NELSON GRAMATICA, APN-C
Registered Nurse in JERSEY CITY, New Jersey. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
NELSON GRAMATICA, APN-C filed 5,435 Medicare Part D claims in 2023 as a Registered Nurse in JERSEY CITY, New Jersey, prescribing 85% generic.
- 5K
- Part D claims, 2023
- 85%
- generic prescribing
- $99.95
- 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.
NELSON GRAMATICA, APN-C's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023 — across all CMS prescribers nationally
5,435 Top 6% higher than 94% of 1,370,886 prescribers
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 NELSON GRAMATICA, APN-C?
Quality data not reportedPrimary specialty
Medicare Part D claims
Specialty distribution in New Jersey
How Registered Nurse compares to other specialties among New Jersey providers
Registered Nurse share within New Jersey
Registered Nurse is one of the more visible NUCC categories in New Jersey
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Specialty board-certification context
Estimated specialty board-certified rate — Registered Nurse (ABMS / AOA reference)
- Est. board-certified rate
- 78%
- Registered Nurse ABMS/AOA estimate
Est. board-certified rate (Registered Nurse) — ABMS / AOA estimate
Verify credentials
- Verify via ABMS free public lookup
- Verify via AOA osteopathic boards
- Specialty volume Registered Nurse US NPIs
Specialty board-certified rate — Registered Nurse estimate
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus Maintenance of Certification cycles. CMS does not publish a per-provider board-certification field; the figure shown is the specialty-level estimated rate from ABMS / AOA reference data.
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).
NELSON GRAMATICA, APN-C appears in the CMS NPPES registry as a Registered Nurse provider holding APN-C credentials at 196 JEWETT AVE, JERSEY CITY, NJ, 07304, with a listed phone of (201) 833-3000. NPI 1316027642 was issued on 10/17/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GRAMATICA 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 5,435 prescription claims written by this provider, covering 167 Medicare beneficiaries and totaling roughly $527K in drug spend, split 15% brand-name and 85% generic by claim count, with an opioid prescribing rate of 3.1%. 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.
Registered Nurse is a high-volume specialty nationwide, with 175,652 enrolled providers across 56 states and an average of 1,000 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
Provider Details
| NPI | 1316027642 |
|---|---|
| Specialty | Registered Nurse |
| Credentials | APN-C |
| Gender | Male |
| NPI Issued | 10/17/2006 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm NELSON GRAMATICA, APN-C's current license status, disciplinary history, and board certifications with the New Jersey State Board of Medical Examiners in New Jersey before relying on this page for a clinical or care decision.
How we sourced this profile
Hospital and facility affiliations
Facilities where NELSON GRAMATICA, APN-C 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.
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 NELSON GRAMATICA, APN-C. Source: openpaymentsdata.cms.gov.
Total received
$100
Largest payer
Aveo Pharmaceuticals, Inc.
Most common payment type
Education
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
15% brand-name claims vs 85% generic, on 5,435 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.
Prescribing Breakdown
- 30-Day Fills
- 7,981
- Total Day Supply
- 227,161
- Brand vs Generic
- 15% brand / 85% generic
- Brand Drug Cost
- $394K
- Generic Drug Cost
- $125K
- Opioid Claims
- 171 (3.1% rate)
- Antibiotic Claims
- 228
Patient Demographics
- Average Patient Age
- 78.0 years
- Avg HCC Risk Score
- 2.38
- Gender Split
- 68% female / 32% male
- Age Distribution
- <65: 23, 65-74: 39, 75-84: 47, 85+: 58
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What NELSON GRAMATICA, APN-C prescribes most
Top Medicare Part D drugs by claim count, 2023
- Gabapentin
Gabapentin
154 claims
- Furosemide
Furosemide
149 claims
- Pantoprazole Sodium
Pantoprazole Sodium
143 claims
- Atorvastatin Calcium
Atorvastatin Calcium
141 claims
- Metformin Hcl
Metformin Hcl
125 claims
- Levothyroxine Sodium
Levothyroxine Sodium
118 claims
- Amlodipine Besylate
Amlodipine Besylate
116 claims
- Famotidine
Famotidine
114 claims
| Drug | Claims |
|---|---|
| Gabapentin | 154 |
| Furosemide | 149 |
| Pantoprazole Sodium | 143 |
| Atorvastatin Calcium | 141 |
| Metformin Hcl | 125 |
| Levothyroxine Sodium | 118 |
| Amlodipine Besylate | 116 |
| Famotidine | 114 |
| Alprazolam | 112 |
| Clotrimazole-Betamethasone Clotrimazole/Betamethasone Dip | 108 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Registered Nurse Overview
How NELSON GRAMATICA, APN-C fits within the Registered Nurse landscape nationally.
NELSON GRAMATICA, APN-C's 5,435 claims are above the specialty average of 1,000.
Nearby Registered Nurse Providers in New Jersey
Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as GRAMATICA.
Compare Registered Nurse nationally: see state-by-state distribution →
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Frequently Asked Questions
What is NELSON GRAMATICA, APN-C's specialty? ▼
How much does NELSON GRAMATICA, APN-C prescribe under Medicare Part D? ▼
Where is NELSON GRAMATICA, APN-C located? ▼
What is NELSON GRAMATICA, APN-C's NPI number? ▼
Does NELSON GRAMATICA, APN-C prescribe more brand-name or generic drugs? ▼
Does NELSON GRAMATICA, APN-C prescribe opioids? ▼
How many Registered Nurse providers are there in the US? ▼
What drugs does NELSON GRAMATICA, APN-C prescribe most often? ▼
Does NELSON GRAMATICA, APN-C accept Medicare? ▼
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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