2026 NPPES data Nurse Practitioner NPI 1194489690 NP
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Marlene Pires, NP

Nurse Practitioner in Los Angeles, California. 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
22
Medicare Part D claims · Nurse Practitioner avg: 1K
Generic prescribing
0%
generic claims · 64% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
87.7/100
▲ 5 pts above national avg 83.1 · Above neutral

What the federal data shows

Marlene Pires, NP reported a CMS MIPS final score of 87.7/100 — above the 83.1 national average — and filed 22 Medicare Part D claims in 2023.

87.7/100
MIPS score · +5 vs avg
22
Part D claims, 2023
0%
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.

Marlene Pires, NP's MIPS score vs every scored U.S. clinician

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

88 Top 46% higher than 54% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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 Marlene Pires, NP 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, Marlene Pires, NP writes more Part D claims than 4% of them and scores higher on MIPS quality than 55% — 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 — percentile
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 Marlene Pires, NP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Marlene Pires, NP?

High performer (top quartile)

NPI registry status

Active

Issued 10/30/2021

NPI 1194489690

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

22 98% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

87.7/100 4.6 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Nurse Practitioner compares to other specialties among California providers

California providers

Largest specialties in California (% of in-state providers)

Behavior Technician17.3%Marriage & Family Therapist5.5%Student in an Organized Health Care Education/Training Program5%Mental Health Counselor3.9%Pharmacist3.5%Clinical Social Worker3.1%Nurse Practitioner0.7%
Largest specialties in California (% of in-state providers)

Medicare quality performance — MIPS

Marlene Pires, NP's 2023 MIPS final score plotted against the Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
87.7/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) — 87.7/100 vs national avg 83.1

0%100%National avg83%87.7%
MIPS final score (Nurse Practitioner) — 87.7/100 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).

Marlene Pires, NP appears in the CMS NPPES registry as a Nurse Practitioner provider holding NP credentials at 444 S SAN VICENTE BLVD STE 1003, Los Angeles, CA, 90048, with a listed phone of (310) 423-9238. NPI 1194489690 was issued on 10/30/2021. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Pires 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 22 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $4K in drug spend, split 64% brand-name and 0% 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 87.7/100 for the 2023 performance year (Quality 80.9, Cost 49.4), 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

444 S SAN VICENTE BLVD STE 1003
Los Angeles, CA 90048

Provider Details

NPI 1194489690
Specialty Nurse Practitioner
Credentials NP
Gender Female
NPI Issued 10/30/2021

CMS Quality Score (MIPS)

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

87.6775
Final Score
Avg: 83.1
80.8666
Quality
49.4287
Cost
99
Promoting Interoperability

Reporting: Group practice

License & disciplinary context — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to Marlene Pires, NP. To verify Marlene Pires, NP's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

Marlene Pires, NP — brand share 64.0%
Nurse Practitioner average

64% brand-name claims vs 0% generic, on 22 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.

22
Total Claims
$4K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
34
Total Day Supply
896
Brand vs Generic
64% brand / 0% generic
Brand Drug Cost
$3K

Patient Demographics

Average Patient Age
60.4 years
Avg HCC Risk Score
1.25

Nurse Practitioner Overview

How Marlene Pires, NP 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

Marlene Pires, NP's 22 claims are below the specialty average of 1,084.

Nearby Nurse Practitioner Providers in California

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

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 California 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 Marlene Pires, NP's specialty?
Marlene Pires, NP specializes in Nurse Practitioner and practices in Los Angeles, California. Credentials: NP.
How much does Marlene Pires, NP prescribe under Medicare Part D?
In 2023, Marlene Pires, NP wrote 22 Medicare Part D claims totaling $4K in drug costs for N/A beneficiaries.
What is Marlene Pires, NP's Medicare quality score?
Marlene Pires, NP has a CMS MIPS Final Score of 87.7/100 (Quality: 80.9, Cost: 49.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Marlene Pires, NP located?
Marlene Pires, NP is located at 444 S SAN VICENTE BLVD STE 1003, Los Angeles, CA, 90048. Phone: (310) 423-9238.
What is Marlene Pires, NP's NPI number?
Marlene Pires, NP's National Provider Identifier (NPI) is 1194489690, issued on 10/30/2021.
Does Marlene Pires, NP prescribe more brand-name or generic drugs?
Marlene Pires, NP's prescribing is 64% brand-name and 0% generic drugs by claim count, with $3K 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.
Does Marlene Pires, NP accept Medicare?
Marlene Pires, NP appears in CMS Medicare data with 22 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Marlene Pires, NP's credentials?
Marlene Pires, NP's NPI is 1194489690 with credentials NP. 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