2026 NPPES data Adult Health Nurse Practitioner NPI 1750811469 NP
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SARA MATHERLY, NP

Adult Health Nurse Practitioner in NEWPORT NEWS, Virginia. 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
885
Medicare Part D claims · 304 beneficiaries · Adult Health Nurse Practitioner avg: 1K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.0775/100
▲ 11 pts above national avg 83.1 · [object Object]
Industry payments
$138.73
7 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SARA MATHERLY, NP reported a CMS MIPS final score of 94.0775/100 — above the 83.1 national average — and filed 885 Medicare Part D claims in 2023.

94.0775/100
MIPS score · +11 vs avg
885
Part D claims, 2023
87%
generic prescribing
$138.73
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.

SARA MATHERLY, NP's MIPS score vs every scored U.S. clinician

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

94 Top 25% higher than 75% 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 SARA MATHERLY, NP?

High performer (top quartile)

NPI registry status

Active

Issued 06/14/2017

NPI 1750811469

Primary specialty

Adult Health Nurse Practitioner

Mid-sized

29,492 US NPIs in this specialty

Medicare Part D claims

885 26% vs specialty avg

2023 prescription claims

Specialty avg: 1,201

MIPS final score

94.0775/100 10.977500000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Virginia

How Adult Health Nurse Practitioner compares to other specialties among Virginia providers

Virginia providers

Adult Health Nurse Practitioner share within Virginia

1. Adult Health Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Health Nurse Practitioner share within Virginia

Medicare quality performance — MIPS

SARA MATHERLY, NP's 2023 MIPS final score plotted against the Adult Health Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
94.0775/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Health Nurse Practitioner) — 94.0775/100 vs national avg 83.1

0%100%National avg83%94.1%
MIPS final score (Adult Health Nurse Practitioner) — 94.0775/100 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).

SARA MATHERLY, NP appears in the CMS NPPES registry as a Adult Health Nurse Practitioner provider holding NP credentials at 11848 ROCK LANDING DR STE 402, NEWPORT NEWS, VA, 23606, with a listed phone of (757) 873-1374. NPI 1750811469 was issued on 06/14/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MATHERLY 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 885 prescription claims written by this provider, covering 304 Medicare beneficiaries and totaling roughly $135K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 2.8%. 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 94.0775/100 for the 2023 performance year (Quality 90.6515), compared with the national average of 83.1.

Adult Health Nurse Practitioner is a mid-sized specialty nationwide, with 29,492 enrolled providers across 55 states and an average of 1,201 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

11848 ROCK LANDING DR STE 402
NEWPORT NEWS, VA 23606

Provider Details

NPI 1750811469
Specialty Adult Health Nurse Practitioner
Credentials NP
Gender Female
NPI Issued 06/14/2017

CMS Quality Score (MIPS)

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

94.0775
Final Score
Avg: 83.1
90.6515
Quality
95.8391
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where SARA MATHERLY, 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.

RIVERSIDE PHYSICIAN SERVICES INC
NEWPORT NEWS, 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 SARA MATHERLY, NP. Source: openpaymentsdata.cms.gov.

Total received

$139

Largest payer

Boston Scientific 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 · Typical

SARA MATHERLY, NP — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 885 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.

885
Total Claims
$135K
Total Drug Cost
304
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,821
Total Day Supply
50,799
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$96K
Generic Drug Cost
$39K
Opioid Claims
25 (2.8% rate)
Antibiotic Claims
122

Patient Demographics

Average Patient Age
73.0 years
Avg HCC Risk Score
1.63
Gender Split
38% female / 62% male
Age Distribution
<65: 42, 65-74: 119, 75-84: 110, 85+: 33

Top Prescribed Drugs (Medicare Part D)

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

What SARA MATHERLY, 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
176
Myrbetriq
Mirabegron
107
Oxybutynin Chloride Er
Oxybutynin Chloride
101
Finasteride
81
Solifenacin Succinate
50
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
43
Alfuzosin Hcl Er
Alfuzosin Hcl
32
Testosterone Cypionate
32
Cephalexin
29
Oxybutynin Chloride
21

* 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 SARA MATHERLY, NP fits within the Adult Health Nurse Practitioner landscape nationally.

29,492
Adult Health Nurse Practitioner Providers in US
55
States with Adult Health Nurse Practitioner
1,201
Avg Claims per Provider

SARA MATHERLY, NP's 885 claims are below the specialty average of 1,201.

Nearby Adult Health Nurse Practitioner Providers in Virginia

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

Compare Adult Health Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is SARA MATHERLY, NP's specialty?
SARA MATHERLY, NP specializes in Adult Health Nurse Practitioner and practices in NEWPORT NEWS, Virginia. Credentials: NP.
How much does SARA MATHERLY, NP prescribe under Medicare Part D?
In 2023, SARA MATHERLY, NP wrote 885 Medicare Part D claims totaling $135K in drug costs for 304 beneficiaries.
What is SARA MATHERLY, NP's Medicare quality score?
SARA MATHERLY, NP has a CMS MIPS Final Score of 94.0775/100 (Quality: 90.6515). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SARA MATHERLY, NP located?
SARA MATHERLY, NP is located at 11848 ROCK LANDING DR STE 402, NEWPORT NEWS, VA, 23606. Phone: (757) 873-1374.
What is SARA MATHERLY, NP's NPI number?
SARA MATHERLY, NP's National Provider Identifier (NPI) is 1750811469, issued on 06/14/2017.
Does SARA MATHERLY, NP prescribe more brand-name or generic drugs?
SARA MATHERLY, NP's prescribing is 13% brand-name and 87% generic drugs by claim count, with $96K in brand drug costs.
Does SARA MATHERLY, NP prescribe opioids?
Yes, SARA MATHERLY, NP had 25 opioid claims in 2023 with an opioid prescribing rate of 2.8%.
How many Adult Health Nurse Practitioner providers are there in the US?
There are 29,492 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 SARA MATHERLY, NP prescribe most often?
Based on 2023 Medicare Part D data, SARA MATHERLY, NP's most frequently prescribed drugs include Tamsulosin Hcl, Myrbetriq, Oxybutynin Chloride Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SARA MATHERLY, NP accept Medicare?
SARA MATHERLY, NP appears in CMS Medicare data with 885 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 SARA MATHERLY, NP's credentials?
SARA MATHERLY, NP's NPI is 1750811469 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