NPI registry status
Active
2026 NPPES data Family Nurse Practitioner NPI 1083046759 NURSE PRACTITIONER
Verify on CMS → Robin Fischer, NURSE PRACTITIONER
Family Nurse Practitioner in Baton Rouge, Louisiana.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 216,959 in Family 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 · 165 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
60%
generic claims · 40% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
74.5/100
▼ 9 pts below national avg 83.5 · Mid-tier
Industry payments
$187
2 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Robin Fischer, NURSE PRACTITIONER reported a CMS MIPS final score of 74.5/100 - below the 83.5 national average - and filed 1,495 Medicare Part D claims in 2024.
- 74.5/100
- MIPS score · -9 vs avg
- 1K
- Part D claims, 2024
- 60%
- generic prescribing
- $187
- 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.
Federal trust snapshot
What official records show about Robin Fischer, NURSE PRACTITIONER
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1083046759), first enumerated 08/05/2013.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 1,495 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 74.5/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$187 in reported industry payments (2 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1083046759 · Family Nurse Practitioner
NPI-10 · ENUM-MID · TAX-MEGA · MIPS-BELOW · RX-MID · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1083046759
- ENUM-MID 2013
- TAX-MEGA 217K Family Nurse
- MIPS-BELOW 74.5/100
- RX-MID 1,495
- BOOK-LIGHT 4,212 in Louisiana
- PHOTO-FINISH Shailendra Acharya · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Fischer · this p…
Fischer · this provider
74.5 MIPS pts
- Hiu Chow · highest
Hiu Chow
74.5 MIPS pts
- Shailendra Achar…
Shailendra Acharya
74.5 MIPS pts
- Blair Anderson ·…
Blair Anderson
74.5 MIPS pts
- Karina Berge · n…
Karina Berge
74.5 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Robin Fischer, NURSE PRACTITIONER's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
75 ≥ 13th percentile 13% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Robin Fischer, NURSE PRACTITIONER sits
This provider among family nurse practitioner peers
Across the 26,556 family nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Robin Fischer, NURSE PRACTITIONER writes more Part D claims than 76% of them and scores higher on MIPS quality than 13% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one family nurse practitioner peer from a representative sample of 60; the gold marker is Robin Fischer, NURSE PRACTITIONER. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Robin Fischer, NURSE PRACTITIONER?
Below national averagePrimary specialty
Family Nurse Practitioner
Medicare Part D claims
1,495 15% vs specialty avg
MIPS final score
74.5/100 9 pts vs avg
Specialty distribution in Louisiana
How Family Nurse Practitioner compares to other specialties among Louisiana providers
Medicare quality performance, MIPS
Robin Fischer, NURSE PRACTITIONER's 2023 MIPS final score plotted against the Family Nurse Practitioner national average
- MIPS Final Score
- 74.5/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
Provider Details
| NPI | 1083046759 |
|---|---|
| Specialty | Family Nurse Practitioner |
| Credentials | NURSE PRACTITIONER |
| Gender | Female |
| NPI Issued | 08/05/2013 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
74.4657
Final Score
Measured-score avg: 83.5
46.6814
Cost
76
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Robin Fischer, NURSE PRACTITIONER 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.
University OF California San Francisco
San Francisco, CA
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 Robin Fischer, NURSE PRACTITIONER. Source: openpaymentsdata.cms.gov.
Total received
$187
Largest payer
Impulse Dynamics (USA) 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.
Brand vs generic prescribing mix · Above average
Robin Fischer, NURSE PRACTITIONER - brand share 40.0%
Family Nurse Practitioner average
40% brand-name claims vs 60% generic, on 1,495 2024 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 2024.
1,495
Total Claims
$748K
Total Drug Cost
165
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,891.133
- Total Day Supply
- 85,772
- Brand vs Generic
- 40% brand / 60% generic
- Brand Drug Cost
- $727K
- Generic Drug Cost
- $21K
Patient Demographics
- Average Patient Age
- 71.7 years
- Avg HCC Risk Score
- 3.20
- Gender Split
- 39% female / 61% male
- Age Distribution
- <65: 29, 65-74: 61, 75-84: 52, 85+: 23
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Robin Fischer, NURSE PRACTITIONER prescribes most
Top Medicare Part D drugs by claim count, 2024
- Entresto
Entresto
243 claims
- Jardiance
Jardiance
204 claims
- Spironolactone
Spironolactone
198 claims
- Metoprolol Succinate
Metoprolol Succinate
128 claims
- Bumetanide 67
Bumetanide
67 claims
- Bisoprolol Fumarate 61
Bisoprolol Fumarate
61 claims
- Furosemide 53
Furosemide
53 claims
- Isosorbide Mononit… 51
Isosorbide Mononitrate Er
51 claims
| Drug | Claims |
|---|---|
| Entresto Sacubitril/Valsartan | 243 |
| Jardiance Empagliflozin | 204 |
| Spironolactone | 198 |
| Metoprolol Succinate | 128 |
| Bumetanide | 67 |
| Bisoprolol Fumarate | 61 |
| Furosemide | 53 |
| Isosorbide Mononitrate Er Isosorbide Mononitrate | 51 |
| Carvedilol | 49 |
| Eplerenone | 44 |
* 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 Robin Fischer, NURSE PRACTITIONER fits within the Family Nurse Practitioner landscape nationally.
216,959
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,302
Avg Claims per Provider
Robin Fischer, NURSE PRACTITIONER's 1,495 claims are above the specialty average of 1,302.
Nationwide Family Nurse Practitioner peers with similar MIPS or enrollment year
Two federal-record peer sets for Fischer, both outside Louisiana so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (74.5 here).
Same NPPES enumeration year (2013)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Nurse Practitioner Providers in Louisiana
Other clinicians with the same primary specialty enrolled in Louisiana, drawn from the same CMS NPPES roster as Fischer.
One of 4,212 Family Nurse Practitioner providers enrolled in Louisiana, 5 are shown here.
Julianna Aaron
FNP-C
Shreveport, LA
Brooke Abadie
NP
Baton Rouge, LA
Tori Abbess
Baton Rouge, LA
Kimberly Abbott
N.P.
Prairieville, LA
Halimo Abdi
APRN
Lafayette, LA
Compare Family Nurse Practitioner nationally: see state-by-state distribution →
Frequently Asked Questions
What is Robin Fischer, NURSE PRACTITIONER's specialty? ▼
Robin Fischer, NURSE PRACTITIONER specializes in Family Nurse Practitioner and practices in Baton Rouge, Louisiana. Credentials: NURSE PRACTITIONER.
How much does Robin Fischer, NURSE PRACTITIONER prescribe under Medicare Part D? ▼
In 2024, Robin Fischer, NURSE PRACTITIONER wrote 1,495 Medicare Part D claims totaling $748K in drug costs for 165 beneficiaries.
What is Robin Fischer, NURSE PRACTITIONER's Medicare quality score? ▼
Robin Fischer, NURSE PRACTITIONER has a CMS MIPS Final Score of 74.5/100, Cost: 46.7. The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Robin Fischer, NURSE PRACTITIONER located? ▼
Robin Fischer, NURSE PRACTITIONER is located at 7777 HENNESSY BLVD STE 1000, Baton Rouge, LA, 70808. Phone: (225) 767-3900.
What is Robin Fischer, NURSE PRACTITIONER's NPI number? ▼
Robin Fischer, NURSE PRACTITIONER's National Provider Identifier (NPI) is 1083046759, issued on 08/05/2013.
Does Robin Fischer, NURSE PRACTITIONER prescribe more brand-name or generic drugs? ▼
Robin Fischer, NURSE PRACTITIONER's prescribing is 40% brand-name and 60% generic drugs by claim count, with $727K in brand drug costs.
How many Family Nurse Practitioner providers are there in the US? ▼
There are 216,959 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,302 Medicare Part D claims per year.
What drugs does Robin Fischer, NURSE PRACTITIONER prescribe most often? ▼
Based on 2024 Medicare Part D data, Robin Fischer, NURSE PRACTITIONER's most frequently prescribed drugs include Entresto, Jardiance, Spironolactone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Robin Fischer, NURSE PRACTITIONER accept Medicare? ▼
Robin Fischer, NURSE PRACTITIONER appears in CMS Medicare data with 1,495 Part D claims and 165 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Robin Fischer, NURSE PRACTITIONER's credentials? ▼
Robin Fischer, NURSE PRACTITIONER's NPI is 1083046759 with credentials NURSE PRACTITIONER. 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 (2024). 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 August 2026 (NPPES) / 2024 (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
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 August 2026.