2026 NPPES data Internal Medicine Physician NPI 1669897856
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Nicole Bressler

Internal Medicine Physician in Livingston, Montana.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 172,737 in Internal Medicine Physician, 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
5K
Medicare Part D claims · 372 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
89%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Nicole Bressler filed 4,755 Medicare Part D claims in 2023 as a Internal Medicine Physician in Livingston, Montana, prescribing 89% generic.

5K
Part D claims, 2023
89%
generic prescribing
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.

Nicole Bressler's Medicare Part D volume vs every U.S. prescriber

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

4,755 Top 7% higher than 93% 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%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2K+: 213,991 prescribers (16%). This entry sits in this band. 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

Board certification likely (heuristic, not verified)

Nicole Bressler practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Nicole Bressler?

Quality data not reported

NPI registry status

Active

Issued 02/24/2014

NPI 1669897856

Primary specialty

Internal Medicine Physician

High-volume

172,737 US NPIs in this specialty

Medicare Part D claims

4,755 75% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

Specialty distribution in Montana

How Internal Medicine Physician compares to other specialties among Montana providers

Montana providers
Clinical Social Worker - 6.4%Clinical Social Worker6.4%Physical Therapist - 6.4%Physical Therapist6.4%Pharmacist - 5%Pharmacist5%Mental Health Counselor - 4.9%Mental Health Counselor4.9%Professional Counselor - 4.4%Professional Counselor4.4%Addiction (Substance Use Disorder) Counselor - 4.1%Addiction (Substance Use Disorder) Counselor4.1%Internal Medicine Physician - 1.8%Internal Medicine Physician1.8%
Largest specialties in Montana (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Internal Medicine Physician. Verify directly:

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).

Nicole Bressler appears in the CMS NPPES registry as an Internal Medicine Physician provider at 320 ALPENGLOW LN, Livingston, MT, 59047, with a listed phone of (406) 222-3541. NPI 1669897856 was issued on 02/24/2014.

Medicare Part D records for calendar year 2023 show 4,755 prescription claims written by this provider, covering 372 Medicare beneficiaries and totaling roughly $331K in drug spend, split 10% brand-name and 89% generic by claim count, with an opioid prescribing rate of 2.3%.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,737 enrolled providers across 56 states and an average of 2,716 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

320 ALPENGLOW LN
Livingston, MT 59047

Provider Details

NPI 1669897856
Specialty Internal Medicine Physician
Gender Female
NPI Issued 02/24/2014

Hospital and facility affiliations

Facilities where Nicole Bressler 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.

Bozeman Health Deaconess Hospital
★★★★☆ 4/5
Belgrade, MT
Acute Care Hospitals
CMS CCN: 270057

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

Brand vs generic prescribing mix · Typical

Nicole Bressler - brand share 10.0%
Internal Medicine Physician average

10% brand-name claims vs 89% generic, on 4,755 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.

4,755
Total Claims
$331K
Total Drug Cost
372
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
8,895
Total Day Supply
252,060
Brand vs Generic
10% brand / 89% generic
Brand Drug Cost
$247K
Generic Drug Cost
$82K
Opioid Claims
108 (2.3% rate)
Antibiotic Claims
116

Patient Demographics

Average Patient Age
74.9 years
Avg HCC Risk Score
0.97
Gender Split
64% female / 36% male
Age Distribution
<65: 19, 65-74: 181, 75-84: 109, 85+: 63

Top Prescribed Drugs (Medicare Part D)

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

What Nicole Bressler 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
Atorvastatin Calcium
300
Levothyroxine Sodium
264
Amlodipine Besylate
161
Lisinopril
156
Losartan Potassium
156
Gabapentin
129
Omeprazole
118
Metoprolol Succinate
108
Sertraline Hcl
88
Furosemide
81

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

Internal Medicine Physician Overview

How Nicole Bressler fits within the Internal Medicine Physician landscape nationally.

172,737
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

Nicole Bressler's 4,755 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Montana

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

Compare Internal Medicine Physician 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 Montana medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Internal Medicine Physician 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 Nicole Bressler's specialty?
Nicole Bressler specializes in Internal Medicine Physician and practices in Livingston, Montana.
How much does Nicole Bressler prescribe under Medicare Part D?
In 2023, Nicole Bressler wrote 4,755 Medicare Part D claims totaling $331K in drug costs for 372 beneficiaries.
Where is Nicole Bressler located?
Nicole Bressler is located at 320 ALPENGLOW LN, Livingston, MT, 59047. Phone: (406) 222-3541.
What is Nicole Bressler's NPI number?
Nicole Bressler's National Provider Identifier (NPI) is 1669897856, issued on 02/24/2014.
Does Nicole Bressler prescribe more brand-name or generic drugs?
Nicole Bressler's prescribing is 10% brand-name and 89% generic drugs by claim count, with $247K in brand drug costs.
Does Nicole Bressler prescribe opioids?
Yes, Nicole Bressler had 108 opioid claims in 2023 with an opioid prescribing rate of 2.3%.
How many Internal Medicine Physician providers are there in the US?
There are 172,737 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does Nicole Bressler prescribe most often?
Based on 2023 Medicare Part D data, Nicole Bressler's most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Nicole Bressler accept Medicare?
Nicole Bressler appears in CMS Medicare data with 4,755 Part D claims and 372 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Nicole Bressler's credentials?
Nicole Bressler's NPI is 1669897856. 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 (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.

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 May 2026.