2026 NPPES data Gerontology Nurse Practitioner NPI 1689056285
Verify on CMS →

MARY NOVOTNY

Gerontology Nurse Practitioner in ROCKFORD, Illinois. 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
729
Medicare Part D claims · 216 beneficiaries · Gerontology Nurse Practitioner avg: 1K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
74.9817/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$22.86
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MARY NOVOTNY reported a CMS MIPS final score of 74.9817/100 — below the 83.1 national average — and filed 729 Medicare Part D claims in 2023.

74.9817/100
MIPS score · -8 vs avg
729
Part D claims, 2023
91%
generic prescribing
$22.86
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 NOVOTNY's MIPS score vs every scored U.S. clinician

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

75 12th percentile higher than 12% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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

What does the federal data show about MARY NOVOTNY?

Below national average

NPI registry status

Active

Issued 06/19/2015

NPI 1689056285

Primary specialty

Gerontology Nurse Practitioner

Mid-sized

9,625 US NPIs in this specialty

Medicare Part D claims

729 43% vs specialty avg

2023 prescription claims

Specialty avg: 1,283

MIPS final score

74.9817/100 8.11829999999999% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Illinois

How Gerontology Nurse Practitioner compares to other specialties among Illinois providers

Illinois providers

Gerontology Nurse Practitioner share within Illinois

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

Medicare quality performance — MIPS

MARY NOVOTNY's 2023 MIPS final score plotted against the Gerontology Nurse Practitioner national average

Below national average
MIPS Final Score
74.9817/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gerontology Nurse Practitioner) — 74.9817/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Gerontology Nurse Practitioner) — 74.9817/100 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 NOVOTNY is a Gerontology Nurse Practitioner provider practicing in ROCKFORD, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1689056285. 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.

MARY NOVOTNY appears in the CMS NPPES registry as a Gerontology Nurse Practitioner provider at 3535 N BELL SCHOOL RD, ROCKFORD, IL, 61114, with a listed phone of (779) 696-9400. NPI 1689056285 was issued on 06/19/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what NOVOTNY 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 729 prescription claims written by this provider, covering 216 Medicare beneficiaries and totaling roughly $248K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 16.7%. 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 74.9817/100 for the 2023 performance year (Quality 79.9242, Cost 55.0149), compared with the national average of 83.1.

Gerontology Nurse Practitioner is a mid-sized specialty nationwide, with 9,625 enrolled providers across 54 states and an average of 1,283 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

3535 N BELL SCHOOL RD
ROCKFORD, IL 61114

Provider Details

NPI 1689056285
Specialty Gerontology Nurse Practitioner
Gender Female
NPI Issued 06/19/2015

CMS Quality Score (MIPS)

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

74.9817
Final Score
Avg: 83.1
79.9242
Quality
55.0149
Cost
78
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MARY NOVOTNY 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.

SWEDISHAMERICAN HOSPITAL
ROCKFORD, IL

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 NOVOTNY. Source: openpaymentsdata.cms.gov.

Total received

$23

Largest payer

Incyte Corporation

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 — Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 — they are NOT specific to MARY NOVOTNY. To verify MARY NOVOTNY's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

MARY NOVOTNY — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 729 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.

729
Total Claims
$248K
Total Drug Cost
216
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
864
Total Day Supply
17,287
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$200K
Generic Drug Cost
$48K
Opioid Claims
122 (16.7% rate)
Antibiotic Claims
47

Patient Demographics

Average Patient Age
71.6 years
Avg HCC Risk Score
2.59
Gender Split
59% female / 41% male
Age Distribution
<65: 30, 65-74: 107, 75-84: 68, 85+: 11

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
73
Ondansetron Hcl
73
Prochlorperazine Maleate
53
Dexamethasone
40
Acyclovir
34
Anastrozole
26
Potassium Chloride
26
Prednisone
26
Eliquis
Apixaban
21
Oxycodone Hcl
19

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

Gerontology Nurse Practitioner Overview

How MARY NOVOTNY fits within the Gerontology Nurse Practitioner landscape nationally.

9,625
Gerontology Nurse Practitioner Providers in US
54
States with Gerontology Nurse Practitioner
1,283
Avg Claims per Provider

MARY NOVOTNY's 729 claims are below the specialty average of 1,283.

Nearby Gerontology Nurse Practitioner Providers in Illinois

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

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

Frequently Asked Questions

What is MARY NOVOTNY's specialty?
MARY NOVOTNY specializes in Gerontology Nurse Practitioner and practices in ROCKFORD, Illinois.
How much does MARY NOVOTNY prescribe under Medicare Part D?
In 2023, MARY NOVOTNY wrote 729 Medicare Part D claims totaling $248K in drug costs for 216 beneficiaries.
What is MARY NOVOTNY's Medicare quality score?
MARY NOVOTNY has a CMS MIPS Final Score of 74.9817/100 (Quality: 79.9242, Cost: 55.0149). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARY NOVOTNY located?
MARY NOVOTNY is located at 3535 N BELL SCHOOL RD, ROCKFORD, IL, 61114. Phone: (779) 696-9400.
What is MARY NOVOTNY's NPI number?
MARY NOVOTNY's National Provider Identifier (NPI) is 1689056285, issued on 06/19/2015.
Does MARY NOVOTNY prescribe more brand-name or generic drugs?
MARY NOVOTNY's prescribing is 9% brand-name and 91% generic drugs by claim count, with $200K in brand drug costs.
Does MARY NOVOTNY prescribe opioids?
Yes, MARY NOVOTNY had 122 opioid claims in 2023 with an opioid prescribing rate of 16.7%.
How many Gerontology Nurse Practitioner providers are there in the US?
There are 9,625 Gerontology Nurse Practitioner providers across 54 states in the US. The average Gerontology Nurse Practitioner provider writes 1,283 Medicare Part D claims per year.
What drugs does MARY NOVOTNY prescribe most often?
Based on 2023 Medicare Part D data, MARY NOVOTNY's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Ondansetron Hcl, Prochlorperazine Maleate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARY NOVOTNY accept Medicare?
MARY NOVOTNY appears in CMS Medicare data with 729 Part D claims and 216 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARY NOVOTNY's credentials?
MARY NOVOTNY's NPI is 1689056285. 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