2026 NPPES data Family Nurse Practitioner NPI 1053498121 RNCNP
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Susan Gaither, RNCNP

Family Nurse Practitioner in Blacksburg, Virginia.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 210,832 in Family 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
274
Medicare Part D claims · 137 beneficiaries · Family Nurse Practitioner avg: 1K
MIPS score
56.5/100
▼ 27 pts below national avg 83.5 · Mid-tier
Industry payments
$25.32
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Susan Gaither, RNCNP reported a CMS MIPS final score of 56.5/100 - below the 83.5 national average - and filed 274 Medicare Part D claims in 2023.

56.5/100
MIPS score · -27 vs avg
274
Part D claims, 2023
$25.32
industry payments (Sunshine Act)
≥5th
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.

Susan Gaither, RNCNP'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.

57 ≥ 5th percentile 5% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). This entry sits in this band. 60–70: 13,906 measured providers (3%). Above this entry. 70–80: 94,570 measured providers (21%). Above this entry. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

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 Susan Gaither, RNCNP sits

This provider among family nurse practitioner peers

Across the 26,556 family nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Susan Gaither, RNCNP writes more Part D claims than 41% of them and scores higher on MIPS quality than 4% - placing this provider in the lower-volume, lower-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 quality0255075100022.344.666.989.3Part D claim volume, percentile in specialtyMIPS quality, percentile
Part D claim volume vs MIPS quality, by specialty percentile

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

What does the federal data show about Susan Gaither, RNCNP?

Below national average

NPI registry status

Active

Issued 11/01/2006

NPI 1053498121

Primary specialty

Family Nurse Practitioner

High-volume

210,832 US NPIs in this specialty

Medicare Part D claims

274 78% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

MIPS final score

56.5/100 27 pts vs avg

Mid-tier band

vs 83.5 national avg

Specialty distribution in Virginia

How Family Nurse Practitioner compares to other specialties among Virginia providers

Virginia providers
Behavior Technician5.2%Clinical Social Worker5.1%Student in an Organized Heal…4.7%Physical Therapist4.6%Pharmacist4.5%Professional Counselor4%Family Nurse Practitioner4%
Largest specialties in Virginia (% of in-state providers)

Medicare quality performance, MIPS

Susan Gaither, RNCNP's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

Below national average
MIPS Final Score
56.5/100
vs 83.5 national avg · 2023 performance year

MIPS final score (Family Nurse Practitioner) - 56.5/100 vs national avg 83.5

0%100%National avg84%56.5%
MIPS final score (Family Nurse Practitioner) - 56.5/100 vs national avg 83.5
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).

Susan Gaither, RNCNP appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding RNCNP credentials at 3708 S MAIN ST, Blacksburg, VA, 24060, with a listed phone of (540) 951-3376. NPI 1053498121 was issued on 11/01/2006.

Medicare Part D records for calendar year 2023 show 274 prescription claims written by this provider, covering 137 Medicare beneficiaries and totaling roughly $401K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 56.5/100 for the 2023 performance year (Quality 0, Cost 55.7), compared with the 83.5 average among clinicians with a measured score.

Family Nurse Practitioner is a high-volume specialty nationwide, with 210,832 enrolled providers across 56 states and an average of 1,222 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

3708 S MAIN ST
Blacksburg, VA 24060

Provider Details

NPI 1053498121
Specialty Family Nurse Practitioner
Credentials RNCNP
Gender Female
NPI Issued 11/01/2006

CMS Quality Score (MIPS)

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

56.4507
Final Score
Measured-score avg: 83.5
0
Quality
55.669
Cost
99
Promoting Interoperability

Reporting: Group practice

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 Susan Gaither, RNCNP. Source: openpaymentsdata.cms.gov.

Total received

$25

Largest payer

ABBVIE 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.

Medicare Part D Prescribing Data

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

274
Total Claims
$401K
Total Drug Cost
137
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
314
Total Day Supply
8,169
Generic Drug Cost
$9K
Antibiotic Claims
17

Patient Demographics

Average Patient Age
72.2 years
Avg HCC Risk Score
1.12
Gender Split
68% female / 32% male

Top Prescribed Drugs (Medicare Part D)

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

What Susan Gaither, RNCNP 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
Clobetasol Propionate
31
Ketoconazole
25
Triamcinolone Acetonide
19
Mupirocin
18
Imiquimod
15
Ciclopirox
12
Xolair
Omalizumab
12
Hydroxychloroquine Sulfate
11

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

Family Nurse Practitioner Overview

How Susan Gaither, RNCNP fits within the Family Nurse Practitioner landscape nationally.

210,832
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider

Susan Gaither, RNCNP's 274 claims are below the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in Virginia

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

Compare Family 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 Virginia medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family 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 Susan Gaither, RNCNP's specialty?
Susan Gaither, RNCNP specializes in Family Nurse Practitioner and practices in Blacksburg, Virginia. Credentials: RNCNP.
How much does Susan Gaither, RNCNP prescribe under Medicare Part D?
In 2023, Susan Gaither, RNCNP wrote 274 Medicare Part D claims totaling $401K in drug costs for 137 beneficiaries.
What is Susan Gaither, RNCNP's Medicare quality score?
Susan Gaither, RNCNP has a CMS MIPS Final Score of 56.5/100 (Quality: 0, Cost: 55.7). 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 Susan Gaither, RNCNP located?
Susan Gaither, RNCNP is located at 3708 S MAIN ST, Blacksburg, VA, 24060. Phone: (540) 951-3376.
What is Susan Gaither, RNCNP's NPI number?
Susan Gaither, RNCNP's National Provider Identifier (NPI) is 1053498121, issued on 11/01/2006.
How many Family Nurse Practitioner providers are there in the US?
There are 210,832 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
What drugs does Susan Gaither, RNCNP prescribe most often?
Based on 2023 Medicare Part D data, Susan Gaither, RNCNP's most frequently prescribed drugs include Clobetasol Propionate, Ketoconazole, Triamcinolone Acetonide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Susan Gaither, RNCNP accept Medicare?
Susan Gaither, RNCNP appears in CMS Medicare data with 274 Part D claims and 137 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Susan Gaither, RNCNP's credentials?
Susan Gaither, RNCNP's NPI is 1053498121 with credentials RNCNP. 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

Compiled from official public sources by the editorial process.

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.