2026 NPPES data Family Nurse Practitioner NPI 1427724905 FNP-BC
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Nicole Gray, FNP-BC

Family Nurse Practitioner in Middletown, New York. 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
559
Medicare Part D claims · 400 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
86.3/100
▲ 3 pts above national avg 83.1 · [object Object]
Industry payments
$159.22
7 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Nicole Gray, FNP-BC reported a CMS MIPS final score of 86.3/100 — above the 83.1 national average — and filed 559 Medicare Part D claims in 2023.

86.3/100
MIPS score · +3 vs avg
559
Part D claims, 2023
88%
generic prescribing
$159.22
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.

Nicole Gray, FNP-BC's MIPS score vs every scored U.S. clinician

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

86 Top 48% higher than 52% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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

What does the federal data show about Nicole Gray, FNP-BC?

High performer (top quartile)

NPI registry status

Active

Issued 08/17/2021

NPI 1427724905

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

559 54% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

MIPS final score

86.3/100 3.2 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in New York

How Family Nurse Practitioner compares to other specialties among New York providers

New York providers

Family Nurse Practitioner share within New York

1. Family Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Nurse Practitioner share within New York

Medicare quality performance — MIPS

Nicole Gray, FNP-BC's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
86.3/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Nurse Practitioner) — 86.3/100 vs national avg 83.1

0%100%National avg83%86.3%
MIPS final score (Family Nurse Practitioner) — 86.3/100 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 Gray, FNP-BC appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding FNP-BC credentials at 707 E MAIN ST, Middletown, NY, 10940, with a listed phone of (845) 333-7575. NPI 1427724905 was issued on 08/17/2021. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Gray 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 559 prescription claims written by this provider, covering 400 Medicare beneficiaries and totaling roughly $7K 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 86.3/100 for the 2023 performance year (Quality 76.4, Cost 72.2), compared with the national average of 83.1.

Family Nurse Practitioner is a high-volume specialty nationwide, with 209,817 enrolled providers across 56 states and an average of 1,222 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

707 E MAIN ST
Middletown, NY 10940

Provider Details

NPI 1427724905
Specialty Family Nurse Practitioner
Credentials FNP-BC
Gender Female
NPI Issued 08/17/2021

CMS Quality Score (MIPS)

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

86.3392
Final Score
Avg: 83.1
76.3646
Quality
72.2
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Nicole Gray, FNP-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.

Excel Urgent Care OF Fishkill PLLC
Fishkill, NY
Excel Urgent Care OF Goshen PLLC
Goshen, NY

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 Nicole Gray, FNP-BC. Source: openpaymentsdata.cms.gov.

Total received

$159

Largest payer

AstraZeneca Pharmaceuticals LP

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.

License & disciplinary context — New York NYSBPMC 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 ~100K New York medical licensees in 2023 — they are NOT specific to Nicole Gray, FNP-BC. To verify Nicole Gray, FNP-BC's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Nicole Gray, FNP-BC — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 559 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.

559
Total Claims
$7K
Total Drug Cost
400
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
561
Total Day Supply
5,474
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$2K
Generic Drug Cost
$5K
Antibiotic Claims
272

Patient Demographics

Average Patient Age
71.1 years
Avg HCC Risk Score
1.01
Gender Split
67% female / 33% male
Age Distribution
<65: 54, 65-74: 198, 75-84: 113, 85+: 35

Top Prescribed Drugs (Medicare Part D)

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

What Nicole Gray, FNP-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
Prednisone
115
Albuterol Sulfate Hfa
Albuterol Sulfate
70
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
70
Azithromycin
51
Cephalexin
51
Doxycycline Hyclate
26
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
20
Polymyxin B Sul-Trimethoprim
Polymyxin B Sulf/Trimethoprim
17
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
16
Nitrofurantoin
Nitrofurantoin Macrocrystal
14

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

Family Nurse Practitioner Overview

How Nicole Gray, FNP-BC fits within the Family Nurse Practitioner landscape nationally.

209,817
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider

Nicole Gray, FNP-BC's 559 claims are below the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Gray.

Compare Family 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 New York medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family 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 Nicole Gray, FNP-BC's specialty?
Nicole Gray, FNP-BC specializes in Family Nurse Practitioner and practices in Middletown, New York. Credentials: FNP-BC.
How much does Nicole Gray, FNP-BC prescribe under Medicare Part D?
In 2023, Nicole Gray, FNP-BC wrote 559 Medicare Part D claims totaling $7K in drug costs for 400 beneficiaries.
What is Nicole Gray, FNP-BC's Medicare quality score?
Nicole Gray, FNP-BC has a CMS MIPS Final Score of 86.3/100 (Quality: 76.4, Cost: 72.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Nicole Gray, FNP-BC located?
Nicole Gray, FNP-BC is located at 707 E MAIN ST, Middletown, NY, 10940. Phone: (845) 333-7575.
What is Nicole Gray, FNP-BC's NPI number?
Nicole Gray, FNP-BC's National Provider Identifier (NPI) is 1427724905, issued on 08/17/2021.
Does Nicole Gray, FNP-BC prescribe more brand-name or generic drugs?
Nicole Gray, FNP-BC's prescribing is 12% brand-name and 88% generic drugs by claim count, with $2K in brand drug costs.
How many Family Nurse Practitioner providers are there in the US?
There are 209,817 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
What drugs does Nicole Gray, FNP-BC prescribe most often?
Based on 2023 Medicare Part D data, Nicole Gray, FNP-BC's most frequently prescribed drugs include Prednisone, Albuterol Sulfate Hfa, Amoxicillin-Clavulanate Potass. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Nicole Gray, FNP-BC accept Medicare?
Nicole Gray, FNP-BC appears in CMS Medicare data with 559 Part D claims and 400 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Nicole Gray, FNP-BC's credentials?
Nicole Gray, FNP-BC's NPI is 1427724905 with credentials FNP-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.
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