2026 NPPES data Nurse Practitioner NPI 1942298294 ARNP
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PEGGY HIRTE, ARNP

Nurse Practitioner in WEST POINT, Iowa. 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
284
Medicare Part D claims · 82 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.8186/100
▼ 5 pts below national avg 83.1 · [object Object]

What the federal data shows

PEGGY HIRTE, ARNP reported a CMS MIPS final score of 77.8186/100 — below the 83.1 national average — and filed 284 Medicare Part D claims in 2023.

77.8186/100
MIPS score · -5 vs avg
284
Part D claims, 2023
94%
generic prescribing

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.

PEGGY HIRTE, ARNP's MIPS score vs every scored U.S. clinician

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

78 24th percentile higher than 24% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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 PEGGY HIRTE, ARNP?

Below national average

NPI registry status

Active

Issued 10/11/2005

NPI 1942298294

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

284 74% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

77.8186/100 5.281399999999991% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Iowa

How Nurse Practitioner compares to other specialties among Iowa providers

Iowa providers

Nurse Practitioner share within Iowa

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

Medicare quality performance — MIPS

PEGGY HIRTE, ARNP's 2023 MIPS final score plotted against the Nurse Practitioner national average

Below national average
MIPS Final Score
77.8186/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) — 77.8186/100 vs national avg 83.1

0%100%National avg83%77.8%
MIPS final score (Nurse Practitioner) — 77.8186/100 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).

PEGGY HIRTE, ARNP is a Nurse Practitioner provider practicing in WEST POINT, Iowa, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: ARNP. NPI: 1942298294. 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.

PEGGY HIRTE, ARNP appears in the CMS NPPES registry as a Nurse Practitioner provider holding ARNP credentials at 706 AVENUE C, WEST POINT, IA, 52656, with a listed phone of (319) 837-6115. NPI 1942298294 was issued on 10/11/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HIRTE 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 284 prescription claims written by this provider, covering 82 Medicare beneficiaries and totaling roughly $18K in drug spend, split 6% brand-name and 94% 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 77.8186/100 for the 2023 performance year (Quality 67.6256, Cost 58.4365), compared with the national average of 83.1.

Nurse Practitioner is a high-volume specialty nationwide, with 87,227 enrolled providers across 56 states and an average of 1,084 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

706 AVENUE C
WEST POINT, IA 52656

Provider Details

NPI 1942298294
Specialty Nurse Practitioner
Credentials ARNP
Gender Female
NPI Issued 10/11/2005

CMS Quality Score (MIPS)

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

77.8186
Final Score
Avg: 83.1
67.6256
Quality
58.4365
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where PEGGY HIRTE, ARNP 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.

SOUTHEAST IOWA REGIONAL MEDICAL CENTER INC
WEST BURLINGTON, IA

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 · Generic-heavy

PEGGY HIRTE, ARNP — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 284 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.

284
Total Claims
$18K
Total Drug Cost
82
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
429
Total Day Supply
10,655
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$4K
Generic Drug Cost
$14K
Antibiotic Claims
33

Patient Demographics

Average Patient Age
67.4 years
Avg HCC Risk Score
0.90

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Estradiol
74
Fluconazole
18
Triamcinolone Acetonide
17
Metronidazole
14
Terconazole
14
Aviane
Levonorgestrel/Ethin.Estradiol
11

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

Nurse Practitioner Overview

How PEGGY HIRTE, ARNP fits within the Nurse Practitioner landscape nationally.

87,227
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,084
Avg Claims per Provider

PEGGY HIRTE, ARNP's 284 claims are below the specialty average of 1,084.

Nearby Nurse Practitioner Providers in Iowa

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

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

Frequently Asked Questions

What is PEGGY HIRTE, ARNP's specialty?
PEGGY HIRTE, ARNP specializes in Nurse Practitioner and practices in WEST POINT, Iowa. Credentials: ARNP.
How much does PEGGY HIRTE, ARNP prescribe under Medicare Part D?
In 2023, PEGGY HIRTE, ARNP wrote 284 Medicare Part D claims totaling $18K in drug costs for 82 beneficiaries.
What is PEGGY HIRTE, ARNP's Medicare quality score?
PEGGY HIRTE, ARNP has a CMS MIPS Final Score of 77.8186/100 (Quality: 67.6256, Cost: 58.4365). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PEGGY HIRTE, ARNP located?
PEGGY HIRTE, ARNP is located at 706 AVENUE C, WEST POINT, IA, 52656. Phone: (319) 837-6115.
What is PEGGY HIRTE, ARNP's NPI number?
PEGGY HIRTE, ARNP's National Provider Identifier (NPI) is 1942298294, issued on 10/11/2005.
Does PEGGY HIRTE, ARNP prescribe more brand-name or generic drugs?
PEGGY HIRTE, ARNP's prescribing is 6% brand-name and 94% generic drugs by claim count, with $4K in brand drug costs.
How many Nurse Practitioner providers are there in the US?
There are 87,227 Nurse Practitioner providers across 56 states in the US. The average Nurse Practitioner provider writes 1,084 Medicare Part D claims per year.
What drugs does PEGGY HIRTE, ARNP prescribe most often?
Based on 2023 Medicare Part D data, PEGGY HIRTE, ARNP's most frequently prescribed drugs include Estradiol, Fluconazole, Triamcinolone Acetonide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PEGGY HIRTE, ARNP accept Medicare?
PEGGY HIRTE, ARNP appears in CMS Medicare data with 284 Part D claims and 82 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PEGGY HIRTE, ARNP's credentials?
PEGGY HIRTE, ARNP's NPI is 1942298294 with credentials ARNP. 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