2026 NPPES data Nurse Practitioner NPI 1497336903
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Lily Reitzel

Nurse Practitioner in Worcester, Massachusetts. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 87,227 in 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
179
Medicare Part D claims · 86 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97/100
▲ 14 pts above national avg 83.1 · Exceptional
Industry payments
$124.77
2 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Lily Reitzel reported a CMS MIPS final score of 97/100 - above the 83.1 national average - and filed 179 Medicare Part D claims in 2023.

97/100
MIPS score · +14 vs avg
179
Part D claims, 2023
89%
generic prescribing
$124.77
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.

Lily Reitzel's MIPS score vs every scored U.S. clinician

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

97 Top 15% higher than 85% 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%). Below this entry. 90+: 189,403 scored providers (40%). This entry sits in this band. 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 Lily Reitzel sits

This provider among nurse practitioner peers

Across the 13,476 nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Lily Reitzel writes more Part D claims than 32% of them and scores higher on MIPS quality than 85% - placing this provider in the lower-volume, high-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 quality0255075100024.148.372.496.6Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 43Lily Reitzel-Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 85
Part D claim volume vs MIPS quality, by specialty percentile

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

What does the federal data show about Lily Reitzel?

High performer (top quartile)

NPI registry status

Active

Issued 04/16/2021

NPI 1497336903

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

179 83% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

97/100 13.9 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Massachusetts

How Nurse Practitioner compares to other specialties among Massachusetts providers

Massachusetts providers
Mental Health Counselor - 8.3%Mental Health Counselor8.3%Clinical Social Worker - 7.8%Clinical Social Worker7.8%Student in an Organized Health Care Education/Training Program - 6.2%Student in an Organized Health Care Education/Training Program6.2%Behavior Technician - 4.9%Behavior Technician4.9%Counselor - 4.3%Counselor4.3%Internal Medicine Physician - 3.7%Internal Medicine Physician3.7%Nurse Practitioner - 1.5%Nurse Practitioner1.5%
Largest specialties in Massachusetts (% of in-state providers)

Medicare quality performance, MIPS

Lily Reitzel's 2023 MIPS final score plotted against the Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
97/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) - 97/100 vs national avg 83.1

0%100%National avg83%97%
MIPS final score (Nurse Practitioner) - 97/100 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).

Lily Reitzel appears in the CMS NPPES registry as a Nurse Practitioner provider at 55 LAKE AVE N, Worcester, MA, 01655, with a listed phone of (508) 334-2372. NPI 1497336903 was issued on 04/16/2021. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Reitzel 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 179 prescription claims written by this provider, covering 86 Medicare beneficiaries and totaling roughly $16K in drug spend, split 11% brand-name and 89% generic by claim count. 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 97/100 for the 2023 performance year (Quality 78.1), compared with the national average of 83.1.

Nurse Practitioner is a high-volume specialty nationwide, with 87,227 enrolled providers across 56 states and an average of 1,084 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

55 LAKE AVE N
Worcester, MA 01655

Provider Details

NPI 1497336903
Specialty Nurse Practitioner
Gender Female
NPI Issued 04/16/2021

CMS Quality Score (MIPS)

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

97.0218
Final Score
Avg: 83.1
78.0983
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Lily Reitzel 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.

Comprehensive Rehab Consultants PLLC
Worcester, MA

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 Lily Reitzel. Source: openpaymentsdata.cms.gov.

Total received

$125

Largest payer

Organogenesis 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 - Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 - they are NOT specific to Lily Reitzel. To verify Lily Reitzel's current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM 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 Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Lily Reitzel - brand share 11.0%
Nurse Practitioner average

11% brand-name claims vs 89% generic, on 179 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.

179
Total Claims
$16K
Total Drug Cost
86
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
240
Total Day Supply
5,644
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$11K
Generic Drug Cost
$5K
Antibiotic Claims
57

Patient Demographics

Average Patient Age
67.7 years
Avg HCC Risk Score
2.56
Gender Split
47% female / 53% male
Age Distribution
<65: 28, 65-74: 34, 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 Lily Reitzel 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
Ketoconazole
37
Doxycycline Monohydrate
28
Santyl
Collagenase Clostridium Hist.
20
Ciclopirox
13
Diclofenac Sodium
12

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

Nurse Practitioner Overview

How Lily Reitzel fits within the Nurse Practitioner landscape nationally.

87,227
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,084
Avg Claims per Provider

Lily Reitzel's 179 claims are below the specialty average of 1,084.

Nearby Nurse Practitioner Providers in Massachusetts

Other clinicians with the same primary specialty enrolled in Massachusetts, drawn from the same CMS NPPES roster as Reitzel.

Compare 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 Massachusetts medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby 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 Lily Reitzel's specialty?
Lily Reitzel specializes in Nurse Practitioner and practices in Worcester, Massachusetts.
How much does Lily Reitzel prescribe under Medicare Part D?
In 2023, Lily Reitzel wrote 179 Medicare Part D claims totaling $16K in drug costs for 86 beneficiaries.
What is Lily Reitzel's Medicare quality score?
Lily Reitzel has a CMS MIPS Final Score of 97/100 (Quality: 78.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Lily Reitzel located?
Lily Reitzel is located at 55 LAKE AVE N, Worcester, MA, 01655. Phone: (508) 334-2372.
What is Lily Reitzel's NPI number?
Lily Reitzel's National Provider Identifier (NPI) is 1497336903, issued on 04/16/2021.
Does Lily Reitzel prescribe more brand-name or generic drugs?
Lily Reitzel's prescribing is 11% brand-name and 89% generic drugs by claim count, with $11K in brand drug costs.
How many Nurse Practitioner providers are there in the US?
There are 87,227 Nurse Practitioner providers across 56 states in the US. The average Nurse Practitioner provider writes 1,084 Medicare Part D claims per year.
What drugs does Lily Reitzel prescribe most often?
Based on 2023 Medicare Part D data, Lily Reitzel's most frequently prescribed drugs include Ketoconazole, Doxycycline Monohydrate, Santyl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Lily Reitzel accept Medicare?
Lily Reitzel appears in CMS Medicare data with 179 Part D claims and 86 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Lily Reitzel's credentials?
Lily Reitzel's NPI is 1497336903. 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.