2026 NPPES data Primary Care Nurse Practitioner NPI 1336461201 NP
Verify on CMS →

Roohi Riazi, NP

Primary Care Nurse Practitioner in Fredericksburg, Virginia.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 10,179 in Primary Care 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
2K
Medicare Part D claims · 511 beneficiaries · Primary Care Nurse Practitioner avg: 1K
Generic prescribing
88%
generic claims · 10% 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
Industry payments
$430.76
22 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Roohi Riazi, NP reported a CMS MIPS final score of 77.8/100 - below the 83.1 national average - and filed 2,026 Medicare Part D claims in 2023.

77.8/100
MIPS score · -5 vs avg
2K
Part D claims, 2023
88%
generic prescribing
$430.76
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.

Roohi Riazi, NP'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

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 Roohi Riazi, NP sits

This provider among primary care nurse practitioner peers

Across the 958 primary care nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Roohi Riazi, NP writes more Part D claims than 74% of them and scores higher on MIPS quality than 25% - 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 quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 62Roohi Riazi, NP-Part D claim volume, percentile in specialty: 74 · MIPS quality, percentile: 25
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one primary care nurse practitioner peer from a representative sample of 60; the gold marker is Roohi Riazi, NP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Roohi Riazi, NP?

Below national average

NPI registry status

Active

Issued 02/19/2010

NPI 1336461201

Primary specialty

Primary Care Nurse Practitioner

Mid-sized

10,179 US NPIs in this specialty

Medicare Part D claims

2,026 49% vs specialty avg

2023 prescription claims

Specialty avg: 1,363

MIPS final score

77.8/100 5.3 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Virginia

How Primary Care Nurse Practitioner compares to other specialties among Virginia providers

Virginia providers
Behavior Technician - 5.2%Behavior Technician5.2%Clinical Social Worker - 5.1%Clinical Social Worker5.1%Student in an Organized Health Care Education/Training Program - 4.7%Student in an Organized Health Care Education/Training Program4.7%Physical Therapist - 4.6%Physical Therapist4.6%Pharmacist - 4.5%Pharmacist4.5%Professional Counselor - 4%Professional Counselor4%Primary Care Nurse Practitioner - 0.1%Primary Care Nurse Practitioner0.1%
Largest specialties in Virginia (% of in-state providers)

Medicare quality performance, MIPS

Roohi Riazi, NP's 2023 MIPS final score plotted against the Primary Care Nurse Practitioner national average

Below national average
MIPS Final Score
77.8/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Primary Care Nurse Practitioner) - 77.8/100 vs national avg 83.1

0%100%National avg83%77.8%
MIPS final score (Primary Care 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).

Roohi Riazi, NP appears in the CMS NPPES registry as a Primary Care Nurse Practitioner provider holding NP credentials at 4510 PLANK RD, Fredericksburg, VA, 22407, with a listed phone of (540) 785-9900. NPI 1336461201 was issued on 02/19/2010.

Medicare Part D records for calendar year 2023 show 2,026 prescription claims written by this provider, covering 511 Medicare beneficiaries and totaling roughly $118K in drug spend, split 10% brand-name and 88% 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 58.8, Cost 77.7), compared with the national average of 83.1.

Primary Care Nurse Practitioner is a mid-sized specialty nationwide, with 10,179 enrolled providers across 54 states and an average of 1,363 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

4510 PLANK RD
Fredericksburg, VA 22407

Provider Details

NPI 1336461201
Specialty Primary Care Nurse Practitioner
Credentials NP
Gender Female
NPI Issued 02/19/2010

CMS Quality Score (MIPS)

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

77.7758
Final Score
Avg: 83.1
58.8457
Quality
77.7297
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where Roohi Riazi, NP 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.

Primary And Urgent Care LLC
Stafford, VA

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 Roohi Riazi, NP. Source: openpaymentsdata.cms.gov.

Total received

$431

Largest payer

AstraZeneca Pharmaceuticals LP

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 · Typical

Roohi Riazi, NP - brand share 10.0%
Primary Care Nurse Practitioner average

10% brand-name claims vs 88% generic, on 2,026 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.

2,026
Total Claims
$118K
Total Drug Cost
511
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,706
Total Day Supply
96,160
Brand vs Generic
10% brand / 88% generic
Brand Drug Cost
$89K
Generic Drug Cost
$28K
Antibiotic Claims
317

Patient Demographics

Average Patient Age
68.2 years
Avg HCC Risk Score
1.25
Gender Split
62% female / 38% male
Age Distribution
<65: 122, 65-74: 245, 75-84: 122, 85+: 22

Top Prescribed Drugs (Medicare Part D)

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

What Roohi Riazi, NP 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
Amoxicillin
123
Prednisone
117
Lisinopril
101
Levothyroxine Sodium
85
Albuterol Sulfate Hfa
Albuterol Sulfate
77
Atorvastatin Calcium
77
Metformin Hcl
72
Amlodipine Besylate
68
Azithromycin
68
Omeprazole
42

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

Primary Care Nurse Practitioner Overview

How Roohi Riazi, NP fits within the Primary Care Nurse Practitioner landscape nationally.

10,179
Primary Care Nurse Practitioner Providers in US
54
States with Primary Care Nurse Practitioner
1,363
Avg Claims per Provider

Roohi Riazi, NP's 2,026 claims are above the specialty average of 1,363.

Nearby Primary Care Nurse Practitioner Providers in Virginia

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

Compare Primary Care 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 Virginia medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Primary Care 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 Roohi Riazi, NP's specialty?
Roohi Riazi, NP specializes in Primary Care Nurse Practitioner and practices in Fredericksburg, Virginia. Credentials: NP.
How much does Roohi Riazi, NP prescribe under Medicare Part D?
In 2023, Roohi Riazi, NP wrote 2,026 Medicare Part D claims totaling $118K in drug costs for 511 beneficiaries.
What is Roohi Riazi, NP's Medicare quality score?
Roohi Riazi, NP has a CMS MIPS Final Score of 77.8/100 (Quality: 58.8, Cost: 77.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Roohi Riazi, NP located?
Roohi Riazi, NP is located at 4510 PLANK RD, Fredericksburg, VA, 22407. Phone: (540) 785-9900.
What is Roohi Riazi, NP's NPI number?
Roohi Riazi, NP's National Provider Identifier (NPI) is 1336461201, issued on 02/19/2010.
Does Roohi Riazi, NP prescribe more brand-name or generic drugs?
Roohi Riazi, NP's prescribing is 10% brand-name and 88% generic drugs by claim count, with $89K in brand drug costs.
How many Primary Care Nurse Practitioner providers are there in the US?
There are 10,179 Primary Care Nurse Practitioner providers across 54 states in the US. The average Primary Care Nurse Practitioner provider writes 1,363 Medicare Part D claims per year.
What drugs does Roohi Riazi, NP prescribe most often?
Based on 2023 Medicare Part D data, Roohi Riazi, NP's most frequently prescribed drugs include Amoxicillin, Prednisone, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Roohi Riazi, NP accept Medicare?
Roohi Riazi, NP appears in CMS Medicare data with 2,026 Part D claims and 511 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Roohi Riazi, NP's credentials?
Roohi Riazi, NP's NPI is 1336461201 with credentials NP. 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.