NPI registry status
Active
2026 NPPES data Gynecology Physician NPI 1942731096 MD PHD
Verify on CMS → Nicole Kretzer, MD PHD
Gynecology Physician in Seattle, Washington.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 3,906 in Gynecology 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
17
Medicare Part D claims · 13 beneficiaries · Gynecology Physician avg: 295
MIPS score
93.1/100
▲ 10 pts above national avg 83.1 · Exceptional
Industry payments
$229.28
6 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Nicole Kretzer, MD PHD reported a CMS MIPS final score of 93.1/100 - above the 83.1 national average - and filed 17 Medicare Part D claims in 2023.
- 93.1/100
- MIPS score · +10 vs avg
- 17
- 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.
Nicole Kretzer, MD PHD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
93 Top 29% higher than 71% of 477,587 scored providers
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
Where Nicole Kretzer, MD PHD sits
This provider among gynecology physician peers
Across the 551 gynecology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Nicole Kretzer, MD PHD writes more Part D claims than 2% of them and scores higher on MIPS quality than 77% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one gynecology physician peer from a representative sample of 60; the gold marker is Nicole Kretzer, MD PHD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Nicole Kretzer, MD PHD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Kretzer, MD PHD?
High performer (top quartile)Primary specialty
Gynecology Physician
Medicare Part D claims
17 94% vs specialty avg
MIPS final score
93.1/100 10 pts vs avg
Specialty distribution in Washington
How Gynecology Physician compares to other specialties among Washington providers
Medicare quality performance, MIPS
Nicole Kretzer, MD PHD's 2023 MIPS final score plotted against the Gynecology Physician national average
- MIPS Final Score
- 93.1/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Gynecology Physician) - 93.1/100 vs national avg 83.1
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 Kretzer, MD PHD appears in the CMS NPPES registry as a Gynecology Physician provider holding MD PHD credentials at 6204 8TH AVE NW UNIT A, Seattle, WA, 98107, with a listed phone of (206) 455-4491. NPI 1942731096 was issued on 03/21/2017.
Medicare Part D records for calendar year 2023 show 17 prescription claims written by this provider, covering 13 Medicare beneficiaries and totaling roughly $1K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 93.1/100 for the 2023 performance year (Quality 74), compared with the national average of 83.1.
Gynecology Physician is a narrow specialty nationwide, with 3,906 enrolled providers across 53 states and an average of 295 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 | 1942731096 |
|---|---|
| Specialty | Gynecology Physician |
| Credentials | MD PHD |
| Gender | Female |
| NPI Issued | 03/21/2017 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
93.0932
Final Score
Avg: 83.1
73.9573
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
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 Kretzer, MD PHD. Source: openpaymentsdata.cms.gov.
Total received
$229
Largest payer
Hologic Sales and Service, LLC
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 - Washington WMC 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 ~34K Washington medical licensees in 2023 - they are NOT specific to Nicole Kretzer, MD PHD. To verify Nicole Kretzer, MD PHD's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases
WMC 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 Washington 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
13
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 20
- Total Day Supply
- 426
- Generic Drug Cost
- $458
Patient Demographics
- Average Patient Age
- 72.2 years
- Avg HCC Risk Score
- 1.09
- Gender Split
- 100% female / 0% male
Gynecology Physician Overview
How Nicole Kretzer, MD PHD fits within the Gynecology Physician landscape nationally.
3,906
Gynecology Physician Providers in US
53
States with Gynecology Physician
295
Avg Claims per Provider
Nicole Kretzer, MD PHD's 17 claims are below the specialty average of 295.
Nearby Gynecology Physician Providers in Washington
Other clinicians with the same primary specialty enrolled in Washington, drawn from the same CMS NPPES roster as Kretzer.
Dr. Jane Ahearn
MD
Vancouver, WA
Dr. Robert Andre
MD
Everett, WA
Dr. Kathryn Arendt
M.D.
Kirkland, WA
Dr. Milagros Arocho
M.D.
Yelm, WA
Dr. Suzanne Barbier
M.D.
Seattle, WA
Compare Gynecology 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 Washington medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Gynecology 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.
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Frequently Asked Questions
What is Nicole Kretzer, MD PHD's specialty? ▼
Nicole Kretzer, MD PHD specializes in Gynecology Physician and practices in Seattle, Washington. Credentials: MD PHD.
How much does Nicole Kretzer, MD PHD prescribe under Medicare Part D? ▼
In 2023, Nicole Kretzer, MD PHD wrote 17 Medicare Part D claims totaling $1K in drug costs for 13 beneficiaries.
What is Nicole Kretzer, MD PHD's Medicare quality score? ▼
Nicole Kretzer, MD PHD has a CMS MIPS Final Score of 93.1/100 (Quality: 74). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Nicole Kretzer, MD PHD located? ▼
Nicole Kretzer, MD PHD is located at 6204 8TH AVE NW UNIT A, Seattle, WA, 98107. Phone: (206) 455-4491.
What is Nicole Kretzer, MD PHD's NPI number? ▼
Nicole Kretzer, MD PHD's National Provider Identifier (NPI) is 1942731096, issued on 03/21/2017.
How many Gynecology Physician providers are there in the US? ▼
There are 3,906 Gynecology Physician providers across 53 states in the US. The average Gynecology Physician provider writes 295 Medicare Part D claims per year.
Does Nicole Kretzer, MD PHD accept Medicare? ▼
Nicole Kretzer, MD PHD appears in CMS Medicare data with 17 Part D claims and 13 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Nicole Kretzer, MD PHD's credentials? ▼
Nicole Kretzer, MD PHD's NPI is 1942731096 with credentials MD PHD. 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.
- 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
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.