10 · ENUM-RECENT · TAX-MEGA · MIPS-INLINE · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1972226926
  • ENUM-RECENT 2022
  • TAX-MEGA 217K Family Nurse
  • MIPS-INLINE 84.9/100
  • RX-LIGHT 456
  • BOOK-LIGHT 1,214 in New Hampshire
  • PHOTO-FINISH Irene Acheampong, MS… · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Kara Fiore, FNP-C's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

85 ≥ 42nd percentile 42% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Kara Fiore, FNP-C sits

This provider among family nurse practitioner peers

Across the 26,556 family nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Kara Fiore, FNP-C writes more Part D claims than 53% of them and scores higher on MIPS quality than 44% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100022.344.666.989.3Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 78Kara Fiore, FNP-C, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 44
Part D claim volume vs MIPS quality, by specialty percentile

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

What does the federal data show about Kara Fiore, FNP-C?

Near national average

NPI registry status

Active

Issued 09/23/2022

NPI 1972226926

Primary specialty

Family Nurse Practitioner

High-volume

216,959 US NPIs in this specialty

Medicare Part D claims

456 65% vs specialty avg

2024 prescription claims

Specialty avg: 1,302

MIPS final score

84.9/100 1.4 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in New Hampshire

How Family Nurse Practitioner compares to other specialties among New Hampshire providers

New Hampshire providers
Mental Health Counselor6.6%Physical Therapist5%Clinical Social Worker4.4%Pharmacist3.9%Case Manager/Care Coordinator3.8%Student in an Organized Heal…3.7%Family Nurse Practitioner3.7%
Largest specialties in New Hampshire (% of in-state providers)

Medicare quality performance, MIPS

Kara Fiore, FNP-C's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

Near national average
MIPS Final Score
84.9/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%84.9%
MIPS final score (Family Nurse Practitioner) - 84.9/100 vs national avg 83.5
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).

Practice Address

278 LAFAYETTE RD BLDG E
Portsmouth, NH 03801
(603) 431-5205

Provider Details

NPI 1972226926
Specialty Family Nurse Practitioner
Credentials FNP-C
Gender Female
NPI Issued 09/23/2022

CMS Quality Score (MIPS)

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

84.8818
Final Score
Measured-score avg: 83.5
73.4429
Quality
98.294
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where Kara Fiore, FNP-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.

Forefront Dermatology - New Hampshire, PLLC
Portsmouth, NH

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 Kara Fiore, FNP-C. Source: openpaymentsdata.cms.gov.

Total received

$116

Largest payer

UCB, 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

456
Total Claims
$209K
Total Drug Cost
248
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
539.467
Total Day Supply
13,322
Generic Drug Cost
$13K
Antibiotic Claims
31

Patient Demographics

Average Patient Age
71.8 years
Avg HCC Risk Score
0.89
Gender Split
64% female / 36% male
Age Distribution
<65: 21, 65-74: 138, 75-84: 73, 85+: 16

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Kara Fiore, FNP-C prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Ketoconazole
 63
Mupirocin
 43
Triamcinolone Acetonide
 37
Clobetasol Propionate
 36
Econazole Nitrate
 29
Metronidazole
 22
Fluocinolone Acetonide
Fluocinolone/Shower Cap
16
Ciclopirox
 15
Nystatin
 15
Doxycycline Monohydrate
 12

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

More Family Nurse Practitioner in NH → All providers in New Hampshire → Compare specialties →

Family Nurse Practitioner Overview

How Kara Fiore, FNP-C fits within the Family Nurse Practitioner landscape nationally.

216,959
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,302
Avg Claims per Provider

Kara Fiore, FNP-C's 456 claims are below the specialty average of 1,302.

Nationwide Family Nurse Practitioner peers with similar MIPS or enrollment year

Two federal-record peer sets for Fiore, both outside New Hampshire so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (84.9 here).

Irene Acheampong 84.9 MA Rachel Adams 84.9 MA Alison Almond 84.9 MA Ifeoma Asiegbu 84.9 MA

Same NPPES enumeration year (2022)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Jessica Hernandez Sylmar, CA Wilfredo Concio Tempe, AZ Enyonam Abalekpor Omaha, NE Jeanea Morris Kewanee, IL

Nearby Family 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 Fiore.

One of 1,214 Family Nurse Practitioner providers enrolled in New Hampshire, 11 are shown on this page.

Jenna Adams
N.P.
Portsmouth, NH
Brandi Adinolfo
APRN
Laconia, NH
Charles Adler
APRN, FNP-BC
Lebanon, NH
Katherine Affleck
APRN
Epping, NH
Joyce Agarwal
APRN
Manchester, NH

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

Frequently Asked Questions

What is Kara Fiore, FNP-C's specialty? ▼
Kara Fiore, FNP-C specializes in Family Nurse Practitioner and practices in Portsmouth, New Hampshire. Credentials: FNP-C.
How much does Kara Fiore, FNP-C prescribe under Medicare Part D? ▼
In 2024, Kara Fiore, FNP-C wrote 456 Medicare Part D claims totaling $209K in drug costs for 248 beneficiaries.
What is Kara Fiore, FNP-C's Medicare quality score? ▼
Kara Fiore, FNP-C has a CMS MIPS Final Score of 84.9/100 (Quality: 73.4, Cost: 98.3). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Kara Fiore, FNP-C located? ▼
Kara Fiore, FNP-C is located at 278 LAFAYETTE RD BLDG E, Portsmouth, NH, 03801. Phone: (603) 431-5205.
What is Kara Fiore, FNP-C's NPI number? ▼
Kara Fiore, FNP-C's National Provider Identifier (NPI) is 1972226926, issued on 09/23/2022.
How many Family Nurse Practitioner providers are there in the US? ▼
There are 216,959 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,302 Medicare Part D claims per year.
What drugs does Kara Fiore, FNP-C prescribe most often? ▼
Based on 2024 Medicare Part D data, Kara Fiore, FNP-C's most frequently prescribed drugs include Ketoconazole, Mupirocin, Triamcinolone Acetonide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kara Fiore, FNP-C accept Medicare? ▼
Kara Fiore, FNP-C appears in CMS Medicare data with 456 Part D claims and 248 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kara Fiore, FNP-C's credentials? ▼
Kara Fiore, FNP-C's NPI is 1972226926 with credentials FNP-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 (2024). 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 August 2026 (NPPES) / 2024 (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 editorial process.

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 August 2026.