2026 NPPES data Nurse Practitioner NPI 1033686571 APRN
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MARGARET COSTON, APRN

Nurse Practitioner in SEATTLE, Washington. 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
291
Medicare Part D claims · 95 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
93.0932/100
▲ 10 pts above national avg 83.1 · [object Object]

What the federal data shows

MARGARET COSTON, APRN reported a CMS MIPS final score of 93.0932/100 — above the 83.1 national average — and filed 291 Medicare Part D claims in 2023.

93.0932/100
MIPS score · +10 vs avg
291
Part D claims, 2023
85%
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.

MARGARET COSTON, APRN's MIPS score vs every scored U.S. clinician

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

93 Top 29% higher than 71% 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 MARGARET COSTON, APRN?

High performer (top quartile)

NPI registry status

Active

Issued 11/01/2018

NPI 1033686571

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

291 73% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

93.0932/100 9.993200000000002% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Washington

How Nurse Practitioner compares to other specialties among Washington providers

Washington providers

Nurse Practitioner share within Washington

1. Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nurse Practitioner share within Washington

Medicare quality performance — MIPS

MARGARET COSTON, APRN's 2023 MIPS final score plotted against the Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
93.0932/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) — 93.0932/100 vs national avg 83.1

0%100%National avg83%93.1%
MIPS final score (Nurse Practitioner) — 93.0932/100 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).

MARGARET COSTON, APRN appears in the CMS NPPES registry as a Nurse Practitioner provider holding APRN credentials at 825 EASTLAKE AVE E, SEATTLE, WA, 98109, with a listed phone of (206) 520-5000. NPI 1033686571 was issued on 11/01/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what COSTON 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 291 prescription claims written by this provider, covering 95 Medicare beneficiaries and totaling roughly $433K in drug spend, split 15% brand-name and 85% 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 93.0932/100 for the 2023 performance year (Quality 73.9573), 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

825 EASTLAKE AVE E
SEATTLE, WA 98109

Provider Details

NPI 1033686571
Specialty Nurse Practitioner
Credentials APRN
Gender Female
NPI Issued 11/01/2018

CMS Quality Score (MIPS)

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

93.0932
Final Score
Avg: 83.1
73.9573
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where MARGARET COSTON, APRN 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.

THE ASSOCIATION OF UNIVERSITY PHYSICIANS
SEATTLE, WA

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 — Washington WMC 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 ~34K Washington medical licensees in 2023 — they are NOT specific to MARGARET COSTON, APRN. To verify MARGARET COSTON, APRN's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC 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 Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

MARGARET COSTON, APRN — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 291 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.

291
Total Claims
$433K
Total Drug Cost
95
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
499
Total Day Supply
14,061
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$415K
Generic Drug Cost
$18K

Patient Demographics

Average Patient Age
72.5 years
Avg HCC Risk Score
2.30
Gender Split
57% female / 43% male

Top Prescribed Drugs (Medicare Part D)

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

What MARGARET COSTON, APRN 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
Prednisone
56
Letrozole
45
Xtandi
Enzalutamide
19
Abiraterone Acetate
18
Anastrozole
14
Exemestane
13
Gabapentin
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 MARGARET COSTON, APRN 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

MARGARET COSTON, APRN's 291 claims are below the specialty average of 1,084.

Nearby Nurse Practitioner Providers in Washington

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

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

Frequently Asked Questions

What is MARGARET COSTON, APRN's specialty?
MARGARET COSTON, APRN specializes in Nurse Practitioner and practices in SEATTLE, Washington. Credentials: APRN.
How much does MARGARET COSTON, APRN prescribe under Medicare Part D?
In 2023, MARGARET COSTON, APRN wrote 291 Medicare Part D claims totaling $433K in drug costs for 95 beneficiaries.
What is MARGARET COSTON, APRN's Medicare quality score?
MARGARET COSTON, APRN has a CMS MIPS Final Score of 93.0932/100 (Quality: 73.9573). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARGARET COSTON, APRN located?
MARGARET COSTON, APRN is located at 825 EASTLAKE AVE E, SEATTLE, WA, 98109. Phone: (206) 520-5000.
What is MARGARET COSTON, APRN's NPI number?
MARGARET COSTON, APRN's National Provider Identifier (NPI) is 1033686571, issued on 11/01/2018.
Does MARGARET COSTON, APRN prescribe more brand-name or generic drugs?
MARGARET COSTON, APRN's prescribing is 15% brand-name and 85% generic drugs by claim count, with $415K 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 MARGARET COSTON, APRN prescribe most often?
Based on 2023 Medicare Part D data, MARGARET COSTON, APRN's most frequently prescribed drugs include Prednisone, Letrozole, Xtandi. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARGARET COSTON, APRN accept Medicare?
MARGARET COSTON, APRN appears in CMS Medicare data with 291 Part D claims and 95 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARGARET COSTON, APRN's credentials?
MARGARET COSTON, APRN's NPI is 1033686571 with credentials APRN. 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