2026 NPPES data Nurse Practitioner NPI 1861972689 FNP
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Susan Stanforth, FNP

Nurse Practitioner in Poughkeepsie, 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 · 481 beneficiaries · Nurse Practitioner avg: 1K
MIPS score
72.8/100
▼ 10 pts below national avg 83.1 · [object Object]
Industry payments
$558.55
26 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Susan Stanforth, FNP reported a CMS MIPS final score of 72.8/100 — below the 83.1 national average — and filed 2,435 Medicare Part D claims in 2023.

72.8/100
MIPS score · -10 vs avg
2K
Part D claims, 2023
$558.55
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.

Susan Stanforth, FNP's MIPS score vs every scored U.S. clinician

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

73 10th percentile higher than 10% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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 Susan Stanforth, FNP?

Below national average

NPI registry status

Active

Issued 08/21/2018

NPI 1861972689

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

2,435 125% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

72.8/100 10.3 pts vs avg

Mid-tier band

vs 83.1 national avg

Specialty distribution in New York

How Nurse Practitioner compares to other specialties among New York providers

New York providers

Nurse Practitioner share within New York

1. Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nurse Practitioner share within New York

Medicare quality performance — MIPS

Susan Stanforth, FNP's 2023 MIPS final score plotted against the Nurse Practitioner national average

Below national average
MIPS Final Score
72.8/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) — 72.8/100 vs national avg 83.1

0%100%National avg83%72.8%
MIPS final score (Nurse Practitioner) — 72.8/100 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).

Susan Stanforth, FNP appears in the CMS NPPES registry as a Nurse Practitioner provider holding FNP credentials at 159 BARNEGAT RD STE 101, Poughkeepsie, NY, 12601, with a listed phone of (845) 454-1942. NPI 1861972689 was issued on 08/21/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Stanforth 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 2,435 prescription claims written by this provider, covering 481 Medicare beneficiaries and totaling roughly $8.2 million in drug spend, with an opioid prescribing rate of 9.2%. 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 72.8/100 for the 2023 performance year (Quality 43.3, Cost 62.1), 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

159 BARNEGAT RD STE 101
Poughkeepsie, NY 12601

Provider Details

NPI 1861972689
Specialty Nurse Practitioner
Credentials FNP
Gender Female
NPI Issued 08/21/2018

CMS Quality Score (MIPS)

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

72.7707
Final Score
Avg: 83.1
43.266
Quality
62.074
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where Susan Stanforth, FNP 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.

North Shore Hematology Oncology Associates PC
Smithtown, 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).

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 Stanforth, FNP. Source: openpaymentsdata.cms.gov.

Total received

$559

Largest payer

AstraZeneca Pharmaceuticals LP

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 — 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 Susan Stanforth, FNP. To verify Susan Stanforth, FNP'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.

Medicare Part D Prescribing Data

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

2,435
Total Claims
$8.2M
Total Drug Cost
481
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,210
Total Day Supply
88,473
Generic Drug Cost
$550K
Opioid Claims
223 (9.2% rate)
Antibiotic Claims
56

Patient Demographics

Average Patient Age
72.5 years
Avg HCC Risk Score
2.46
Gender Split
57% female / 43% male
Age Distribution
<65: 70, 65-74: 208, 75-84: 155, 85+: 48

Top Prescribed Drugs (Medicare Part D)

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

What Susan Stanforth, FNP 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
Warfarin Sodium
194
Eliquis
Apixaban
188
Xarelto
Rivaroxaban
138
Aranesp
Darbepoetin Alfa In Polysorbat
111
Dexamethasone
74
Letrozole
71
Pomalyst
Pomalidomide
70
Hydroxyurea
66
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
63
Oxycodone Hcl
55

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

Nurse Practitioner Overview

How Susan Stanforth, FNP 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

Susan Stanforth, FNP's 2,435 claims are above the specialty average of 1,084.

Nearby Nurse Practitioner Providers in New York

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

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 New York 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 Susan Stanforth, FNP's specialty?
Susan Stanforth, FNP specializes in Nurse Practitioner and practices in Poughkeepsie, New York. Credentials: FNP.
How much does Susan Stanforth, FNP prescribe under Medicare Part D?
In 2023, Susan Stanforth, FNP wrote 2,435 Medicare Part D claims totaling $8.2M in drug costs for 481 beneficiaries.
What is Susan Stanforth, FNP's Medicare quality score?
Susan Stanforth, FNP has a CMS MIPS Final Score of 72.8/100 (Quality: 43.3, Cost: 62.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Susan Stanforth, FNP located?
Susan Stanforth, FNP is located at 159 BARNEGAT RD STE 101, Poughkeepsie, NY, 12601. Phone: (845) 454-1942.
What is Susan Stanforth, FNP's NPI number?
Susan Stanforth, FNP's National Provider Identifier (NPI) is 1861972689, issued on 08/21/2018.
Does Susan Stanforth, FNP prescribe opioids?
Yes, Susan Stanforth, FNP had 223 opioid claims in 2023 with an opioid prescribing rate of 9.2%.
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 Susan Stanforth, FNP prescribe most often?
Based on 2023 Medicare Part D data, Susan Stanforth, FNP's most frequently prescribed drugs include Warfarin Sodium, Eliquis, Xarelto. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Susan Stanforth, FNP accept Medicare?
Susan Stanforth, FNP appears in CMS Medicare data with 2,435 Part D claims and 481 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Susan Stanforth, FNP's credentials?
Susan Stanforth, FNP's NPI is 1861972689 with credentials FNP. 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