2026 NPPES data Psychiatry Physician NPI 1003084625 M.D
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NICOLAS VERGARA, M.D

Psychiatry Physician in HOUMA, Louisiana. 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
1K
Medicare Part D claims · 210 beneficiaries · Psychiatry Physician avg: 1K
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$837.08
37 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

NICOLAS VERGARA, M.D reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 1,152 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
1K
Part D claims, 2023
Likely
board-certified (heuristic)

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.

NICOLAS VERGARA, M.D's MIPS score vs every scored U.S. clinician

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

100 Top 7% higher than 93% 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

Board certification likely (heuristic — not verified)

NICOLAS VERGARA, M.D practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about NICOLAS VERGARA, M.D?

High performer (top quartile)

NPI registry status

Active

Issued 02/17/2008

NPI 1003084625

Primary specialty

Psychiatry Physician

High-volume

53,104 US NPIs in this specialty

Medicare Part D claims

1,152 11% vs specialty avg

2023 prescription claims

Specialty avg: 1,038

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Louisiana

How Psychiatry Physician compares to other specialties among Louisiana providers

Louisiana providers

Psychiatry Physician share within Louisiana

1. Psychiatry Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Psychiatry Physician share within Louisiana

Medicare quality performance — MIPS

NICOLAS VERGARA, M.D's 2023 MIPS final score plotted against the Psychiatry Physician national average

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

MIPS final score (Psychiatry Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Psychiatry Physician) — 100/100 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).

NICOLAS VERGARA, M.D appears in the CMS NPPES registry as a Psychiatry Physician provider holding M.D credentials at 1990 INDUSTRIAL BLVD., HOUMA, LA, 70363, with a listed phone of (985) 868-9300. NPI 1003084625 was issued on 02/17/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what VERGARA 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 1,152 prescription claims written by this provider, covering 210 Medicare beneficiaries and totaling roughly $84K in drug spend. 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 100/100 for the 2023 performance year (Quality 80.151), compared with the national average of 83.1.

Psychiatry Physician is a high-volume specialty nationwide, with 53,104 enrolled providers across 56 states and an average of 1,038 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

1990 INDUSTRIAL BLVD.
HOUMA, LA 70363

Provider Details

NPI 1003084625
Specialty Psychiatry Physician
Credentials M.D
Gender Male
NPI Issued 02/17/2008

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
80.151
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where NICOLAS VERGARA, M.D 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.

DEEPBLUE WELLNESS LLC
NEW ORLEANS, LA

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 NICOLAS VERGARA, M.D. Source: openpaymentsdata.cms.gov.

Total received

$837

Largest payer

Janssen Pharmaceuticals, Inc

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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,152
Total Claims
$84K
Total Drug Cost
210
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,178
Total Day Supply
33,941
Generic Drug Cost
$18K

Patient Demographics

Average Patient Age
64.0 years
Avg HCC Risk Score
2.02
Gender Split
55% female / 45% male
Age Distribution
<65: 85, 65-74: 88, 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 NICOLAS VERGARA, M.D 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
Trazodone Hcl
81
Aripiprazole
75
Sertraline Hcl
72
Risperidone
53
Atorvastatin Calcium
46
Mirtazapine
42
Fluoxetine Hcl
38
Divalproex Sodium
37
Quetiapine Fumarate
37
Amlodipine Besylate
34

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

Psychiatry Physician Overview

How NICOLAS VERGARA, M.D fits within the Psychiatry Physician landscape nationally.

53,104
Psychiatry Physician Providers in US
56
States with Psychiatry Physician
1,038
Avg Claims per Provider

NICOLAS VERGARA, M.D's 1,152 claims are above the specialty average of 1,038.

Nearby Psychiatry Physician Providers in Louisiana

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

Compare Psychiatry Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is NICOLAS VERGARA, M.D's specialty?
NICOLAS VERGARA, M.D specializes in Psychiatry Physician and practices in HOUMA, Louisiana. Credentials: M.D.
How much does NICOLAS VERGARA, M.D prescribe under Medicare Part D?
In 2023, NICOLAS VERGARA, M.D wrote 1,152 Medicare Part D claims totaling $84K in drug costs for 210 beneficiaries.
What is NICOLAS VERGARA, M.D's Medicare quality score?
NICOLAS VERGARA, M.D has a CMS MIPS Final Score of 100/100 (Quality: 80.151). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NICOLAS VERGARA, M.D located?
NICOLAS VERGARA, M.D is located at 1990 INDUSTRIAL BLVD., HOUMA, LA, 70363. Phone: (985) 868-9300.
What is NICOLAS VERGARA, M.D's NPI number?
NICOLAS VERGARA, M.D's National Provider Identifier (NPI) is 1003084625, issued on 02/17/2008.
How many Psychiatry Physician providers are there in the US?
There are 53,104 Psychiatry Physician providers across 56 states in the US. The average Psychiatry Physician provider writes 1,038 Medicare Part D claims per year.
What drugs does NICOLAS VERGARA, M.D prescribe most often?
Based on 2023 Medicare Part D data, NICOLAS VERGARA, M.D's most frequently prescribed drugs include Trazodone Hcl, Aripiprazole, Sertraline Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NICOLAS VERGARA, M.D accept Medicare?
NICOLAS VERGARA, M.D appears in CMS Medicare data with 1,152 Part D claims and 210 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NICOLAS VERGARA, M.D's credentials?
NICOLAS VERGARA, M.D's NPI is 1003084625 with credentials M.D. 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