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2026 NPPES data Adult Health Nurse Practitioner NPI 1154324028 NP
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Karmell Macoretta, NP

Adult Health Nurse Practitioner in Williamsville, 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 29,811 in Adult Health 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
628
Medicare Part D claims · 231 beneficiaries · Adult Health Nurse Practitioner avg: 1K
MIPS score
91.1/100
▲ 8 pts above national avg 83.5 · Exceptional
Industry payments
$173.4
5 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

Karmell Macoretta, NP reported a CMS MIPS final score of 91.1/100 - above the 83.5 national average - and filed 628 Medicare Part D claims in 2024.

91.1/100
MIPS score · +8 vs avg
628
Part D claims, 2024
$173.4
industry payments (Sunshine Act)
≥61st
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 Karmell Macoretta, NP

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 1154324028), first enumerated 05/24/2005.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 628 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 91.1/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Hospital affiliations

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

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $173.4 in reported industry payments (5 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    New York statewide board action statistics are published annually — these figures describe aggregate state activity, not Karmell Macoretta, NP's individual license status. Verify directly with the state medical board.

    Source: NYSBPMC annual report 2023

  • 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.

CMS NPPES provider registry desk

NPI 1154324028 · Adult Health Nurse Practitioner

NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-ABOVE · RX-LIGHT · BOOK-MID · PHOTO-FINISH

  • NPI-10 1154324028
  • ENUM-LEGACY 2005
  • TAX-MID 30K Adult Health
  • MIPS-ABOVE 91.1/100
  • RX-LIGHT 628
  • BOOK-MID 5,499 in New York
  • PHOTO-FINISH Jennifer Cerny · ±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

Karmell Macoretta, NP'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.

91 ≥ 61st percentile 61% 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%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. 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 Karmell Macoretta, NP sits

This provider among adult health nurse practitioner peers

Across the 4,201 adult health nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Karmell Macoretta, NP writes more Part D claims than 60% of them and scores higher on MIPS quality than 62% - placing this provider in the high-volume, high-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 quality0255075100024.448.873.297.7Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 3Karmell Macoretta, NP, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 62
Part D claim volume vs MIPS quality, by specialty percentile

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

What does the federal data show about Karmell Macoretta, NP?

High performer (top quartile)

NPI registry status

Active

Issued 05/24/2005

NPI 1154324028

Primary specialty

Adult Health Nurse Practitioner

Mid-sized

29,811 US NPIs in this specialty

Medicare Part D claims

628 51% vs specialty avg

2024 prescription claims

Specialty avg: 1,291

MIPS final score

91.1/100 7.6 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in New York

How Adult Health Nurse Practitioner compares to other specialties among New York providers

New York providers
Student in an Organized Heal…8%Registered Nurse5.2%Clinical Social Worker4.9%Social Worker4.5%Speech-Language Pathologist4.5%Licensed Practical Nurse4.3%Adult Health Nurse Practitio…1%
Largest specialties in New York (% of in-state providers)

Medicare quality performance, MIPS

Karmell Macoretta, NP's 2023 MIPS final score plotted against the Adult Health Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
91.1/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%91.1%
MIPS final score (Adult Health Nurse Practitioner) - 91.1/100 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

342 HARRIS HILL RD
Williamsville, NY 14221
(716) 204-0777

Provider Details

NPI 1154324028
Specialty Adult Health Nurse Practitioner
Credentials NP
Gender Female
NPI Issued 05/24/2005

CMS Quality Score (MIPS)

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

91.1357
Final Score
Measured-score avg: 83.5
72.7907
Quality
89.0628
Cost
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Karmell Macoretta, NP 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.

Frank R Laurri MD And Associates PC
Niagara Falls, NY
University AT Buffalo Neurosurgery Inc
Niagara Falls, 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).

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 Karmell Macoretta, NP. Source: openpaymentsdata.cms.gov.

Total received

$173

Largest payer

Lilly USA, LLC

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 - 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 Karmell Macoretta, NP. To verify Karmell Macoretta, NP'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.

Medicare Part D Prescribing Data

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

628
Total Claims
$59K
Total Drug Cost
231
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,014.367
Total Day Supply
25,217
Generic Drug Cost
$8K
Opioid Claims
20 (3.2% rate)
Antibiotic Claims
82

Patient Demographics

Average Patient Age
74.5 years
Avg HCC Risk Score
1.52
Gender Split
65% female / 35% male
Age Distribution
<65: 26, 65-74: 93, 75-84: 72, 85+: 40

Top Prescribed Drugs (Medicare Part D)

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

What Karmell Macoretta, NP 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
Albuterol Sulfate Hfa
Albuterol Sulfate
30
Furosemide
 26
Prednisone
 26
Azithromycin
 24
Losartan Potassium
 20
Gabapentin
 19
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
17
Methylprednisolone
 16
Pantoprazole Sodium
 16
Venlafaxine Hcl Er
Venlafaxine Hcl
16

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

More Adult Health Nurse Practitioner in NY → All providers in New York → Compare specialties →

Adult Health Nurse Practitioner Overview

How Karmell Macoretta, NP fits within the Adult Health Nurse Practitioner landscape nationally.

29,811
Adult Health Nurse Practitioner Providers in US
55
States with Adult Health Nurse Practitioner
1,291
Avg Claims per Provider

Karmell Macoretta, NP's 628 claims are below the specialty average of 1,291.

Nationwide Adult Health Nurse Practitioner peers with similar MIPS or enrollment year

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

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (91.1 here).

Julia Smith 91.1 VA Paisley Johnson 91.1 CO Lisa Smith 91.1 CO Jennifer Cerny 91.1 NC

Same NPPES enumeration year (2005)

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

Pamela Desmarais Tampa, FL Laura Popelar Columbus, OH Mary Collier Boston, MA Barbara Saladino Fairfax, VA

Nearby Adult Health Nurse Practitioner Providers in New York

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

One of 5,499 Adult Health Nurse Practitioner providers enrolled in New York, 5 are shown here.

Danielle Aaron
CRNP
New York, NY
Vincent Abalajon
Elmhurst, NY
Megan Abate
ANP
New York, NY
Omowunmi Abayomi
N.P.
Staten Island, NY
Ashley Abbatantono
NP
New York, NY

Compare Adult Health Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is Karmell Macoretta, NP's specialty? ▼
Karmell Macoretta, NP specializes in Adult Health Nurse Practitioner and practices in Williamsville, New York. Credentials: NP.
How much does Karmell Macoretta, NP prescribe under Medicare Part D? ▼
In 2024, Karmell Macoretta, NP wrote 628 Medicare Part D claims totaling $59K in drug costs for 231 beneficiaries.
What is Karmell Macoretta, NP's Medicare quality score? ▼
Karmell Macoretta, NP has a CMS MIPS Final Score of 91.1/100 (Quality: 72.8, Cost: 89.1). 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 Karmell Macoretta, NP located? ▼
Karmell Macoretta, NP is located at 342 HARRIS HILL RD, Williamsville, NY, 14221. Phone: (716) 204-0777.
What is Karmell Macoretta, NP's NPI number? ▼
Karmell Macoretta, NP's National Provider Identifier (NPI) is 1154324028, issued on 05/24/2005.
Does Karmell Macoretta, NP prescribe opioids? ▼
Yes, Karmell Macoretta, NP had 20 opioid claims in 2024 with an opioid prescribing rate of 3.2%.
How many Adult Health Nurse Practitioner providers are there in the US? ▼
There are 29,811 Adult Health Nurse Practitioner providers across 55 states in the US. The average Adult Health Nurse Practitioner provider writes 1,291 Medicare Part D claims per year.
What drugs does Karmell Macoretta, NP prescribe most often? ▼
Based on 2024 Medicare Part D data, Karmell Macoretta, NP's most frequently prescribed drugs include Albuterol Sulfate Hfa, Furosemide, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Karmell Macoretta, NP accept Medicare? ▼
Karmell Macoretta, NP appears in CMS Medicare data with 628 Part D claims and 231 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Karmell Macoretta, NP's credentials? ▼
Karmell Macoretta, NP's NPI is 1154324028 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 (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.