NPI registry status
Active
2026 NPPES data Family Nurse Practitioner NPI 1811569841
Verify on CMS → Melanie Duran
Family Nurse Practitioner in Albuquerque, New Mexico.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 216,959 in Family Nurse Practitioner, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
6K
Medicare Part D claims · 693 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
35%
generic claims · 58% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.6/100
▲ 14 pts above national avg 83.5 · Exceptional
Industry payments
$10.7K
93 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Melanie Duran reported a CMS MIPS final score of 97.6/100 - above the 83.5 national average - and filed 6,047 Medicare Part D claims in 2024.
- 97.6/100
- MIPS score · +14 vs avg
- 6K
- Part D claims, 2024
- 35%
- generic prescribing
- $10.7K
- 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.
Federal trust snapshot
What official records show about Melanie Duran
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1811569841), first enumerated 07/09/2021.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 6,047 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 97.6/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$10.7K in reported industry payments (93 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1811569841 · Family Nurse Practitioner
NPI-10 · ENUM-RECENT · TAX-MEGA · MIPS-ELITE · RX-MID · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1811569841
- ENUM-RECENT 2021
- TAX-MEGA 217K Family Nurse
- MIPS-ELITE 97.6/100
- RX-MID 6,047
- BOOK-LIGHT 1,531 in New Mexico
- PHOTO-FINISH Ann Abromaitis, APN · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Duran · this pro…
Duran · this provider
97.6 MIPS pts
- Samuel Braswell …
Samuel Braswell
97.6 MIPS pts
- Ann Abromaitis, …
Ann Abromaitis, APN
97.6 MIPS pts
- Sabastine Aghazi…
Sabastine Aghaziem, FNP
97.6 MIPS pts
- Kelli Anderson, …
Kelli Anderson, CRNP
97.6 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Melanie Duran's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
98 ≥ 84th percentile 84% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Melanie Duran sits
This provider among family nurse practitioner peers
Across the 26,556 family nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Melanie Duran writes more Part D claims than 97% of them and scores higher on MIPS quality than 86% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one family nurse practitioner peer from a representative sample of 60; the gold marker is Melanie Duran. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Melanie Duran?
High performer (top quartile)Primary specialty
Family Nurse Practitioner
Medicare Part D claims
6,047 364% vs specialty avg
MIPS final score
97.6/100 14.1 pts vs avg
Specialty distribution in New Mexico
How Family Nurse Practitioner compares to other specialties among New Mexico providers
Medicare quality performance, MIPS
Melanie Duran's 2023 MIPS final score plotted against the Family Nurse Practitioner national average
- MIPS Final Score
- 97.6/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1811569841 |
|---|---|
| Specialty | Family Nurse Practitioner |
| Gender | Female |
| NPI Issued | 07/09/2021 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
97.5814
Final Score
Measured-score avg: 83.5
86.5348
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Melanie Duran 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.
Unm Hospital
★★☆☆☆ 2/5
Albuquerque, NM
Acute Care Hospitals
CMS CCN: 320001
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 Melanie Duran. Source: openpaymentsdata.cms.gov.
Total received
$10.7K
Largest payer
SANOFI-AVENTIS U.S. LLC
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.
Brand vs generic prescribing mix · Brand-heavy
Melanie Duran - brand share 58.0%
Family Nurse Practitioner average
58% brand-name claims vs 35% generic, on 6,047 2024 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 2024.
6,047
Total Claims
$2.9M
Total Drug Cost
693
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 11,307.233
- Total Day Supply
- 332,273
- Brand vs Generic
- 58% brand / 35% generic
- Brand Drug Cost
- $2.7M
- Generic Drug Cost
- $27K
Patient Demographics
- Average Patient Age
- 69.9 years
- Avg HCC Risk Score
- 1.53
- Gender Split
- 57% female / 43% male
- Age Distribution
- <65: 123, 65-74: 349, 75-84: 190, 85+: 31
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Melanie Duran prescribes most
Top Medicare Part D drugs by claim count, 2024
- Ozempic
Ozempic
621 claims
- Jardiance
Jardiance
500 claims
- Levothyroxine Sodium
Levothyroxine Sodium
309 claims
- Lantus Solostar
Lantus Solostar
298 claims
- Trulicity
Trulicity
298 claims
- Mounjaro
Mounjaro
272 claims
- Metformin Hcl Er 239
Metformin Hcl Er
239 claims
- Metformin Hcl 206
Metformin Hcl
206 claims
| Drug | Claims |
|---|---|
| Ozempic Semaglutide | 621 |
| Jardiance Empagliflozin | 500 |
| Levothyroxine Sodium | 309 |
| Lantus Solostar Insulin Glargine,hum.Rec.Anlog | 298 |
| Trulicity Dulaglutide | 298 |
| Mounjaro Tirzepatide | 272 |
| Metformin Hcl Er Metformin Hcl | 239 |
| Metformin Hcl | 206 |
| Atorvastatin Calcium | 183 |
| Lisinopril | 144 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Nurse Practitioner Overview
How Melanie Duran fits within the Family Nurse Practitioner landscape nationally.
216,959
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,302
Avg Claims per Provider
Melanie Duran's 6,047 claims are above the specialty average of 1,302.
Nationwide Family Nurse Practitioner peers with similar MIPS or enrollment year
Two federal-record peer sets for Duran, both outside New Mexico so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (97.6 here).
Same NPPES enumeration year (2021)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Nurse Practitioner Providers in New Mexico
Other clinicians with the same primary specialty enrolled in New Mexico, drawn from the same CMS NPPES roster as Duran.
One of 1,531 Family Nurse Practitioner providers enrolled in New Mexico, 5 are shown here.
Danielle Abbott
NP
Santa Fe, NM
Rita Abboud
FNP-C
Farmington, NM
Chaunte Abe
APRN-CNP, FNP-C
Albuquerque, NM
Erica Abeita Chavez
FNP-C
Albuquerque, NM
Margaret Abeyta
CNP
Albuquerque, NM
Compare Family Nurse Practitioner nationally: see state-by-state distribution →
Frequently Asked Questions
What is Melanie Duran's specialty? ▼
Melanie Duran specializes in Family Nurse Practitioner and practices in Albuquerque, New Mexico.
How much does Melanie Duran prescribe under Medicare Part D? ▼
In 2024, Melanie Duran wrote 6,047 Medicare Part D claims totaling $2.9M in drug costs for 693 beneficiaries.
What is Melanie Duran's Medicare quality score? ▼
Melanie Duran has a CMS MIPS Final Score of 97.6/100 (Quality: 86.5). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Melanie Duran located? ▼
Melanie Duran is located at 4201 CENTRAL AVE NW # 3, Albuquerque, NM, 87105. Phone: (505) 508-1739.
What is Melanie Duran's NPI number? ▼
Melanie Duran's National Provider Identifier (NPI) is 1811569841, issued on 07/09/2021.
Does Melanie Duran prescribe more brand-name or generic drugs? ▼
Melanie Duran's prescribing is 58% brand-name and 35% generic drugs by claim count, with $2.7M in brand drug costs.
How many Family Nurse Practitioner providers are there in the US? ▼
There are 216,959 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,302 Medicare Part D claims per year.
What drugs does Melanie Duran prescribe most often? ▼
Based on 2024 Medicare Part D data, Melanie Duran's most frequently prescribed drugs include Ozempic, Jardiance, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Melanie Duran accept Medicare? ▼
Melanie Duran appears in CMS Medicare data with 6,047 Part D claims and 693 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Melanie Duran's credentials? ▼
Melanie Duran's NPI is 1811569841. 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
View source datasets and methodology notes
- 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.