2026 NPPES data Nurse Practitioner NPI 1639686611 AGPCNP-BC
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Michael Zappulla, AGPCNP-BC

Nurse Practitioner in Saint Peters, Missouri. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 87,227 in 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
684
Medicare Part D claims · 131 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$340.46
19 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Michael Zappulla, AGPCNP-BC filed 684 Medicare Part D claims in 2023 as a Nurse Practitioner in Saint Peters, Missouri, prescribing 88% generic.

684
Part D claims, 2023
88%
generic prescribing
$340.46
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.

Michael Zappulla, AGPCNP-BC's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

684 Top 31% higher than 69% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). This entry sits in this band. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about Michael Zappulla, AGPCNP-BC?

Quality data not reported

NPI registry status

Active

Issued 12/29/2017

NPI 1639686611

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

684 37% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

Specialty distribution in Missouri

How Nurse Practitioner compares to other specialties among Missouri providers

Missouri providers

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

Pharmacist — 4.8%Pharmacist4.8%Professional Counselor — 4.8%Professional Counselor4.8%Speech-Language Pathologist — 4.5%Speech-Language Pathologist4.5%Clinical Social Worker — 4.5%Clinical Social Worker4.5%Family Nurse Practitioner — 4.3%Family Nurse Practitioner4.3%Physical Therapist — 4%Physical Therapist4%Nurse Practitioner — 1.4%Nurse Practitioner1.4%
Largest specialties in Missouri (% of in-state providers)

Specialty board-certification context

Estimated specialty board-certified rate — Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Nurse Practitioner) — ABMS / AOA estimate

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).

Michael Zappulla, AGPCNP-BC appears in the CMS NPPES registry as a Nurse Practitioner provider holding AGPCNP-BC credentials at 201 BJC SAINT PETERS DR STE 100, Saint Peters, MO, 63376, with a listed phone of (636) 916-7233. NPI 1639686611 was issued on 12/29/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Zappulla 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 684 prescription claims written by this provider, covering 131 Medicare beneficiaries and totaling roughly $111K in drug spend, split 12% brand-name and 88% 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.

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

201 BJC SAINT PETERS DR STE 100
Saint Peters, MO 63376

Provider Details

NPI 1639686611
Specialty Nurse Practitioner
Credentials AGPCNP-BC
Gender Male
NPI Issued 12/29/2017

Hospital and facility affiliations

Facilities where Michael Zappulla, AGPCNP-BC 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.

Physician Groups LC
Saint Louis, MO

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 Michael Zappulla, AGPCNP-BC. Source: openpaymentsdata.cms.gov.

Total received

$340

Largest payer

Salix Pharmaceuticals, a division of Bausch Health US, 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 · Typical

Michael Zappulla, AGPCNP-BC — brand share 12.0%
Nurse Practitioner average

12% brand-name claims vs 88% generic, on 684 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.

684
Total Claims
$111K
Total Drug Cost
131
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
995
Total Day Supply
28,975
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$94K
Generic Drug Cost
$16K

Patient Demographics

Average Patient Age
64.5 years
Avg HCC Risk Score
1.94
Gender Split
71% female / 29% male
Age Distribution
<65: 60, 65-74: 57, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What Michael Zappulla, AGPCNP-BC 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
Gabapentin
124
Tizanidine Hcl
69
Baclofen
57
Cyclobenzaprine Hcl
50
Topiramate
39
Ibuprofen
33
Trazodone Hcl
25
Diclofenac Sodium
23
Meloxicam
19
Horizant
Gabapentin Enacarbil
16

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

Nurse Practitioner Overview

How Michael Zappulla, AGPCNP-BC 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

Michael Zappulla, AGPCNP-BC's 684 claims are below the specialty average of 1,084.

Nearby Nurse Practitioner Providers in Missouri

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

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 Missouri 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 Michael Zappulla, AGPCNP-BC's specialty?
Michael Zappulla, AGPCNP-BC specializes in Nurse Practitioner and practices in Saint Peters, Missouri. Credentials: AGPCNP-BC.
How much does Michael Zappulla, AGPCNP-BC prescribe under Medicare Part D?
In 2023, Michael Zappulla, AGPCNP-BC wrote 684 Medicare Part D claims totaling $111K in drug costs for 131 beneficiaries.
Where is Michael Zappulla, AGPCNP-BC located?
Michael Zappulla, AGPCNP-BC is located at 201 BJC SAINT PETERS DR STE 100, Saint Peters, MO, 63376. Phone: (636) 916-7233.
What is Michael Zappulla, AGPCNP-BC's NPI number?
Michael Zappulla, AGPCNP-BC's National Provider Identifier (NPI) is 1639686611, issued on 12/29/2017.
Does Michael Zappulla, AGPCNP-BC prescribe more brand-name or generic drugs?
Michael Zappulla, AGPCNP-BC's prescribing is 12% brand-name and 88% generic drugs by claim count, with $94K 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.
What drugs does Michael Zappulla, AGPCNP-BC prescribe most often?
Based on 2023 Medicare Part D data, Michael Zappulla, AGPCNP-BC's most frequently prescribed drugs include Gabapentin, Tizanidine Hcl, Baclofen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Michael Zappulla, AGPCNP-BC accept Medicare?
Michael Zappulla, AGPCNP-BC appears in CMS Medicare data with 684 Part D claims and 131 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Michael Zappulla, AGPCNP-BC's credentials?
Michael Zappulla, AGPCNP-BC's NPI is 1639686611 with credentials AGPCNP-BC. 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.
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

Compiled from official public sources by the PlainDoctor editorial team.