NPI registry status
Active
2026 NPPES data Nurse Practitioner NPI 1942298294 ARNP
Verify on CMS → Peggy Hirte, ARNP
Nurse Practitioner in West Point, Iowa.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 87,700 in Nurse Practitioner, 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
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
77.8/100
▼ 5 pts below national avg 83.1 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Peggy Hirte, ARNP reported a CMS MIPS final score of 77.8/100 - below the 83.1 national average - and filed 284 Medicare Part D claims in 2023.
- 77.8/100
- 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
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 Peggy Hirte, ARNP sits
This provider among nurse practitioner peers
Across the 13,476 nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Peggy Hirte, ARNP writes more Part D claims than 43% of them and scores higher on MIPS quality than 25% - placing this provider in the lower-volume, lower-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 nurse practitioner peer from a representative sample of 60; the gold marker is Peggy Hirte, ARNP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Peggy Hirte, ARNP?
Below national averagePrimary specialty
Nurse Practitioner
Medicare Part D claims
284 74% vs specialty avg
MIPS final score
77.8/100 5.3 pts vs avg
Specialty distribution in Iowa
How Nurse Practitioner compares to other specialties among Iowa providers
Medicare quality performance, MIPS
Peggy Hirte, ARNP's 2023 MIPS final score plotted against the Nurse Practitioner national average
- MIPS Final Score
- 77.8/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Nurse Practitioner) - 77.8/100 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).
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.
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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 77.8/100 for the 2023 performance year (Quality 67.6, Cost 58.4), compared with the national average of 83.1.
Nurse Practitioner is a high-volume specialty nationwide, with 87,700 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
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%
Nurse Practitioner average
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.
What Peggy Hirte, ARNP prescribes most
Top Medicare Part D drugs by claim count, 2023
- Estradiol
Estradiol
74 claims
- Fluconazole 18
Fluconazole
18 claims
- Triamcinolone Acet… 17
Triamcinolone Acetonide
17 claims
- Metronidazole 14
Metronidazole
14 claims
- Terconazole 14
Terconazole
14 claims
- Aviane 11
Aviane
11 claims
| 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.
87,700
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.
Jennifer Achenbach
Council Bluffs, IA
Dr. Elizabeth Ackerson
ARNP
Waterloo, IA
Dr. Anece Adam
ARNP
Iowa City, IA
Dr. Debra Adams
ARNP
Fort Dodge, IA
Dr. Kathleen Adams
ARNP
Des Moines, IA
Compare 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 Iowa medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby 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.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Iowa
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 77.8/100 (Quality: 67.6, Cost: 58.4). 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 87,700 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
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.