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.
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)Primary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in South Dakota
How Emergency Registered Nurse compares to other specialties among South Dakota providers
Emergency Registered Nurse share within South Dakota
Emergency Registered Nurse is one of the more visible NUCC categories in South Dakota
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
MARISSA SINSABAUGH's 2023 MIPS final score plotted against the Emergency Registered Nurse national average
- 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
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Emergency Registered Nurse US NPIs
90.1851/100 MIPS final score — 7.1 pts above the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Emergency Registered Nurse. Quality dim: 86.6937. Cost dim: 91.6787.
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
Provider Details
| NPI | 1376210179 |
|---|---|
| Specialty | Emergency Registered Nurse |
| Gender | Female |
| NPI Issued | 08/27/2021 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm MARISSA SINSABAUGH's current license status, disciplinary history, and board certifications with the South Dakota Board of Medical and Osteopathic Examiners in South Dakota before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
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.
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
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.
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.
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 →
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Frequently Asked Questions
What is MARISSA SINSABAUGH's specialty? ▼
How much does MARISSA SINSABAUGH prescribe under Medicare Part D? ▼
What is MARISSA SINSABAUGH's Medicare quality score? ▼
Where is MARISSA SINSABAUGH located? ▼
What is MARISSA SINSABAUGH's NPI number? ▼
Does MARISSA SINSABAUGH prescribe more brand-name or generic drugs? ▼
Does MARISSA SINSABAUGH prescribe opioids? ▼
How many Emergency Registered Nurse providers are there in the US? ▼
What drugs does MARISSA SINSABAUGH prescribe most often? ▼
Does MARISSA SINSABAUGH accept Medicare? ▼
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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