2026 NPPES data Pediatric Clinical Nurse Specialist NPI 1427768605 PA
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SARAH FIORELLO, PA

Pediatric Clinical Nurse Specialist in BUFFALO, New York. 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 · 252 beneficiaries · Pediatric Clinical Nurse Specialist avg: 530
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

SARAH FIORELLO, PA filed 1,720 Medicare Part D claims in 2023 as a Pediatric Clinical Nurse Specialist in BUFFALO, New York, prescribing 81% generic.

2K
Part D claims, 2023
81%
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.

SARAH FIORELLO, PA's Medicare Part D volume vs every U.S. prescriber

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

1,720 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 SARAH FIORELLO, PA?

Quality data not reported

NPI registry status

Active

Issued 11/29/2022

NPI 1427768605

Primary specialty

Pediatric Clinical Nurse Specialist

Rare

350 US NPIs in this specialty

Medicare Part D claims

1,720 225% vs specialty avg

2023 prescription claims

Specialty avg: 530

Specialty distribution in New York

How Pediatric Clinical Nurse Specialist compares to other specialties among New York providers

New York providers

Pediatric Clinical Nurse Specialist share within New York

1. Pediatric Clinical Nurse Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Clinical Nurse Specialist share within New York

Specialty board-certification context

Estimated specialty board-certified rate — Pediatric Clinical Nurse Specialist (ABMS / AOA reference)

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

Est. board-certified rate (Pediatric Clinical Nurse Specialist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatric Clinical Nurse Specialist) — 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).

SARAH FIORELLO, PA appears in the CMS NPPES registry as a Pediatric Clinical Nurse Specialist provider holding PA credentials at 155 LAWN AVE, BUFFALO, NY, 14207, with a listed phone of (716) 875-2904. NPI 1427768605 was issued on 11/29/2022. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FIORELLO 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 1,720 prescription claims written by this provider, covering 252 Medicare beneficiaries and totaling roughly $201K in drug spend, split 19% brand-name and 81% generic by claim count, with an opioid prescribing rate of 3.3%. 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.

Pediatric Clinical Nurse Specialist is a narrow specialty nationwide, with 350 enrolled providers across 39 states and an average of 530 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

155 LAWN AVE
BUFFALO, NY 14207

Provider Details

NPI 1427768605
Specialty Pediatric Clinical Nurse Specialist
Credentials PA
Gender Female
NPI Issued 11/29/2022

Hospital and facility affiliations

Facilities where SARAH FIORELLO, PA 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.

NEIGHBORHOOD HEALTH CENTER OF WNY, INC.
BUFFALO, 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 SARAH FIORELLO, PA. To verify SARAH FIORELLO, PA'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

SARAH FIORELLO, PA — brand share 19.0%
Specialty average (est.)

19% brand-name claims vs 81% generic, on 1,720 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.

1,720
Total Claims
$201K
Total Drug Cost
252
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,700
Total Day Supply
75,914
Brand vs Generic
19% brand / 81% generic
Brand Drug Cost
$173K
Generic Drug Cost
$27K
Opioid Claims
57 (3.3% rate)
Antibiotic Claims
69

Patient Demographics

Average Patient Age
64.4 years
Avg HCC Risk Score
1.41
Gender Split
71% female / 29% male
Age Distribution
<65: 101, 65-74: 116, 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 SARAH FIORELLO, PA 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
Atorvastatin Calcium
88
Amlodipine Besylate
69
Lisinopril
68
Metformin Hcl
51
Gabapentin
48
Levothyroxine Sodium
47
Omeprazole
45
Fluticasone Propionate
43
Jardiance
Empagliflozin
41
Albuterol Sulfate Hfa
Albuterol Sulfate
40

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

Pediatric Clinical Nurse Specialist Overview

How SARAH FIORELLO, PA fits within the Pediatric Clinical Nurse Specialist landscape nationally.

350
Pediatric Clinical Nurse Specialist Providers in US
39
States with Pediatric Clinical Nurse Specialist
530
Avg Claims per Provider

SARAH FIORELLO, PA's 1,720 claims are above the specialty average of 530.

Nearby Pediatric Clinical Nurse Specialist Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as FIORELLO.

Compare Pediatric Clinical Nurse Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is SARAH FIORELLO, PA's specialty?
SARAH FIORELLO, PA specializes in Pediatric Clinical Nurse Specialist and practices in BUFFALO, New York. Credentials: PA.
How much does SARAH FIORELLO, PA prescribe under Medicare Part D?
In 2023, SARAH FIORELLO, PA wrote 1,720 Medicare Part D claims totaling $201K in drug costs for 252 beneficiaries.
Where is SARAH FIORELLO, PA located?
SARAH FIORELLO, PA is located at 155 LAWN AVE, BUFFALO, NY, 14207. Phone: (716) 875-2904.
What is SARAH FIORELLO, PA's NPI number?
SARAH FIORELLO, PA's National Provider Identifier (NPI) is 1427768605, issued on 11/29/2022.
Does SARAH FIORELLO, PA prescribe more brand-name or generic drugs?
SARAH FIORELLO, PA's prescribing is 19% brand-name and 81% generic drugs by claim count, with $173K in brand drug costs.
Does SARAH FIORELLO, PA prescribe opioids?
Yes, SARAH FIORELLO, PA had 57 opioid claims in 2023 with an opioid prescribing rate of 3.3%.
How many Pediatric Clinical Nurse Specialist providers are there in the US?
There are 350 Pediatric Clinical Nurse Specialist providers across 39 states in the US. The average Pediatric Clinical Nurse Specialist provider writes 530 Medicare Part D claims per year.
What drugs does SARAH FIORELLO, PA prescribe most often?
Based on 2023 Medicare Part D data, SARAH FIORELLO, PA's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SARAH FIORELLO, PA accept Medicare?
SARAH FIORELLO, PA appears in CMS Medicare data with 1,720 Part D claims and 252 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SARAH FIORELLO, PA's credentials?
SARAH FIORELLO, PA's NPI is 1427768605 with credentials PA. 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