2026 NPPES data Adult Health Nurse Practitioner NPI 1356748552 AGPCNP-BC
Verify on CMS →

Rachel Smith, AGPCNP-BC

Adult Health Nurse Practitioner in Buffalo, New York.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 29,492 in Adult Health 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
1K
Medicare Part D claims · 560 beneficiaries · Adult Health Nurse Practitioner avg: 1K
MIPS score
75.8/100
▼ 7 pts below national avg 83.1 · Above neutral
Industry payments
$142.61
2 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Rachel Smith, AGPCNP-BC reported a CMS MIPS final score of 75.8/100 - below the 83.1 national average - and filed 1,363 Medicare Part D claims in 2023.

75.8/100
MIPS score · -7 vs avg
1K
Part D claims, 2023
$142.61
industry payments (Sunshine Act)

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 Smith, AGPCNP-BC's MIPS score vs every scored U.S. clinician

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

76 15th percentile higher than 15% 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+: 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

Where Rachel Smith, AGPCNP-BC sits

This provider among adult health nurse practitioner peers

Across the 4,289 adult health nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Rachel Smith, AGPCNP-BC writes more Part D claims than 76% of them and scores higher on MIPS quality than 15% - placing this provider in the high-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.448.873.297.7Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 3Rachel Smith, AGPCNP-BC-Part D claim volume, percentile in specialty: 76 · MIPS quality, percentile: 15
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one adult health nurse practitioner peer from a representative sample of 60; the gold marker is Rachel Smith, AGPCNP-BC. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Rachel Smith, AGPCNP-BC?

Below national average

NPI registry status

Active

Issued 12/03/2014

NPI 1356748552

Primary specialty

Adult Health Nurse Practitioner

Mid-sized

29,492 US NPIs in this specialty

Medicare Part D claims

1,363 13% vs specialty avg

2023 prescription claims

Specialty avg: 1,201

MIPS final score

75.8/100 7.3 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in New York

How Adult Health Nurse Practitioner compares to other specialties among New York providers

New York providers
Student in an Organized Health Care Education/Training Program - 7.8%Student in an Organized Health Care Education/Training Program7.8%Registered Nurse - 5.2%Registered Nurse5.2%Clinical Social Worker - 4.9%Clinical Social Worker4.9%Social Worker - 4.5%Social Worker4.5%Speech-Language Pathologist - 4.5%Speech-Language Pathologist4.5%Licensed Practical Nurse - 4.3%Licensed Practical Nurse4.3%Adult Health Nurse Practitioner - 1%Adult Health Nurse Practitioner1%
Largest specialties in New York (% of in-state providers)

Medicare quality performance, MIPS

Rachel Smith, AGPCNP-BC's 2023 MIPS final score plotted against the Adult Health Nurse Practitioner national average

Below national average
MIPS Final Score
75.8/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Health Nurse Practitioner) - 75.8/100 vs national avg 83.1

0%100%National avg83%75.8%
MIPS final score (Adult Health Nurse Practitioner) - 75.8/100 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).

Rachel Smith, AGPCNP-BC appears in the CMS NPPES registry as a Adult Health Nurse Practitioner provider holding AGPCNP-BC credentials at 3085 HARLEM RD STE 200, Buffalo, NY, 14225, with a listed phone of (716) 844-5000. NPI 1356748552 was issued on 12/03/2014.

Medicare Part D records for calendar year 2023 show 1,363 prescription claims written by this provider, covering 560 Medicare beneficiaries and totaling roughly $191K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75.8/100 for the 2023 performance year (Quality 59.7, Cost 73.5), compared with the national average of 83.1.

Adult Health Nurse Practitioner is a mid-sized specialty nationwide, with 29,492 enrolled providers across 55 states and an average of 1,201 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

3085 HARLEM RD STE 200
Buffalo, NY 14225

Provider Details

NPI 1356748552
Specialty Adult Health Nurse Practitioner
Credentials AGPCNP-BC
Gender Female
NPI Issued 12/03/2014

CMS Quality Score (MIPS)

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

75.7628
Final Score
Avg: 83.1
59.66
Quality
73.4563
Cost
77
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Rachel Smith, AGPCNP-BC 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.

Kaleida Health
★★★☆☆ 3/5
Williamsville, NY
Acute Care Hospitals
CMS CCN: 330005
Great Lakes Physician PC
Cheektowaga, NY

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 Rachel Smith, AGPCNP-BC. Source: openpaymentsdata.cms.gov.

Total received

$143

Largest payer

Janssen Biotech, Inc.

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 - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Rachel Smith, AGPCNP-BC. To verify Rachel Smith, AGPCNP-BC's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York 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.

1,363
Total Claims
$191K
Total Drug Cost
560
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,365
Total Day Supply
67,794
Generic Drug Cost
$50K
Antibiotic Claims
129

Patient Demographics

Average Patient Age
74.0 years
Avg HCC Risk Score
1.43
Gender Split
30% female / 70% male
Age Distribution
<65: 44, 65-74: 260, 75-84: 192, 85+: 64

Top Prescribed Drugs (Medicare Part D)

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

What Rachel Smith, AGPCNP-BC 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
Tamsulosin Hcl
479
Myrbetriq
Mirabegron
143
Solifenacin Succinate
78
Finasteride
74
Silodosin
58
Gemtesa
Vibegron
50
Estradiol
43
Alfuzosin Hcl Er
Alfuzosin Hcl
39
Potassium Citrate Er
Potassium Citrate
38
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
30

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

Adult Health Nurse Practitioner Overview

How Rachel Smith, AGPCNP-BC fits within the Adult Health Nurse Practitioner landscape nationally.

29,492
Adult Health Nurse Practitioner Providers in US
55
States with Adult Health Nurse Practitioner
1,201
Avg Claims per Provider

Rachel Smith, AGPCNP-BC's 1,363 claims are above the specialty average of 1,201.

Nearby Adult Health Nurse Practitioner Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Smith.

Compare Adult Health 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 New York medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Adult Health 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.

Frequently Asked Questions

What is Rachel Smith, AGPCNP-BC's specialty?
Rachel Smith, AGPCNP-BC specializes in Adult Health Nurse Practitioner and practices in Buffalo, New York. Credentials: AGPCNP-BC.
How much does Rachel Smith, AGPCNP-BC prescribe under Medicare Part D?
In 2023, Rachel Smith, AGPCNP-BC wrote 1,363 Medicare Part D claims totaling $191K in drug costs for 560 beneficiaries.
What is Rachel Smith, AGPCNP-BC's Medicare quality score?
Rachel Smith, AGPCNP-BC has a CMS MIPS Final Score of 75.8/100 (Quality: 59.7, Cost: 73.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Rachel Smith, AGPCNP-BC located?
Rachel Smith, AGPCNP-BC is located at 3085 HARLEM RD STE 200, Buffalo, NY, 14225. Phone: (716) 844-5000.
What is Rachel Smith, AGPCNP-BC's NPI number?
Rachel Smith, AGPCNP-BC's National Provider Identifier (NPI) is 1356748552, issued on 12/03/2014.
How many Adult Health Nurse Practitioner providers are there in the US?
There are 29,492 Adult Health Nurse Practitioner providers across 55 states in the US. The average Adult Health Nurse Practitioner provider writes 1,201 Medicare Part D claims per year.
What drugs does Rachel Smith, AGPCNP-BC prescribe most often?
Based on 2023 Medicare Part D data, Rachel Smith, AGPCNP-BC's most frequently prescribed drugs include Tamsulosin Hcl, Myrbetriq, Solifenacin Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Rachel Smith, AGPCNP-BC accept Medicare?
Rachel Smith, AGPCNP-BC appears in CMS Medicare data with 1,363 Part D claims and 560 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Rachel Smith, AGPCNP-BC's credentials?
Rachel Smith, AGPCNP-BC's NPI is 1356748552 with credentials AGPCNP-BC. 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.