2026 NPPES data Emergency Registered Nurse NPI 1376210179
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MARISSA SINSABAUGH

Emergency Registered Nurse in MADISON, South Dakota. 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
229
Medicare Part D claims · 149 beneficiaries · Emergency Registered Nurse avg: 710
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.1851/100
▲ 7 pts above national avg 83.1 · [object Object]
What the federal data reveals: MARISSA SINSABAUGH is a Emergency Registered Nurse ([object Object]) practicing in MADISON, South Dakota with a Medicare Part D prescribing footprint of 229 claims across 149 beneficiaries — 5% brand-name prescribing . Their CMS MIPS Final Score of 90.1851/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: MARISSA SINSABAUGH reported a CMS MIPS final score of 90.1851 out of 100, above the 83.1 national average, and filed 229 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

MARISSA SINSABAUGH at a glance

High performer (top quartile)

NPI registry status

Active

Issued 08/27/2021

NPI 1376210179

Primary specialty

Emergency Registered Nurse

Niche

4,284 US NPIs in this specialty

Medicare Part D claims

229 68% vs specialty avg

2023 prescription claims

Specialty avg: 710

MIPS final score

90.1851/100 7.085100000000011% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in South Dakota

How Emergency Registered Nurse compares to other specialties among South Dakota providers

South Dakota providers

Emergency Registered Nurse share within South Dakota

1. Emergency Registered Nurse42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Registered Nurse share within South Dakota

Medicare quality performance — MIPS

MARISSA SINSABAUGH's 2023 MIPS final score plotted against the Emergency Registered Nurse national average

High performer (top quartile)
MIPS Final Score
90.1851/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Registered Nurse) — 90.1851/100 vs national avg 83.1

0%100%National avg83%90.2%
MIPS final score (Emergency Registered Nurse) — 90.1851/100 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).

MARISSA SINSABAUGH is a Emergency Registered Nurse provider practicing in MADISON, South Dakota, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1376210179. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

MARISSA SINSABAUGH appears in the CMS NPPES registry as a Emergency Registered Nurse provider at 323 SW 10TH ST, MADISON, SD, 57042, with a listed phone of (605) 256-6551. NPI 1376210179 was issued on 08/27/2021. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SINSABAUGH 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 229 prescription claims written by this provider, covering 149 Medicare beneficiaries and totaling roughly $5K in drug spend, split 5% brand-name and 95% generic by claim count, with an opioid prescribing rate of 8.7%. 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 90.1851/100 for the 2023 performance year (Quality 86.6937, Cost 91.6787), compared with the national average of 83.1.

Emergency Registered Nurse is a narrow specialty nationwide, with 4,284 enrolled providers across 54 states and an average of 710 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

323 SW 10TH ST
MADISON, SD 57042

Provider Details

NPI 1376210179
Specialty Emergency Registered Nurse
Gender Female
NPI Issued 08/27/2021

CMS Quality Score (MIPS)

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

90.1851
Final Score
Avg: 83.1
86.6937
Quality
91.6787
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where MARISSA SINSABAUGH 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.

MADISON COMMUNITY HOSPITAL
MADISON, SD

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

Brand vs generic prescribing mix · Generic-heavy

MARISSA SINSABAUGH — brand share 5.0%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 229 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.

229
Total Claims
$5K
Total Drug Cost
149
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
235
Total Day Supply
2,286
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$2K
Generic Drug Cost
$3K
Opioid Claims
20 (8.7% rate)
Antibiotic Claims
73

Patient Demographics

Average Patient Age
73.5 years
Avg HCC Risk Score
1.17
Gender Split
66% female / 34% male
Age Distribution
<65: 21, 65-74: 62, 75-84: 40, 85+: 26

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Prednisone
37
Doxycycline Monohydrate
24
Paxlovid (Eua)
Nirmatrelvir/Ritonavir
15
Tramadol Hcl
14
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
13
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
12

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

Emergency Registered Nurse Overview

How MARISSA SINSABAUGH fits within the Emergency Registered Nurse landscape nationally.

4,284
Emergency Registered Nurse Providers in US
54
States with Emergency Registered Nurse
710
Avg Claims per Provider

MARISSA SINSABAUGH's 229 claims are below the specialty average of 710.

Nearby Emergency Registered Nurse Providers in South Dakota

Other clinicians with the same primary specialty enrolled in South Dakota, drawn from the same CMS NPPES roster as SINSABAUGH.

Compare Emergency Registered Nurse nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARISSA SINSABAUGH's specialty?
MARISSA SINSABAUGH specializes in Emergency Registered Nurse and practices in MADISON, South Dakota.
How much does MARISSA SINSABAUGH prescribe under Medicare Part D?
In 2023, MARISSA SINSABAUGH wrote 229 Medicare Part D claims totaling $5K in drug costs for 149 beneficiaries.
What is MARISSA SINSABAUGH's Medicare quality score?
MARISSA SINSABAUGH has a CMS MIPS Final Score of 90.1851/100 (Quality: 86.6937, Cost: 91.6787). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARISSA SINSABAUGH located?
MARISSA SINSABAUGH is located at 323 SW 10TH ST, MADISON, SD, 57042. Phone: (605) 256-6551.
What is MARISSA SINSABAUGH's NPI number?
MARISSA SINSABAUGH's National Provider Identifier (NPI) is 1376210179, issued on 08/27/2021.
Does MARISSA SINSABAUGH prescribe more brand-name or generic drugs?
MARISSA SINSABAUGH's prescribing is 5% brand-name and 95% generic drugs by claim count, with $2K in brand drug costs.
Does MARISSA SINSABAUGH prescribe opioids?
Yes, MARISSA SINSABAUGH had 20 opioid claims in 2023 with an opioid prescribing rate of 8.7%.
How many Emergency Registered Nurse providers are there in the US?
There are 4,284 Emergency Registered Nurse providers across 54 states in the US. The average Emergency Registered Nurse provider writes 710 Medicare Part D claims per year.
What drugs does MARISSA SINSABAUGH prescribe most often?
Based on 2023 Medicare Part D data, MARISSA SINSABAUGH's most frequently prescribed drugs include Prednisone, Doxycycline Monohydrate, Paxlovid (Eua). This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARISSA SINSABAUGH accept Medicare?
MARISSA SINSABAUGH appears in CMS Medicare data with 229 Part D claims and 149 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARISSA SINSABAUGH's credentials?
MARISSA SINSABAUGH's NPI is 1376210179. 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