2026 NPPES data Obstetrics & Gynecology Physician NPI 1255667184 MD
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NICOLE BAVUSO, MD

Obstetrics & Gynecology Physician in PHILADELPHIA, Pennsylvania. 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
17
Medicare Part D claims · Obstetrics & Gynecology Physician avg: 179
MIPS score
86.7523/100
▲ 4 pts above national avg 83.1 · [object Object]
What the federal data reveals: NICOLE BAVUSO, MD is a Obstetrics & Gynecology Physician ([object Object]) practicing in PHILADELPHIA, Pennsylvania with a Medicare Part D prescribing footprint of 17 claims . Their CMS MIPS Final Score of 86.7523/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: NICOLE BAVUSO, MD reported a CMS MIPS final score of 86.7523 out of 100, above the 83.1 national average, and filed 17 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

NICOLE BAVUSO, MD 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).

NICOLE BAVUSO, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 10/28/2009

NPI 1255667184

Primary specialty

Obstetrics & Gynecology Physician

Mid-sized

44,313 US NPIs in this specialty

Medicare Part D claims

17 91% vs specialty avg

2023 prescription claims

Specialty avg: 179

MIPS final score

86.7523/100 3.652300000000011% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Obstetrics & Gynecology Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Obstetrics & Gynecology Physician share within Pennsylvania

1. Obstetrics & Gynecology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Obstetrics & Gynecology Physician share within Pennsylvania

Medicare quality performance — MIPS

NICOLE BAVUSO, MD's 2023 MIPS final score plotted against the Obstetrics & Gynecology Physician national average

High performer (top quartile)
MIPS Final Score
86.7523/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Obstetrics & Gynecology Physician) — 86.7523/100 vs national avg 83.1

0%100%National avg83%86.8%
MIPS final score (Obstetrics & Gynecology Physician) — 86.7523/100 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).

NICOLE BAVUSO, MD is a Obstetrics & Gynecology Physician provider practicing in PHILADELPHIA, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1255667184. 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.

NICOLE BAVUSO, MD appears in the CMS NPPES registry as a Obstetrics & Gynecology Physician provider holding MD credentials at 301 S 8TH ST, PHILADELPHIA, PA, 19106, with a listed phone of (215) 829-6797. NPI 1255667184 was issued on 10/28/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BAVUSO 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 17 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $1K 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 86.7523/100 for the 2023 performance year (Quality 75.9132), compared with the national average of 83.1.

Obstetrics & Gynecology Physician is a mid-sized specialty nationwide, with 44,313 enrolled providers across 56 states and an average of 179 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

301 S 8TH ST
PHILADELPHIA, PA 19106

Provider Details

NPI 1255667184
Specialty Obstetrics & Gynecology Physician
Credentials MD
Gender Female
NPI Issued 10/28/2009

CMS Quality Score (MIPS)

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

86.7523
Final Score
Avg: 83.1
75.9132
Quality
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where NICOLE BAVUSO, MD 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.

CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH.
PHILADELPHIA, PA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to NICOLE BAVUSO, MD. To verify NICOLE BAVUSO, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

17
Total Claims
$1K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
41
Total Day Supply
1,210
Brand Drug Cost
$0
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
71.9 years
Avg HCC Risk Score
0.59

Obstetrics & Gynecology Physician Overview

How NICOLE BAVUSO, MD fits within the Obstetrics & Gynecology Physician landscape nationally.

44,313
Obstetrics & Gynecology Physician Providers in US
56
States with Obstetrics & Gynecology Physician
179
Avg Claims per Provider

NICOLE BAVUSO, MD's 17 claims are below the specialty average of 179.

Nearby Obstetrics & Gynecology Physician Providers in Pennsylvania

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

Compare Obstetrics & Gynecology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is NICOLE BAVUSO, MD's specialty?
NICOLE BAVUSO, MD specializes in Obstetrics & Gynecology Physician and practices in PHILADELPHIA, Pennsylvania. Credentials: MD.
How much does NICOLE BAVUSO, MD prescribe under Medicare Part D?
In 2023, NICOLE BAVUSO, MD wrote 17 Medicare Part D claims totaling $1K in drug costs for N/A beneficiaries.
What is NICOLE BAVUSO, MD's Medicare quality score?
NICOLE BAVUSO, MD has a CMS MIPS Final Score of 86.7523/100 (Quality: 75.9132). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NICOLE BAVUSO, MD located?
NICOLE BAVUSO, MD is located at 301 S 8TH ST, PHILADELPHIA, PA, 19106. Phone: (215) 829-6797.
What is NICOLE BAVUSO, MD's NPI number?
NICOLE BAVUSO, MD's National Provider Identifier (NPI) is 1255667184, issued on 10/28/2009.
How many Obstetrics & Gynecology Physician providers are there in the US?
There are 44,313 Obstetrics & Gynecology Physician providers across 56 states in the US. The average Obstetrics & Gynecology Physician provider writes 179 Medicare Part D claims per year.
Does NICOLE BAVUSO, MD accept Medicare?
NICOLE BAVUSO, MD appears in CMS Medicare data with 17 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NICOLE BAVUSO, MD's credentials?
NICOLE BAVUSO, MD's NPI is 1255667184 with credentials MD. 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