2026 NPPES data Nurse Practitioner NPI 1376041442 FNP-C
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RACHEL FOX, FNP-C

Nurse Practitioner in BLUFFTON, South Carolina. 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
512
Medicare Part D claims · 365 beneficiaries · Nurse Practitioner avg: 1K
MIPS score
71.0885/100
▼ 12 pts below national avg 83.1 · [object Object]

What the federal data shows

RACHEL FOX, FNP-C reported a CMS MIPS final score of 71.0885/100 — below the 83.1 national average — and filed 512 Medicare Part D claims in 2023.

71.0885/100
MIPS score · -12 vs avg
512
Part D claims, 2023

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.

RACHEL FOX, FNP-C's MIPS score vs every scored U.S. clinician

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

71 9th percentile higher than 9% 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 RACHEL FOX, FNP-C?

Below national average

NPI registry status

Active

Issued 01/24/2018

NPI 1376041442

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

512 53% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

71.0885/100 12.011499999999998% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in South Carolina

How Nurse Practitioner compares to other specialties among South Carolina providers

South Carolina providers

Nurse Practitioner share within South Carolina

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

Medicare quality performance — MIPS

RACHEL FOX, FNP-C's 2023 MIPS final score plotted against the Nurse Practitioner national average

Below national average
MIPS Final Score
71.0885/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) — 71.0885/100 vs national avg 83.1

0%100%National avg83%71.1%
MIPS final score (Nurse Practitioner) — 71.0885/100 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).

RACHEL FOX, FNP-C appears in the CMS NPPES registry as a Nurse Practitioner provider holding FNP-C credentials at 64 BLUFFTON RD, BLUFFTON, SC, 29910, with a listed phone of (843) 757-0676. NPI 1376041442 was issued on 01/24/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FOX 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 512 prescription claims written by this provider, covering 365 Medicare beneficiaries and totaling roughly $7K in drug spend. 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 71.0885/100 for the 2023 performance year (Quality 60.5233, Cost 50.605), 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

64 BLUFFTON RD
BLUFFTON, SC 29910

Provider Details

NPI 1376041442
Specialty Nurse Practitioner
Credentials FNP-C
Gender Female
NPI Issued 01/24/2018

CMS Quality Score (MIPS)

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

71.0885
Final Score
Avg: 83.1
60.5233
Quality
50.605
Cost
91
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where RACHEL FOX, FNP-C 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.

NOVANT HEALTH URGENT CARES LLC
BLUFFTON, SC
SEA PINES CIRCLE IMMEDIATE CARE, LLC
HILTON HEAD, SC

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

512
Total Claims
$7K
Total Drug Cost
365
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
514
Total Day Supply
4,731
Generic Drug Cost
$5K
Antibiotic Claims
227

Patient Demographics

Average Patient Age
73.8 years
Avg HCC Risk Score
0.89
Gender Split
60% female / 40% male
Age Distribution
<65: 20, 65-74: 186, 75-84: 129, 85+: 30

Top Prescribed Drugs (Medicare Part D)

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

What RACHEL FOX, FNP-C 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
70
Methylprednisolone
69
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
52
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
46
Cephalexin
44
Albuterol Sulfate Hfa
Albuterol Sulfate
43
Doxycycline Hyclate
42
Azithromycin
15
Cyclobenzaprine Hcl
13
Cefdinir
12

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

Nurse Practitioner Overview

How RACHEL FOX, FNP-C 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

RACHEL FOX, FNP-C's 512 claims are below the specialty average of 1,084.

Nearby Nurse Practitioner Providers in South Carolina

Other clinicians with the same primary specialty enrolled in South Carolina, drawn from the same CMS NPPES roster as FOX.

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

Frequently Asked Questions

What is RACHEL FOX, FNP-C's specialty?
RACHEL FOX, FNP-C specializes in Nurse Practitioner and practices in BLUFFTON, South Carolina. Credentials: FNP-C.
How much does RACHEL FOX, FNP-C prescribe under Medicare Part D?
In 2023, RACHEL FOX, FNP-C wrote 512 Medicare Part D claims totaling $7K in drug costs for 365 beneficiaries.
What is RACHEL FOX, FNP-C's Medicare quality score?
RACHEL FOX, FNP-C has a CMS MIPS Final Score of 71.0885/100 (Quality: 60.5233, Cost: 50.605). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RACHEL FOX, FNP-C located?
RACHEL FOX, FNP-C is located at 64 BLUFFTON RD, BLUFFTON, SC, 29910. Phone: (843) 757-0676.
What is RACHEL FOX, FNP-C's NPI number?
RACHEL FOX, FNP-C's National Provider Identifier (NPI) is 1376041442, issued on 01/24/2018.
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 RACHEL FOX, FNP-C prescribe most often?
Based on 2023 Medicare Part D data, RACHEL FOX, FNP-C's most frequently prescribed drugs include Prednisone, Methylprednisolone, Amoxicillin-Clavulanate Potass. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RACHEL FOX, FNP-C accept Medicare?
RACHEL FOX, FNP-C appears in CMS Medicare data with 512 Part D claims and 365 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RACHEL FOX, FNP-C's credentials?
RACHEL FOX, FNP-C's NPI is 1376041442 with credentials FNP-C. 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