2026 NPPES data Diabetes Educator Registered Nurse NPI 1699199489 NP, CDE
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MARY MUSCARELLO, NP, CDE

Diabetes Educator Registered Nurse in GLEN COVE, New York. 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
440
Medicare Part D claims · 42 beneficiaries · Diabetes Educator Registered Nurse avg: 1K
Generic prescribing
47%
generic claims · 53% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.2532/100
▲ 8 pts above national avg 83.1 · [object Object]
Industry payments
$178.44
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MARY MUSCARELLO, NP, CDE reported a CMS MIPS final score of 91.2532/100 — above the 83.1 national average — and filed 440 Medicare Part D claims in 2023.

91.2532/100
MIPS score · +8 vs avg
440
Part D claims, 2023
47%
generic prescribing
$178.44
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.

MARY MUSCARELLO, NP, CDE's MIPS score vs every scored U.S. clinician

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

91 Top 37% higher than 63% 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 MARY MUSCARELLO, NP, CDE?

High performer (top quartile)

NPI registry status

Active

Issued 02/13/2014

NPI 1699199489

Primary specialty

Diabetes Educator Registered Nurse

Niche

2,273 US NPIs in this specialty

Medicare Part D claims

440 66% vs specialty avg

2023 prescription claims

Specialty avg: 1,296

MIPS final score

91.2532/100 8.153200000000012% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New York

How Diabetes Educator Registered Nurse compares to other specialties among New York providers

New York providers

Diabetes Educator Registered Nurse share within New York

1. Diabetes Educator Registered Nurse42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Diabetes Educator Registered Nurse share within New York

Medicare quality performance — MIPS

MARY MUSCARELLO, NP, CDE's 2023 MIPS final score plotted against the Diabetes Educator Registered Nurse national average

High performer (top quartile)
MIPS Final Score
91.2532/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Diabetes Educator Registered Nurse) — 91.2532/100 vs national avg 83.1

0%100%National avg83%91.3%
MIPS final score (Diabetes Educator Registered Nurse) — 91.2532/100 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).

MARY MUSCARELLO, NP, CDE appears in the CMS NPPES registry as a Diabetes Educator Registered Nurse provider holding NP, CDE credentials at 101 SAINT ANDREWS LN, GLEN COVE, NY, 11542, with a listed phone of (516) 674-7324. NPI 1699199489 was issued on 02/13/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MUSCARELLO 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 440 prescription claims written by this provider, covering 42 Medicare beneficiaries and totaling roughly $221K in drug spend, split 53% brand-name and 47% 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 91.2532/100 for the 2023 performance year (Quality 74.9203), compared with the national average of 83.1.

Diabetes Educator Registered Nurse is a narrow specialty nationwide, with 2,273 enrolled providers across 55 states and an average of 1,296 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

101 SAINT ANDREWS LN
GLEN COVE, NY 11542

Provider Details

NPI 1699199489
Specialty Diabetes Educator Registered Nurse
Credentials NP, CDE
Gender Female
NPI Issued 02/13/2014

CMS Quality Score (MIPS)

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

91.2532
Final Score
Avg: 83.1
74.9203
Quality
91.6794
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where MARY MUSCARELLO, NP, CDE 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.

NORTH SHORE-LIJ MEDICAL PC
GLEN COVE, NY

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 MARY MUSCARELLO, NP, CDE. Source: openpaymentsdata.cms.gov.

Total received

$178

Largest payer

Abbott Laboratories

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.

License & disciplinary context — New York NYSBPMC 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 ~100K New York medical licensees in 2023 — they are NOT specific to MARY MUSCARELLO, NP, CDE. To verify MARY MUSCARELLO, NP, CDE's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

MARY MUSCARELLO, NP, CDE — brand share 53.0%
Specialty average (est.)

53% brand-name claims vs 47% generic, on 440 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.

440
Total Claims
$221K
Total Drug Cost
42
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
679
Total Day Supply
19,980
Brand vs Generic
53% brand / 47% generic
Brand Drug Cost
$216K
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
69.2 years
Avg HCC Risk Score
1.27
Gender Split
55% female / 45% male

Top Prescribed Drugs (Medicare Part D)

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

What MARY MUSCARELLO, NP, CDE 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
Trulicity
Dulaglutide
95
Metformin Hcl
73
Metformin Hcl Er
Metformin Hcl
28
Mounjaro
Tirzepatide
21
Novolog Flexpen
Insulin Aspart
17
Jardiance
Empagliflozin
14
Atorvastatin Calcium
11
Basaglar Kwikpen U-100
"Insulin Glargine
N/A
Nano 2nd Gen Pen Needle
"Pen Needle
N/A
Toujeo Max Solostar
"Insulin Glargine
N/A

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

Diabetes Educator Registered Nurse Overview

How MARY MUSCARELLO, NP, CDE fits within the Diabetes Educator Registered Nurse landscape nationally.

2,273
Diabetes Educator Registered Nurse Providers in US
55
States with Diabetes Educator Registered Nurse
1,296
Avg Claims per Provider

MARY MUSCARELLO, NP, CDE's 440 claims are below the specialty average of 1,296.

Nearby Diabetes Educator Registered Nurse Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as MUSCARELLO.

Compare Diabetes Educator Registered Nurse nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARY MUSCARELLO, NP, CDE's specialty?
MARY MUSCARELLO, NP, CDE specializes in Diabetes Educator Registered Nurse and practices in GLEN COVE, New York. Credentials: NP, CDE.
How much does MARY MUSCARELLO, NP, CDE prescribe under Medicare Part D?
In 2023, MARY MUSCARELLO, NP, CDE wrote 440 Medicare Part D claims totaling $221K in drug costs for 42 beneficiaries.
What is MARY MUSCARELLO, NP, CDE's Medicare quality score?
MARY MUSCARELLO, NP, CDE has a CMS MIPS Final Score of 91.2532/100 (Quality: 74.9203). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARY MUSCARELLO, NP, CDE located?
MARY MUSCARELLO, NP, CDE is located at 101 SAINT ANDREWS LN, GLEN COVE, NY, 11542. Phone: (516) 674-7324.
What is MARY MUSCARELLO, NP, CDE's NPI number?
MARY MUSCARELLO, NP, CDE's National Provider Identifier (NPI) is 1699199489, issued on 02/13/2014.
Does MARY MUSCARELLO, NP, CDE prescribe more brand-name or generic drugs?
MARY MUSCARELLO, NP, CDE's prescribing is 53% brand-name and 47% generic drugs by claim count, with $216K in brand drug costs.
How many Diabetes Educator Registered Nurse providers are there in the US?
There are 2,273 Diabetes Educator Registered Nurse providers across 55 states in the US. The average Diabetes Educator Registered Nurse provider writes 1,296 Medicare Part D claims per year.
What drugs does MARY MUSCARELLO, NP, CDE prescribe most often?
Based on 2023 Medicare Part D data, MARY MUSCARELLO, NP, CDE's most frequently prescribed drugs include Trulicity, Metformin Hcl, Metformin Hcl Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARY MUSCARELLO, NP, CDE accept Medicare?
MARY MUSCARELLO, NP, CDE appears in CMS Medicare data with 440 Part D claims and 42 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARY MUSCARELLO, NP, CDE's credentials?
MARY MUSCARELLO, NP, CDE's NPI is 1699199489 with credentials NP, CDE. 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