2026 NPPES data Primary Care Nurse Practitioner NPI 1164445193 N.P.
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PAM DIFIORE, N.P.

Primary Care Nurse Practitioner in PLAINVILLE, Massachusetts. 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
2K
Medicare Part D claims · 260 beneficiaries · Primary Care Nurse Practitioner avg: 1K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$134.22
6 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: PAM DIFIORE, N.P. is a Primary Care Nurse Practitioner ([object Object]) practicing in PLAINVILLE, Massachusetts with a Medicare Part D prescribing footprint of 2K claims across 260 beneficiaries — 13% brand-name prescribing . Their CMS MIPS Final Score of 100/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $134.22 across 6 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: PAM DIFIORE, N.P. reported a CMS MIPS final score of 100 out of 100, above the 83.1 national average, and filed 2,476 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

PAM DIFIORE, N.P. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 07/25/2006

NPI 1164445193

Primary specialty

Primary Care Nurse Practitioner

Mid-sized

10,138 US NPIs in this specialty

Medicare Part D claims

2,476 82% vs specialty avg

2023 prescription claims

Specialty avg: 1,363

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Massachusetts

How Primary Care Nurse Practitioner compares to other specialties among Massachusetts providers

Massachusetts providers

Primary Care Nurse Practitioner share within Massachusetts

1. Primary Care Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Primary Care Nurse Practitioner share within Massachusetts

Medicare quality performance — MIPS

PAM DIFIORE, N.P.'s 2023 MIPS final score plotted against the Primary Care Nurse Practitioner national average

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

MIPS final score (Primary Care Nurse Practitioner) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Primary Care Nurse Practitioner) — 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).

PAM DIFIORE, N.P. is a Primary Care Nurse Practitioner provider practicing in PLAINVILLE, Massachusetts, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: N.P.. NPI: 1164445193. 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.

PAM DIFIORE, N.P. appears in the CMS NPPES registry as a Primary Care Nurse Practitioner provider holding N.P. credentials at 60 MESSENGER ST, PLAINVILLE, MA, 02762, with a listed phone of (508) 695-2020. NPI 1164445193 was issued on 07/25/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DIFIORE 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 2,476 prescription claims written by this provider, covering 260 Medicare beneficiaries and totaling roughly $276K in drug spend, split 13% brand-name and 87% 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 100/100 for the 2023 performance year, compared with the national average of 83.1.

Primary Care Nurse Practitioner is a mid-sized specialty nationwide, with 10,138 enrolled providers across 54 states and an average of 1,363 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

60 MESSENGER ST
PLAINVILLE, MA 02762

Provider Details

NPI 1164445193
Specialty Primary Care Nurse Practitioner
Credentials N.P.
Gender Female
NPI Issued 07/25/2006

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where PAM DIFIORE, N.P. 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.

STURDY HEALTH INC
PLAINVILLE, MA

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 PAM DIFIORE, N.P.. Source: openpaymentsdata.cms.gov.

Total received

$134

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 — Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 — they are NOT specific to PAM DIFIORE, N.P.. To verify PAM DIFIORE, N.P.'s current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM 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 Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

PAM DIFIORE, N.P. — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 2,476 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.

2,476
Total Claims
$276K
Total Drug Cost
260
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,595
Total Day Supply
163,185
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$229K
Generic Drug Cost
$46K
Antibiotic Claims
71

Patient Demographics

Average Patient Age
71.6 years
Avg HCC Risk Score
0.99
Gender Split
68% female / 32% male
Age Distribution
<65: 36, 65-74: 124, 75-84: 78, 85+: 22

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
183
Lisinopril
159
Levothyroxine Sodium
110
Amlodipine Besylate
90
Hydrochlorothiazide
89
Metformin Hcl
87
Simvastatin
81
Omeprazole
72
Albuterol Sulfate Hfa
Albuterol Sulfate
55
Atenolol
49

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

Primary Care Nurse Practitioner Overview

How PAM DIFIORE, N.P. fits within the Primary Care Nurse Practitioner landscape nationally.

10,138
Primary Care Nurse Practitioner Providers in US
54
States with Primary Care Nurse Practitioner
1,363
Avg Claims per Provider

PAM DIFIORE, N.P.'s 2,476 claims are above the specialty average of 1,363.

Nearby Primary Care Nurse Practitioner Providers in Massachusetts

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

Compare Primary Care Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is PAM DIFIORE, N.P.'s specialty?
PAM DIFIORE, N.P. specializes in Primary Care Nurse Practitioner and practices in PLAINVILLE, Massachusetts. Credentials: N.P..
How much does PAM DIFIORE, N.P. prescribe under Medicare Part D?
In 2023, PAM DIFIORE, N.P. wrote 2,476 Medicare Part D claims totaling $276K in drug costs for 260 beneficiaries.
What is PAM DIFIORE, N.P.'s Medicare quality score?
PAM DIFIORE, N.P. has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PAM DIFIORE, N.P. located?
PAM DIFIORE, N.P. is located at 60 MESSENGER ST, PLAINVILLE, MA, 02762. Phone: (508) 695-2020.
What is PAM DIFIORE, N.P.'s NPI number?
PAM DIFIORE, N.P.'s National Provider Identifier (NPI) is 1164445193, issued on 07/25/2006.
Does PAM DIFIORE, N.P. prescribe more brand-name or generic drugs?
PAM DIFIORE, N.P.'s prescribing is 13% brand-name and 87% generic drugs by claim count, with $229K in brand drug costs.
How many Primary Care Nurse Practitioner providers are there in the US?
There are 10,138 Primary Care Nurse Practitioner providers across 54 states in the US. The average Primary Care Nurse Practitioner provider writes 1,363 Medicare Part D claims per year.
What drugs does PAM DIFIORE, N.P. prescribe most often?
Based on 2023 Medicare Part D data, PAM DIFIORE, N.P.'s most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PAM DIFIORE, N.P. accept Medicare?
PAM DIFIORE, N.P. appears in CMS Medicare data with 2,476 Part D claims and 260 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PAM DIFIORE, N.P.'s credentials?
PAM DIFIORE, N.P.'s NPI is 1164445193 with credentials N.P.. 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