NPI registry status
Active
2026 NPPES data Adult Health Nurse Practitioner NPI 1538445853 ANP
Verify on CMS → Ryan Gayfield, ANP
Adult Health Nurse Practitioner in Sherburne, 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 29,519 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
8K
Medicare Part D claims · 533 beneficiaries · Adult Health Nurse Practitioner avg: 1K
Generic prescribing
86%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
86.6/100
▲ 3 pts above national avg 83.5 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Ryan Gayfield, ANP reported a CMS MIPS final score of 86.6/100 - above the 83.5 national average - and filed 7,945 Medicare Part D claims in 2023.
- 86.6/100
- MIPS score · +3 vs avg
- 8K
- Part D claims, 2023
- 86%
- generic prescribing
- ≥49th
- pct among measured MIPS (lower-bound band)
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.
CMS NPPES provider registry desk
NPI 1538445853 · Adult Health Nurse Practitioner
NPI-10 · ENUM-MID · TAX-MID · MIPS-ABOVE · RX-MID · BOOK-MID · PHOTO-FINISH
- NPI-10 1538445853
- ENUM-MID 2011
- TAX-MID 30K Adult Health
- MIPS-ABOVE 86.6/100
- RX-MID 7,945
- BOOK-MID 5,422 in New York
- PHOTO-FINISH Sarah Fellows · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Gayfield · this …
Gayfield · this provider
86.6 MIPS pts
- Sarah Fellows · …
Sarah Fellows
86.6 MIPS pts
- Patricia Raymond…
Patricia Raymond
86.7 MIPS pts
- Kimberly Brice ·…
Kimberly Brice
86.7 MIPS pts
- Alison Gorin · n…
Alison Gorin
86.7 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Ryan Gayfield, ANP'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.
87 ≥ 49th percentile 49% 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 Ryan Gayfield, ANP sits
This provider among adult health nurse practitioner peers
Across the 4,201 adult health nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Ryan Gayfield, ANP writes more Part D claims than 99% of them and scores higher on MIPS quality than 51% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one adult health nurse practitioner peer from a representative sample of 60; the gold marker is Ryan Gayfield, ANP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Ryan Gayfield, ANP?
High performer (top quartile)Primary specialty
Adult Health Nurse Practitioner
Medicare Part D claims
7,945 7× vs specialty avg
MIPS final score
86.6/100 3.1 pts vs avg
Specialty distribution in New York
How Adult Health Nurse Practitioner compares to other specialties among New York providers
Medicare quality performance, MIPS
Ryan Gayfield, ANP's 2023 MIPS final score plotted against the Adult Health Nurse Practitioner national average
- MIPS Final Score
- 86.6/100
- 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 | 1538445853 |
|---|---|
| Specialty | Adult Health Nurse Practitioner |
| Credentials | ANP |
| Gender | Male |
| NPI Issued | 11/01/2011 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
86.6449
Final Score
Measured-score avg: 83.5
80.1318
Quality
74
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Ryan Gayfield, ANP 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.
Mary Imogene Bassett Hospital
Edmeston, 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).
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 Ryan Gayfield, ANP. To verify Ryan Gayfield, ANP'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.
Brand vs generic prescribing mix · Typical
Ryan Gayfield, ANP - brand share 13.0%
Adult Health Nurse Practitioner average
13% brand-name claims vs 86% generic, on 7,945 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.
7,945
Total Claims
$862K
Total Drug Cost
533
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 13,478
- Total Day Supply
- 392,005
- Brand vs Generic
- 13% brand / 86% generic
- Brand Drug Cost
- $663K
- Generic Drug Cost
- $194K
- Opioid Claims
- 180 (2.3% rate)
- Antibiotic Claims
- 81
Patient Demographics
- Average Patient Age
- 71.0 years
- Avg HCC Risk Score
- 1.13
- Gender Split
- 47% female / 53% male
- Age Distribution
- <65: 108, 65-74: 194, 75-84: 165, 85+: 66
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Ryan Gayfield, ANP prescribes most
Top Medicare Part D drugs by claim count, 2023
- Levothyroxine Sodium
Levothyroxine Sodium
391 claims
- Atorvastatin Calcium
Atorvastatin Calcium
333 claims
- Hydrochlorothiazide
Hydrochlorothiazide
267 claims
- Lisinopril
Lisinopril
248 claims
- Omeprazole
Omeprazole
219 claims
- Amlodipine Besylate
Amlodipine Besylate
194 claims
- Gabapentin
Gabapentin
190 claims
- Metoprolol Succinate
Metoprolol Succinate
185 claims
| Drug | Claims |
|---|---|
| Levothyroxine Sodium | 391 |
| Atorvastatin Calcium | 333 |
| Hydrochlorothiazide | 267 |
| Lisinopril | 248 |
| Omeprazole | 219 |
| Amlodipine Besylate | 194 |
| Gabapentin | 190 |
| Metoprolol Succinate | 185 |
| Pantoprazole Sodium | 170 |
| Losartan Potassium | 164 |
* 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 Ryan Gayfield, ANP fits within the Adult Health Nurse Practitioner landscape nationally.
29,519
Adult Health Nurse Practitioner Providers in US
55
States with Adult Health Nurse Practitioner
1,201
Avg Claims per Provider
Ryan Gayfield, ANP's 7,945 claims are above the specialty average of 1,201.
Nationwide Adult Health Nurse Practitioner peers with similar MIPS or enrollment year
Two federal-record peer sets for Gayfield, both outside New York so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (86.6 here).
Same NPPES enumeration year (2011)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
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 Gayfield.
One of 5,422 Adult Health Nurse Practitioner providers enrolled in New York, 5 are shown here.
Dr. Danielle Aaron
CRNP
New York, NY
Vincent Abalajon
Elmhurst, NY
Dr. Megan Abate
ANP
New York, NY
Dr. Omowunmi Abayomi
N.P.
Staten Island, NY
Dr. Ashley Abbatantono
NP
New York, NY
Compare Adult Health Nurse Practitioner nationally: see state-by-state distribution →
Frequently Asked Questions
What is Ryan Gayfield, ANP's specialty? ▼
Ryan Gayfield, ANP specializes in Adult Health Nurse Practitioner and practices in Sherburne, New York. Credentials: ANP.
How much does Ryan Gayfield, ANP prescribe under Medicare Part D? ▼
In 2023, Ryan Gayfield, ANP wrote 7,945 Medicare Part D claims totaling $862K in drug costs for 533 beneficiaries.
What is Ryan Gayfield, ANP's Medicare quality score? ▼
Ryan Gayfield, ANP has a CMS MIPS Final Score of 86.6/100 (Quality: 80.1). 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 Ryan Gayfield, ANP located? ▼
Ryan Gayfield, ANP is located at 20 CHAPEL STREET, Sherburne, NY, 13460. Phone: (607) 674-2445.
What is Ryan Gayfield, ANP's NPI number? ▼
Ryan Gayfield, ANP's National Provider Identifier (NPI) is 1538445853, issued on 11/01/2011.
Does Ryan Gayfield, ANP prescribe more brand-name or generic drugs? ▼
Ryan Gayfield, ANP's prescribing is 13% brand-name and 86% generic drugs by claim count, with $663K in brand drug costs.
Does Ryan Gayfield, ANP prescribe opioids? ▼
Yes, Ryan Gayfield, ANP had 180 opioid claims in 2023 with an opioid prescribing rate of 2.3%.
How many Adult Health Nurse Practitioner providers are there in the US? ▼
There are 29,519 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 Ryan Gayfield, ANP prescribe most often? ▼
Based on 2023 Medicare Part D data, Ryan Gayfield, ANP's most frequently prescribed drugs include Levothyroxine Sodium, Atorvastatin Calcium, Hydrochlorothiazide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ryan Gayfield, ANP accept Medicare? ▼
Ryan Gayfield, ANP appears in CMS Medicare data with 7,945 Part D claims and 533 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ryan Gayfield, ANP's credentials? ▼
Ryan Gayfield, ANP's NPI is 1538445853 with credentials ANP. 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
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 May 2026.