2026 NPPES data Nurse Practitioner NPI 1588914337 FNP
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Roumyana Spassova, FNP

Nurse Practitioner in Thomasville, North 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
2K
Medicare Part D claims · 304 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
44%
generic claims · 56% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$2.5K
92 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Roumyana Spassova, FNP filed 1,712 Medicare Part D claims in 2023 as a Nurse Practitioner in Thomasville, North Carolina, prescribing 44% generic.

2K
Part D claims, 2023
44%
generic prescribing
$2.5K
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.

Roumyana Spassova, FNP's Medicare Part D volume vs every U.S. prescriber

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

1,712 Top 17% higher than 83% 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%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). This entry sits in this band. 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 Roumyana Spassova, FNP?

Quality data not reported

NPI registry status

Active

Issued 09/19/2012

NPI 1588914337

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

1,712 58% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

Specialty distribution in North Carolina

How Nurse Practitioner compares to other specialties among North Carolina providers

North Carolina providers

Nurse Practitioner share within North Carolina

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

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (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).

Roumyana Spassova, FNP appears in the CMS NPPES registry as a Nurse Practitioner provider holding FNP credentials at 903 RANDOLPH ST, Thomasville, NC, 27360, with a listed phone of (336) 765-0020. NPI 1588914337 was issued on 09/19/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Spassova 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 1,712 prescription claims written by this provider, covering 304 Medicare beneficiaries and totaling roughly $907K in drug spend, split 56% brand-name and 44% 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.

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

903 RANDOLPH ST
Thomasville, NC 27360

Provider Details

NPI 1588914337
Specialty Nurse Practitioner
Credentials FNP
Gender Female
NPI Issued 09/19/2012

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 Roumyana Spassova, FNP. Source: openpaymentsdata.cms.gov.

Total received

$2.5K

Largest payer

CeQur Corporation

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 · Brand-heavy

Roumyana Spassova, FNP — brand share 56.0%
Specialty average (est.)

56% brand-name claims vs 44% generic, on 1,712 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.

1,712
Total Claims
$907K
Total Drug Cost
304
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,987
Total Day Supply
87,333
Brand vs Generic
56% brand / 44% generic
Brand Drug Cost
$810K
Generic Drug Cost
$9K

Patient Demographics

Average Patient Age
69.0 years
Avg HCC Risk Score
1.96
Gender Split
58% female / 42% male
Age Distribution
<65: 76, 65-74: 140, 75-84: 76, 85+: 12

Top Prescribed Drugs (Medicare Part D)

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

What Roumyana Spassova, FNP 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
Ozempic
Semaglutide
178
Glipizide Er
Glipizide
141
Levothyroxine Sodium
79
Tresiba Flextouch U-200
Insulin Degludec
78
Metformin Hcl Er
Metformin Hcl
64
Trulicity
Dulaglutide
59
Jardiance
Empagliflozin
52
Methimazole
46
Novolog Flexpen
Insulin Aspart
43
Tresiba Flextouch U-100
Insulin Degludec
40

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

Nurse Practitioner Overview

How Roumyana Spassova, FNP 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

Roumyana Spassova, FNP's 1,712 claims are above the specialty average of 1,084.

Nearby Nurse Practitioner Providers in North Carolina

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

Compare 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 North Carolina medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby 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 Roumyana Spassova, FNP's specialty?
Roumyana Spassova, FNP specializes in Nurse Practitioner and practices in Thomasville, North Carolina. Credentials: FNP.
How much does Roumyana Spassova, FNP prescribe under Medicare Part D?
In 2023, Roumyana Spassova, FNP wrote 1,712 Medicare Part D claims totaling $907K in drug costs for 304 beneficiaries.
Where is Roumyana Spassova, FNP located?
Roumyana Spassova, FNP is located at 903 RANDOLPH ST, Thomasville, NC, 27360. Phone: (336) 765-0020.
What is Roumyana Spassova, FNP's NPI number?
Roumyana Spassova, FNP's National Provider Identifier (NPI) is 1588914337, issued on 09/19/2012.
Does Roumyana Spassova, FNP prescribe more brand-name or generic drugs?
Roumyana Spassova, FNP's prescribing is 56% brand-name and 44% generic drugs by claim count, with $810K in brand drug costs.
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 Roumyana Spassova, FNP prescribe most often?
Based on 2023 Medicare Part D data, Roumyana Spassova, FNP's most frequently prescribed drugs include Ozempic, Glipizide Er, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Roumyana Spassova, FNP accept Medicare?
Roumyana Spassova, FNP appears in CMS Medicare data with 1,712 Part D claims and 304 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Roumyana Spassova, FNP's credentials?
Roumyana Spassova, FNP's NPI is 1588914337 with credentials FNP. 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