2026 NPPES data Acute Care Nurse Practitioner NPI 1598138844 APN
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LOUISA GHIBERTI-TOLEDO, APN

Acute Care Nurse Practitioner in PARAMUS, New Jersey. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
600
Medicare Part D claims · 75 beneficiaries · Acute Care Nurse Practitioner avg: 576
MIPS score
98.6738/100
▲ 16 pts above national avg 83.1 · [object Object]
Industry payments
$1.0K
6 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

LOUISA GHIBERTI-TOLEDO, APN reported a CMS MIPS final score of 98.6738/100 — above the 83.1 national average — and filed 600 Medicare Part D claims in 2023.

98.6738/100
MIPS score · +16 vs avg
600
Part D claims, 2023
$1.0K
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.

LOUISA GHIBERTI-TOLEDO, APN's MIPS score vs every scored U.S. clinician

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

99 Top 11% higher than 89% 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. 90–100: 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

What does the federal data show about LOUISA GHIBERTI-TOLEDO, APN?

High performer (top quartile)

NPI registry status

Active

Issued 11/09/2015

NPI 1598138844

Primary specialty

Acute Care Nurse Practitioner

Mid-sized

24,583 US NPIs in this specialty

Medicare Part D claims

600 4% vs specialty avg

2023 prescription claims

Specialty avg: 576

MIPS final score

98.6738/100 15.573800000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New Jersey

How Acute Care Nurse Practitioner compares to other specialties among New Jersey providers

New Jersey providers

Acute Care Nurse Practitioner share within New Jersey

1. Acute Care Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Acute Care Nurse Practitioner share within New Jersey

Medicare quality performance — MIPS

LOUISA GHIBERTI-TOLEDO, APN's 2023 MIPS final score plotted against the Acute Care Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
98.6738/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Acute Care Nurse Practitioner) — 98.6738/100 vs national avg 83.1

0%100%National avg83%98.7%
MIPS final score (Acute Care Nurse Practitioner) — 98.6738/100 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).

LOUISA GHIBERTI-TOLEDO, APN appears in the CMS NPPES registry as a Acute Care Nurse Practitioner provider holding APN credentials at 4 VALLEY HEALTH PLZ, PARAMUS, NJ, 07652, with a listed phone of (201) 447-8000. NPI 1598138844 was issued on 11/09/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GHIBERTI-TOLEDO 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 600 prescription claims written by this provider, covering 75 Medicare beneficiaries and totaling roughly $107K in drug spend. 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 98.6738/100 for the 2023 performance year (Quality 93.5705), compared with the national average of 83.1.

Acute Care Nurse Practitioner is a mid-sized specialty nationwide, with 24,583 enrolled providers across 53 states and an average of 576 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

4 VALLEY HEALTH PLZ
PARAMUS, NJ 07652

Provider Details

NPI 1598138844
Specialty Acute Care Nurse Practitioner
Credentials APN
Gender Female
NPI Issued 11/09/2015

CMS Quality Score (MIPS)

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

98.6738
Final Score
Avg: 83.1
93.5705
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where LOUISA GHIBERTI-TOLEDO, APN 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.

VALLEY PHYSICIAN SERVICES PC
HOBOKEN, NJ
VALLEY PHYSICIAN SERVICES, NY, PC
PARAMUS, NJ

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 LOUISA GHIBERTI-TOLEDO, APN. Source: openpaymentsdata.cms.gov.

Total received

$1.0K

Largest payer

Boston Scientific Corporation

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 2023.

600
Total Claims
$107K
Total Drug Cost
75
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,350
Total Day Supply
40,211
Generic Drug Cost
$33K

Patient Demographics

Average Patient Age
70.4 years
Avg HCC Risk Score
3.11
Gender Split
29% female / 71% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What LOUISA GHIBERTI-TOLEDO, APN 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
Atorvastatin Calcium
64
Tacrolimus
56
Carvedilol
52
Prograf
Tacrolimus
33
Amlodipine Besylate
30
Pantoprazole Sodium
30
Ezetimibe
27
Lisinopril
21
Metoprolol Succinate
17
Losartan Potassium
14

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

Acute Care Nurse Practitioner Overview

How LOUISA GHIBERTI-TOLEDO, APN fits within the Acute Care Nurse Practitioner landscape nationally.

24,583
Acute Care Nurse Practitioner Providers in US
53
States with Acute Care Nurse Practitioner
576
Avg Claims per Provider

LOUISA GHIBERTI-TOLEDO, APN's 600 claims are above the specialty average of 576.

Nearby Acute Care Nurse Practitioner Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as GHIBERTI-TOLEDO.

Compare Acute Care Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is LOUISA GHIBERTI-TOLEDO, APN's specialty?
LOUISA GHIBERTI-TOLEDO, APN specializes in Acute Care Nurse Practitioner and practices in PARAMUS, New Jersey. Credentials: APN.
How much does LOUISA GHIBERTI-TOLEDO, APN prescribe under Medicare Part D?
In 2023, LOUISA GHIBERTI-TOLEDO, APN wrote 600 Medicare Part D claims totaling $107K in drug costs for 75 beneficiaries.
What is LOUISA GHIBERTI-TOLEDO, APN's Medicare quality score?
LOUISA GHIBERTI-TOLEDO, APN has a CMS MIPS Final Score of 98.6738/100 (Quality: 93.5705). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is LOUISA GHIBERTI-TOLEDO, APN located?
LOUISA GHIBERTI-TOLEDO, APN is located at 4 VALLEY HEALTH PLZ, PARAMUS, NJ, 07652. Phone: (201) 447-8000.
What is LOUISA GHIBERTI-TOLEDO, APN's NPI number?
LOUISA GHIBERTI-TOLEDO, APN's National Provider Identifier (NPI) is 1598138844, issued on 11/09/2015.
How many Acute Care Nurse Practitioner providers are there in the US?
There are 24,583 Acute Care Nurse Practitioner providers across 53 states in the US. The average Acute Care Nurse Practitioner provider writes 576 Medicare Part D claims per year.
What drugs does LOUISA GHIBERTI-TOLEDO, APN prescribe most often?
Based on 2023 Medicare Part D data, LOUISA GHIBERTI-TOLEDO, APN's most frequently prescribed drugs include Atorvastatin Calcium, Tacrolimus, Carvedilol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LOUISA GHIBERTI-TOLEDO, APN accept Medicare?
LOUISA GHIBERTI-TOLEDO, APN appears in CMS Medicare data with 600 Part D claims and 75 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LOUISA GHIBERTI-TOLEDO, APN's credentials?
LOUISA GHIBERTI-TOLEDO, APN's NPI is 1598138844 with credentials APN. 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