2026 NPPES data Family Nurse Practitioner NPI 1134552482
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RACHEL SPARINGA

Family Nurse Practitioner in JEFFERSON HILLS, Pennsylvania. 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
549
Medicare Part D claims · 370 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
97%
generic claims · 3% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

RACHEL SPARINGA filed 549 Medicare Part D claims in 2023 as a Family Nurse Practitioner in JEFFERSON HILLS, Pennsylvania, prescribing 97% generic.

549
Part D claims, 2023
97%
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.

RACHEL SPARINGA's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

549 Top 34% higher than 66% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). This entry sits in this band. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about RACHEL SPARINGA?

Quality data not reported

NPI registry status

Active

Issued 08/09/2013

NPI 1134552482

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

549 55% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

Specialty distribution in Pennsylvania

How Family Nurse Practitioner compares to other specialties among Pennsylvania providers

Pennsylvania providers

Family Nurse Practitioner share within Pennsylvania

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

Specialty board-certification context

Estimated specialty board-certified rate — Family Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Family Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Family Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Family Nurse Practitioner) — ABMS / AOA estimate

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 SPARINGA appears in the CMS NPPES registry as a Family Nurse Practitioner provider at 565 COAL VALLEY RD, JEFFERSON HILLS, PA, 15025, with a listed phone of (412) 469-5959. NPI 1134552482 was issued on 08/09/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SPARINGA 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 549 prescription claims written by this provider, covering 370 Medicare beneficiaries and totaling roughly $6K in drug spend, split 3% brand-name and 97% 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.

Family Nurse Practitioner is a high-volume specialty nationwide, with 209,817 enrolled providers across 56 states and an average of 1,222 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

565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025

Provider Details

NPI 1134552482
Specialty Family Nurse Practitioner
Gender Female
NPI Issued 08/09/2013

Hospital and facility affiliations

Facilities where RACHEL SPARINGA 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.

MEDEXPRESS URGENT CARE, PC - PENNSYLVANIA
CONNELLSVILLE, PA
UCMG LLC
MT PLEASANT, PA

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

License & disciplinary context — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to RACHEL SPARINGA. To verify RACHEL SPARINGA's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

RACHEL SPARINGA — brand share 3.0%
Specialty average (est.)

3% brand-name claims vs 97% generic, on 549 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.

549
Total Claims
$6K
Total Drug Cost
370
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
552
Total Day Supply
5,745
Brand vs Generic
3% brand / 97% generic
Brand Drug Cost
$688
Generic Drug Cost
$5K
Antibiotic Claims
312

Patient Demographics

Average Patient Age
70.5 years
Avg HCC Risk Score
1.04
Gender Split
61% female / 39% male
Age Distribution
<65: 46, 65-74: 212, 75-84: 87, 85+: 25

Top Prescribed Drugs (Medicare Part D)

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

What RACHEL SPARINGA 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
Albuterol Sulfate Hfa
Albuterol Sulfate
76
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
73
Cephalexin
73
Doxycycline Hyclate
68
Prednisone
52
Azithromycin
44
Methylprednisolone
24
Ciprofloxacin Hcl
16
Amoxicillin
14
Polymyxin B Sul-Trimethoprim
Polymyxin B Sulf/Trimethoprim
11

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

Family Nurse Practitioner Overview

How RACHEL SPARINGA fits within the Family Nurse Practitioner landscape nationally.

209,817
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider

RACHEL SPARINGA's 549 claims are below the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in Pennsylvania

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

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

Frequently Asked Questions

What is RACHEL SPARINGA's specialty?
RACHEL SPARINGA specializes in Family Nurse Practitioner and practices in JEFFERSON HILLS, Pennsylvania.
How much does RACHEL SPARINGA prescribe under Medicare Part D?
In 2023, RACHEL SPARINGA wrote 549 Medicare Part D claims totaling $6K in drug costs for 370 beneficiaries.
Where is RACHEL SPARINGA located?
RACHEL SPARINGA is located at 565 COAL VALLEY RD, JEFFERSON HILLS, PA, 15025. Phone: (412) 469-5959.
What is RACHEL SPARINGA's NPI number?
RACHEL SPARINGA's National Provider Identifier (NPI) is 1134552482, issued on 08/09/2013.
Does RACHEL SPARINGA prescribe more brand-name or generic drugs?
RACHEL SPARINGA's prescribing is 3% brand-name and 97% generic drugs by claim count, with $688 in brand drug costs.
How many Family Nurse Practitioner providers are there in the US?
There are 209,817 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
What drugs does RACHEL SPARINGA prescribe most often?
Based on 2023 Medicare Part D data, RACHEL SPARINGA's most frequently prescribed drugs include Albuterol Sulfate Hfa, Amoxicillin-Clavulanate Potass, Cephalexin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RACHEL SPARINGA accept Medicare?
RACHEL SPARINGA appears in CMS Medicare data with 549 Part D claims and 370 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RACHEL SPARINGA's credentials?
RACHEL SPARINGA's NPI is 1134552482. 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.
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