2026 NPPES data Registered Nurse NPI 1194248278 APRN
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TESS BARBACH, APRN

Registered Nurse in RICHMOND, California. 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
214
Medicare Part D claims · 24 beneficiaries · Registered Nurse avg: 1K

What the federal data shows

TESS BARBACH, APRN filed 214 Medicare Part D claims in 2023 as a Registered Nurse in RICHMOND, California.

214
Part D claims, 2023

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.

TESS BARBACH, APRN's Medicare Part D volume vs every U.S. prescriber

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

214 49th percentile higher than 49% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 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 TESS BARBACH, APRN?

Quality data not reported

NPI registry status

Active

Issued 07/20/2017

NPI 1194248278

Primary specialty

Registered Nurse

High-volume

175,652 US NPIs in this specialty

Medicare Part D claims

214 79% vs specialty avg

2023 prescription claims

Specialty avg: 1,000

Specialty distribution in California

How Registered Nurse compares to other specialties among California providers

California providers

Registered Nurse share within California

1. Registered Nurse42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Registered Nurse share within California

Specialty board-certification context

Estimated specialty board-certified rate — Registered Nurse (ABMS / AOA reference)

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

Est. board-certified rate (Registered Nurse) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Registered Nurse) — 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).

TESS BARBACH, APRN appears in the CMS NPPES registry as a Registered Nurse provider holding APRN credentials at 5227 SACRAMENTO AVE, RICHMOND, CA, 94804, with a listed phone of (510) 520-6166. NPI 1194248278 was issued on 07/20/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BARBACH 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 214 prescription claims written by this provider, covering 24 Medicare beneficiaries and totaling roughly $17K in drug spend, with an opioid prescribing rate of 5.1%. 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.

Registered Nurse is a high-volume specialty nationwide, with 175,652 enrolled providers across 56 states and an average of 1,000 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

5227 SACRAMENTO AVE
RICHMOND, CA 94804

Provider Details

NPI 1194248278
Specialty Registered Nurse
Credentials APRN
Gender Female
NPI Issued 07/20/2017

Hospital and facility affiliations

Facilities where TESS BARBACH, APRN 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.

HILL HEALTH INC A MEDICAL CORPORATION
OAKLAND, CA
MARIN COMMUNITY CLINIC
SAN RAFAEL, CA

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 — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to TESS BARBACH, APRN. To verify TESS BARBACH, APRN's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California 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.

214
Total Claims
$17K
Total Drug Cost
24
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
283
Total Day Supply
7,733
Generic Drug Cost
$5K
Opioid Claims
11 (5.1% rate)
Antibiotic Claims
11

Patient Demographics

Average Patient Age
71.7 years
Avg HCC Risk Score
1.83
Gender Split
54% female / 46% male

Top Prescribed Drugs (Medicare Part D)

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

What TESS BARBACH, APRN 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
Lisinopril
14
Tamsulosin Hcl
13
Omeprazole
11

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

Registered Nurse Overview

How TESS BARBACH, APRN fits within the Registered Nurse landscape nationally.

175,652
Registered Nurse Providers in US
56
States with Registered Nurse
1,000
Avg Claims per Provider

TESS BARBACH, APRN's 214 claims are below the specialty average of 1,000.

Nearby Registered Nurse Providers in California

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

Compare Registered Nurse nationally: see state-by-state distribution →

Frequently Asked Questions

What is TESS BARBACH, APRN's specialty?
TESS BARBACH, APRN specializes in Registered Nurse and practices in RICHMOND, California. Credentials: APRN.
How much does TESS BARBACH, APRN prescribe under Medicare Part D?
In 2023, TESS BARBACH, APRN wrote 214 Medicare Part D claims totaling $17K in drug costs for 24 beneficiaries.
Where is TESS BARBACH, APRN located?
TESS BARBACH, APRN is located at 5227 SACRAMENTO AVE, RICHMOND, CA, 94804. Phone: (510) 520-6166.
What is TESS BARBACH, APRN's NPI number?
TESS BARBACH, APRN's National Provider Identifier (NPI) is 1194248278, issued on 07/20/2017.
Does TESS BARBACH, APRN prescribe opioids?
Yes, TESS BARBACH, APRN had 11 opioid claims in 2023 with an opioid prescribing rate of 5.1%.
How many Registered Nurse providers are there in the US?
There are 175,652 Registered Nurse providers across 56 states in the US. The average Registered Nurse provider writes 1,000 Medicare Part D claims per year.
What drugs does TESS BARBACH, APRN prescribe most often?
Based on 2023 Medicare Part D data, TESS BARBACH, APRN's most frequently prescribed drugs include Lisinopril, Tamsulosin Hcl, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TESS BARBACH, APRN accept Medicare?
TESS BARBACH, APRN appears in CMS Medicare data with 214 Part D claims and 24 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TESS BARBACH, APRN's credentials?
TESS BARBACH, APRN's NPI is 1194248278 with credentials APRN. 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