2026 NPPES data Registered Nurse NPI 1255097309 FNP
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Karen Buck, FNP

Registered Nurse in Rochester, New York. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 175,652 in Registered Nurse, 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
1K
Medicare Part D claims · 159 beneficiaries · Registered Nurse avg: 1K
Generic prescribing
87%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
85.2/100
▲ 2 pts above national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Karen Buck, FNP reported a CMS MIPS final score of 85.2/100 - above the 83.1 national average - and filed 1,251 Medicare Part D claims in 2023.

85.2/100
MIPS score · +2 vs avg
1K
Part D claims, 2023
87%
generic prescribing

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.

Karen Buck, FNP's MIPS score vs every scored U.S. clinician

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

85 49th percentile higher than 49% 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%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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 Karen Buck, FNP sits

This provider among registered nurse peers

Across the 3,327 registered nurse providers who report both Medicare Part D prescribing and a MIPS quality score, Karen Buck, FNP writes more Part D claims than 77% of them and scores higher on MIPS quality than 49% - 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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 20Karen Buck, FNP-Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 49
Part D claim volume vs MIPS quality, by specialty percentile

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

What does the federal data show about Karen Buck, FNP?

High performer (top quartile)

NPI registry status

Active

Issued 11/12/2021

NPI 1255097309

Primary specialty

Registered Nurse

High-volume

175,652 US NPIs in this specialty

Medicare Part D claims

1,251 25% vs specialty avg

2023 prescription claims

Specialty avg: 1,000

MIPS final score

85.2/100 2.1 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in New York

How Registered Nurse compares to other specialties among New York providers

New York providers

Largest specialties in New York (% of in-state providers)

Student in an Organized Health Care Education/Training Program - 7.8%Student in an Organized Health Care Education/Training Program7.8%Registered Nurse - 5.2%Registered Nurse5.2%Clinical Social Worker - 4.9%Clinical Social Worker4.9%Social Worker - 4.5%Social Worker4.5%Speech-Language Pathologist - 4.5%Speech-Language Pathologist4.5%Licensed Practical Nurse - 4.3%Licensed Practical Nurse4.3%
Largest specialties in New York (% of in-state providers)

Medicare quality performance, MIPS

Karen Buck, FNP's 2023 MIPS final score plotted against the Registered Nurse national average

High performer (top quartile)
MIPS Final Score
85.2/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Registered Nurse) - 85.2/100 vs national avg 83.1

0%100%National avg83%85.2%
MIPS final score (Registered Nurse) - 85.2/100 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).

Karen Buck, FNP appears in the CMS NPPES registry as a Registered Nurse provider holding FNP credentials at 777 CLINTON AVE S, Rochester, NY, 14620, with a listed phone of (585) 279-4800. NPI 1255097309 was issued on 11/12/2021. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Buck 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 1,251 prescription claims written by this provider, covering 159 Medicare beneficiaries and totaling roughly $112K in drug spend, split 11% brand-name and 87% generic by claim count, with an opioid prescribing rate of 3.8%. 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 85.2/100 for the 2023 performance year (Quality 70.9, Cost 63), compared with the national average of 83.1.

Registered Nurse is a high-volume specialty nationwide, with 175,652 enrolled providers across 56 states and an average of 1,000 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

777 CLINTON AVE S
Rochester, NY 14620

Provider Details

NPI 1255097309
Specialty Registered Nurse
Credentials FNP
Gender Female
NPI Issued 11/12/2021

CMS Quality Score (MIPS)

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

85.1715
Final Score
Avg: 83.1
70.9229
Quality
62.9821
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Karen Buck, FNP 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.

Highland Hospital OF Rochester
Rochester, NY
University OF Rochester
Rochester, NY

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Karen Buck, FNP. To verify Karen Buck, FNP's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Karen Buck, FNP - brand share 11.0%
Registered Nurse average

11% brand-name claims vs 87% generic, on 1,251 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.

1,251
Total Claims
$112K
Total Drug Cost
159
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,748
Total Day Supply
47,560
Brand vs Generic
11% brand / 87% generic
Brand Drug Cost
$88K
Generic Drug Cost
$22K
Opioid Claims
48 (3.8% rate)
Antibiotic Claims
31

Patient Demographics

Average Patient Age
63.2 years
Avg HCC Risk Score
1.56
Gender Split
61% female / 39% male
Age Distribution
<65: 67, 65-74: 68, 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 Karen Buck, FNP 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
Losartan Potassium
61
Atorvastatin Calcium
58
Famotidine
38
Omeprazole
36
Gabapentin
32
Diclofenac Sodium
27
Amlodipine Besylate
26
Spironolactone
25
Metformin Hcl Er
Metformin Hcl
24
Rosuvastatin Calcium
24

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

Registered Nurse Overview

How Karen Buck, FNP fits within the Registered Nurse landscape nationally.

175,652
Registered Nurse Providers in US
56
States with Registered Nurse
1,000
Avg Claims per Provider

Karen Buck, FNP's 1,251 claims are above the specialty average of 1,000.

Nearby Registered Nurse Providers in New York

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

Compare Registered Nurse 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 New York medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Registered Nurse 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 Karen Buck, FNP's specialty?
Karen Buck, FNP specializes in Registered Nurse and practices in Rochester, New York. Credentials: FNP.
How much does Karen Buck, FNP prescribe under Medicare Part D?
In 2023, Karen Buck, FNP wrote 1,251 Medicare Part D claims totaling $112K in drug costs for 159 beneficiaries.
What is Karen Buck, FNP's Medicare quality score?
Karen Buck, FNP has a CMS MIPS Final Score of 85.2/100 (Quality: 70.9, Cost: 63). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Karen Buck, FNP located?
Karen Buck, FNP is located at 777 CLINTON AVE S, Rochester, NY, 14620. Phone: (585) 279-4800.
What is Karen Buck, FNP's NPI number?
Karen Buck, FNP's National Provider Identifier (NPI) is 1255097309, issued on 11/12/2021.
Does Karen Buck, FNP prescribe more brand-name or generic drugs?
Karen Buck, FNP's prescribing is 11% brand-name and 87% generic drugs by claim count, with $88K in brand drug costs.
Does Karen Buck, FNP prescribe opioids?
Yes, Karen Buck, FNP had 48 opioid claims in 2023 with an opioid prescribing rate of 3.8%.
How many Registered Nurse providers are there in the US?
There are 175,652 Registered Nurse providers across 56 states in the US. The average Registered Nurse provider writes 1,000 Medicare Part D claims per year.
What drugs does Karen Buck, FNP prescribe most often?
Based on 2023 Medicare Part D data, Karen Buck, FNP's most frequently prescribed drugs include Losartan Potassium, Atorvastatin Calcium, Famotidine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Karen Buck, FNP accept Medicare?
Karen Buck, FNP appears in CMS Medicare data with 1,251 Part D claims and 159 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Karen Buck, FNP's credentials?
Karen Buck, FNP's NPI is 1255097309 with credentials FNP. 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

Compiled from official public sources by the PlainDoctor editorial team.