2026 NPPES data Psychiatric/Mental Health Nurse Practitioner NPI 1437173473 CNS
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SANDRA BENSON, CNS

Psychiatric/Mental Health Nurse Practitioner in BURLINGTON, Massachusetts. 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
4K
Medicare Part D claims · 389 beneficiaries · Psychiatric/Mental Health Nurse Practitioner avg: 927
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.4157/100
▲ 8 pts above national avg 83.1 · [object Object]

What the federal data shows

SANDRA BENSON, CNS reported a CMS MIPS final score of 91.4157/100 — above the 83.1 national average — and filed 3,514 Medicare Part D claims in 2023.

91.4157/100
MIPS score · +8 vs avg
4K
Part D claims, 2023
95%
generic prescribing

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.

SANDRA BENSON, CNS's MIPS score vs every scored U.S. clinician

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

91 Top 37% higher than 63% 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

What does the federal data show about SANDRA BENSON, CNS?

High performer (top quartile)

NPI registry status

Active

Issued 07/26/2006

NPI 1437173473

Primary specialty

Psychiatric/Mental Health Nurse Practitioner

Mid-sized

39,953 US NPIs in this specialty

Medicare Part D claims

3,514 279% vs specialty avg

2023 prescription claims

Specialty avg: 927

MIPS final score

91.4157/100 8.315700000000007% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Massachusetts

How Psychiatric/Mental Health Nurse Practitioner compares to other specialties among Massachusetts providers

Massachusetts providers

Psychiatric/Mental Health Nurse Practitioner share within Massachusetts

1. Psychiatric/Mental Health Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Psychiatric/Mental Health Nurse Practitioner share within Massachusetts

Medicare quality performance — MIPS

SANDRA BENSON, CNS's 2023 MIPS final score plotted against the Psychiatric/Mental Health Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
91.4157/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Psychiatric/Mental Health Nurse Practitioner) — 91.4157/100 vs national avg 83.1

0%100%National avg83%91.4%
MIPS final score (Psychiatric/Mental Health Nurse Practitioner) — 91.4157/100 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).

SANDRA BENSON, CNS appears in the CMS NPPES registry as a Psychiatric/Mental Health Nurse Practitioner provider holding CNS credentials at LAHEY CLINIC, BURLINGTON, MA, 01805, with a listed phone of (781) 744-8869. NPI 1437173473 was issued on 07/26/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BENSON 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 3,514 prescription claims written by this provider, covering 389 Medicare beneficiaries and totaling roughly $268K in drug spend, split 5% brand-name and 95% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.4157/100 for the 2023 performance year (Quality 76.877), compared with the national average of 83.1.

Psychiatric/Mental Health Nurse Practitioner is a mid-sized specialty nationwide, with 39,953 enrolled providers across 54 states and an average of 927 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

LAHEY CLINIC
BURLINGTON, MA 01805

Provider Details

NPI 1437173473
Specialty Psychiatric/Mental Health Nurse Practitioner
Credentials CNS
Gender Female
NPI Issued 07/26/2006

CMS Quality Score (MIPS)

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

91.4157
Final Score
Avg: 83.1
76.877
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

License & disciplinary context — Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 — they are NOT specific to SANDRA BENSON, CNS. To verify SANDRA BENSON, CNS's current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM 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 Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

SANDRA BENSON, CNS — brand share 5.0%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 3,514 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.

3,514
Total Claims
$268K
Total Drug Cost
389
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,705
Total Day Supply
166,212
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$143K
Generic Drug Cost
$125K

Patient Demographics

Average Patient Age
65.9 years
Avg HCC Risk Score
1.35
Gender Split
67% female / 33% male
Age Distribution
<65: 149, 65-74: 147, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What SANDRA BENSON, CNS 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
Clonazepam
276
Lorazepam
222
Trazodone Hcl
188
Duloxetine Hcl
183
Lamotrigine
166
Fluoxetine Hcl
160
Quetiapine Fumarate
147
Gabapentin
138
Sertraline Hcl
138
Alprazolam
114

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

Psychiatric/Mental Health Nurse Practitioner Overview

How SANDRA BENSON, CNS fits within the Psychiatric/Mental Health Nurse Practitioner landscape nationally.

39,953
Psychiatric/Mental Health Nurse Practitioner Providers in US
54
States with Psychiatric/Mental Health Nurse Practitioner
927
Avg Claims per Provider

SANDRA BENSON, CNS's 3,514 claims are above the specialty average of 927.

Nearby Psychiatric/Mental Health Nurse Practitioner Providers in Massachusetts

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

Compare Psychiatric/Mental Health Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is SANDRA BENSON, CNS's specialty?
SANDRA BENSON, CNS specializes in Psychiatric/Mental Health Nurse Practitioner and practices in BURLINGTON, Massachusetts. Credentials: CNS.
How much does SANDRA BENSON, CNS prescribe under Medicare Part D?
In 2023, SANDRA BENSON, CNS wrote 3,514 Medicare Part D claims totaling $268K in drug costs for 389 beneficiaries.
What is SANDRA BENSON, CNS's Medicare quality score?
SANDRA BENSON, CNS has a CMS MIPS Final Score of 91.4157/100 (Quality: 76.877). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SANDRA BENSON, CNS located?
SANDRA BENSON, CNS is located at LAHEY CLINIC, BURLINGTON, MA, 01805. Phone: (781) 744-8869.
What is SANDRA BENSON, CNS's NPI number?
SANDRA BENSON, CNS's National Provider Identifier (NPI) is 1437173473, issued on 07/26/2006.
Does SANDRA BENSON, CNS prescribe more brand-name or generic drugs?
SANDRA BENSON, CNS's prescribing is 5% brand-name and 95% generic drugs by claim count, with $143K in brand drug costs.
How many Psychiatric/Mental Health Nurse Practitioner providers are there in the US?
There are 39,953 Psychiatric/Mental Health Nurse Practitioner providers across 54 states in the US. The average Psychiatric/Mental Health Nurse Practitioner provider writes 927 Medicare Part D claims per year.
What drugs does SANDRA BENSON, CNS prescribe most often?
Based on 2023 Medicare Part D data, SANDRA BENSON, CNS's most frequently prescribed drugs include Clonazepam, Lorazepam, Trazodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SANDRA BENSON, CNS accept Medicare?
SANDRA BENSON, CNS appears in CMS Medicare data with 3,514 Part D claims and 389 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SANDRA BENSON, CNS's credentials?
SANDRA BENSON, CNS's NPI is 1437173473 with credentials CNS. 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