2026 NPPES data Nurse Practitioner NPI 1982037040 NP
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Ryan Vaccarezza, NP

Nurse Practitioner in Lodi, California. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 87,227 in 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 · 756 beneficiaries · Nurse Practitioner avg: 1K
MIPS score
97.1/100
▲ 14 pts above national avg 83.1 · Exceptional
Industry payments
$514.31
30 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Ryan Vaccarezza, NP reported a CMS MIPS final score of 97.1/100 — above the 83.1 national average — and filed 2,207 Medicare Part D claims in 2023.

97.1/100
MIPS score · +14 vs avg
2K
Part D claims, 2023
$514.31
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.

Ryan Vaccarezza, NP's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

97 Top 15% higher than 85% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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 Ryan Vaccarezza, NP sits

This provider among nurse practitioner peers

Across the 13,476 nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Ryan Vaccarezza, NP writes more Part D claims than 85% of them and scores higher on MIPS quality than 86% — placing this provider in the high-volume, high-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 quality0255075100024.148.372.496.6Part D claim volume — percentile in specialtyMIPS quality — percentilePart D claim volume — percentile in specialty: 50 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 17 · MIPS quality — percentile: 62Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 35Part D claim volume — percentile in specialty: 68 · MIPS quality — percentile: 90Part D claim volume — percentile in specialty: 32 · MIPS quality — percentile: 23Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 90 · MIPS quality — percentile: 58Part D claim volume — percentile in specialty: 83 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 53 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 85 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 42 · MIPS quality — percentile: 37Part D claim volume — percentile in specialty: 80 · MIPS quality — percentile: 77Part D claim volume — percentile in specialty: 87 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 2 · MIPS quality — percentile: 5Part D claim volume — percentile in specialty: 67 · MIPS quality — percentile: 53Part D claim volume — percentile in specialty: 45 · MIPS quality — percentile: 38Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 65Part D claim volume — percentile in specialty: 18 · MIPS quality — percentile: 40Part D claim volume — percentile in specialty: 37 · MIPS quality — percentile: 25Part D claim volume — percentile in specialty: 100 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 20Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 8Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 70 · MIPS quality — percentile: 22Part D claim volume — percentile in specialty: 48 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 58Part D claim volume — percentile in specialty: 43 · MIPS quality — percentile: 2Part D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 15Part D claim volume — percentile in specialty: 12 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 70Part D claim volume — percentile in specialty: 47 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 62 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 8 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 65 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 75 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 88Part D claim volume — percentile in specialty: 52 · MIPS quality — percentile: 72Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 8 · MIPS quality — percentile: 12Part D claim volume — percentile in specialty: 23 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 22 · MIPS quality — percentile: 28Part D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 52Part D claim volume — percentile in specialty: 72 · MIPS quality — percentile: 78Part D claim volume — percentile in specialty: 38 · MIPS quality — percentile: 47Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 3Part D claim volume — percentile in specialty: 77 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 42Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 48Part D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 27 · MIPS quality — percentile: 55Part D claim volume — percentile in specialty: 92 · MIPS quality — percentile: 10Part D claim volume — percentile in specialty: 60 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 45Part D claim volume — percentile in specialty: 57 · MIPS quality — percentile: 80Part D claim volume — percentile in specialty: 33 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 95 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 97 · MIPS quality — percentile: 43Ryan Vaccarezza, NP — Part D claim volume — percentile in specialty: 85 · MIPS quality — percentile: 86
Part D claim volume vs MIPS quality, by specialty percentile

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

What does the federal data show about Ryan Vaccarezza, NP?

High performer (top quartile)

NPI registry status

Active

Issued 08/13/2013

NPI 1982037040

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

2,207 104% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

97.1/100 14 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in California

How Nurse Practitioner compares to other specialties among California providers

California providers

Largest specialties in California (% of in-state providers)

Behavior Technician — 17.3%Behavior Technician17.3%Marriage & Family Therapist — 5.5%Marriage & Family Therapist5.5%Student in an Organized Health Care Education/Training Program — 5%Student in an Organized Health Care Education/Training Program5%Mental Health Counselor — 3.9%Mental Health Counselor3.9%Pharmacist — 3.5%Pharmacist3.5%Clinical Social Worker — 3.1%Clinical Social Worker3.1%Nurse Practitioner — 0.7%Nurse Practitioner0.7%
Largest specialties in California (% of in-state providers)

Medicare quality performance — MIPS

Ryan Vaccarezza, NP's 2023 MIPS final score plotted against the Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
97.1/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) — 97.1/100 vs national avg 83.1

0%100%National avg83%97.1%
MIPS final score (Nurse Practitioner) — 97.1/100 vs national avg 83.1

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).

Ryan Vaccarezza, NP appears in the CMS NPPES registry as a Nurse Practitioner provider holding NP credentials at 975 S FAIRMONT AVE, Lodi, CA, 95240, with a listed phone of (209) 334-3411. NPI 1982037040 was issued on 08/13/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Vaccarezza 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 2,207 prescription claims written by this provider, covering 756 Medicare beneficiaries and totaling roughly $393K in drug spend. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 97.1/100 for the 2023 performance year (Quality 84.2), compared with the national average of 83.1.

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

975 S FAIRMONT AVE
Lodi, CA 95240

Provider Details

NPI 1982037040
Specialty Nurse Practitioner
Credentials NP
Gender Female
NPI Issued 08/13/2013

CMS Quality Score (MIPS)

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

97.1217
Final Score
Avg: 83.1
84.2434
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Ryan Vaccarezza, 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.

Adventist Health Physicians Network
Hanford, 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 Ryan Vaccarezza, NP. Source: openpaymentsdata.cms.gov.

Total received

$514

Largest payer

Antares Pharma, 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.

License & disciplinary context — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to Ryan Vaccarezza, NP. To verify Ryan Vaccarezza, NP's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

2,207
Total Claims
$393K
Total Drug Cost
756
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,776
Total Day Supply
135,128
Generic Drug Cost
$88K
Antibiotic Claims
338

Patient Demographics

Average Patient Age
76.7 years
Avg HCC Risk Score
1.40
Gender Split
46% female / 54% male
Age Distribution
<65: 32, 65-74: 299, 75-84: 285, 85+: 140

Top Prescribed Drugs (Medicare Part D)

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

What Ryan Vaccarezza, 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
Tamsulosin Hcl
423
Finasteride
331
Myrbetriq
Mirabegron
228
Estradiol
222
Oxybutynin Chloride Er
Oxybutynin Chloride
155
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
129
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
96
Ciprofloxacin Hcl
83
Methenamine Hippurate
82
Gemtesa
Vibegron
69

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

Nurse Practitioner Overview

How Ryan Vaccarezza, NP 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

Ryan Vaccarezza, NP's 2,207 claims are above the specialty average of 1,084.

Nearby Nurse Practitioner Providers in California

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

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 California 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 Ryan Vaccarezza, NP's specialty?
Ryan Vaccarezza, NP specializes in Nurse Practitioner and practices in Lodi, California. Credentials: NP.
How much does Ryan Vaccarezza, NP prescribe under Medicare Part D?
In 2023, Ryan Vaccarezza, NP wrote 2,207 Medicare Part D claims totaling $393K in drug costs for 756 beneficiaries.
What is Ryan Vaccarezza, NP's Medicare quality score?
Ryan Vaccarezza, NP has a CMS MIPS Final Score of 97.1/100 (Quality: 84.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Ryan Vaccarezza, NP located?
Ryan Vaccarezza, NP is located at 975 S FAIRMONT AVE, Lodi, CA, 95240. Phone: (209) 334-3411.
What is Ryan Vaccarezza, NP's NPI number?
Ryan Vaccarezza, NP's National Provider Identifier (NPI) is 1982037040, issued on 08/13/2013.
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 Ryan Vaccarezza, NP prescribe most often?
Based on 2023 Medicare Part D data, Ryan Vaccarezza, NP's most frequently prescribed drugs include Tamsulosin Hcl, Finasteride, Myrbetriq. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ryan Vaccarezza, NP accept Medicare?
Ryan Vaccarezza, NP appears in CMS Medicare data with 2,207 Part D claims and 756 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ryan Vaccarezza, NP's credentials?
Ryan Vaccarezza, NP's NPI is 1982037040 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

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.