NPI registry status
Active
2026 NPPES data Psychiatric/Mental Health Nurse Practitioner NPI 1225600877 PMHNP
Verify on CMS → Theresa Benedikter, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Lynchburg, 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 40,776 in Psychiatric/Mental Health 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
79
Medicare Part D claims · Psychiatric/Mental Health Nurse Practitioner avg: 927
MIPS score
94.1/100
▲ 11 pts above national avg 83.5 · Exceptional
Industry payments
$26.91
2 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Theresa Benedikter, PMHNP reported a CMS MIPS final score of 94.1/100 - above the 83.5 national average - and filed 79 Medicare Part D claims in 2023.
- 94.1/100
- MIPS score · +11 vs avg
- 79
- Part D claims, 2023
- $26.91
- industry payments (Sunshine Act)
- ≥73rd
- 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.
Theresa Benedikter, PMHNP'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.
94 ≥ 73rd percentile 73% of 454,083 measured providers are in lower value bands
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 Theresa Benedikter, PMHNP sits
This provider among psychiatric/mental health nurse practitioner peers
Across the 1,808 psychiatric/mental health nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Theresa Benedikter, PMHNP writes more Part D claims than 16% of them and scores higher on MIPS quality than 72% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one psychiatric/mental health nurse practitioner peer from a representative sample of 60; the gold marker is Theresa Benedikter, PMHNP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Theresa Benedikter, PMHNP?
High performer (top quartile)Primary specialty
Psychiatric/Mental Health Nurse Practitioner
Medicare Part D claims
79 91% vs specialty avg
MIPS final score
94.1/100 10.6 pts vs avg
Specialty distribution in Virginia
How Psychiatric/Mental Health Nurse Practitioner compares to other specialties among Virginia providers
Medicare quality performance, MIPS
Theresa Benedikter, PMHNP's 2023 MIPS final score plotted against the Psychiatric/Mental Health Nurse Practitioner national average
- MIPS Final Score
- 94.1/100
- vs 83.5 national avg · 2023 performance year
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).
Theresa Benedikter, PMHNP appears in the CMS NPPES registry as a Psychiatric/Mental Health Nurse Practitioner provider holding PMHNP credentials at 693 LEESVILLE RD, Lynchburg, VA, 24502, with a listed phone of (434) 200-5750. NPI 1225600877 was issued on 07/13/2021.
Medicare Part D records for calendar year 2023 show 79 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $4K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.1/100 for the 2023 performance year (Quality 86.4), compared with the 83.5 average among clinicians with a measured score.
Psychiatric/Mental Health Nurse Practitioner is a mid-sized specialty nationwide, with 40,776 enrolled providers across 54 states and an average of 927 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
Provider Details
| NPI | 1225600877 |
|---|---|
| Specialty | Psychiatric/Mental Health Nurse Practitioner |
| Credentials | PMHNP |
| Gender | Female |
| NPI Issued | 07/13/2021 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
94.0743
Final Score
Measured-score avg: 83.5
86.4483
Quality
94
Promoting Interoperability
Reporting: Alternative Payment Model
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 Theresa Benedikter, PMHNP. Source: openpaymentsdata.cms.gov.
Total received
$27
Largest payer
IRONSHORE PHARMACEUTICALS 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.
79
Total Claims
$4K
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 83
- Total Day Supply
- 2,425
- Generic Drug Cost
- $4K
Patient Demographics
- Average Patient Age
- 21.4 years
- Avg HCC Risk Score
- 0.57
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Theresa Benedikter, PMHNP prescribes most
Top Medicare Part D drugs by claim count, 2023
- Guanfacine Hcl Er
Guanfacine Hcl Er
20 claims
- Aripiprazole
Aripiprazole
12 claims
- Escitalopram Oxalate
Escitalopram Oxalate
11 claims
| Drug | Claims |
|---|---|
| Guanfacine Hcl Er Guanfacine Hcl | 20 |
| Aripiprazole | 12 |
| Escitalopram Oxalate | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Psychiatric/Mental Health Nurse Practitioner in VA →
All providers in Virginia →
Compare specialties →
Psychiatric/Mental Health Nurse Practitioner Overview
How Theresa Benedikter, PMHNP fits within the Psychiatric/Mental Health Nurse Practitioner landscape nationally.
40,776
Psychiatric/Mental Health Nurse Practitioner Providers in US
54
States with Psychiatric/Mental Health Nurse Practitioner
927
Avg Claims per Provider
Theresa Benedikter, PMHNP's 79 claims are below the specialty average of 927.
Nearby Psychiatric/Mental Health Nurse Practitioner Providers in Virginia
Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Benedikter.
Dr. Chinyere Abati-Sobulo
NP
Charlottesville, VA
Dr. Sahar Abbas
PMHNP-C
Bristow, VA
Dr. Adenike Abdulraheem
PMHNP
Richmond, VA
Dr. Lisa Abrams
APN
Glen Allen, VA
Lina Abrar
Falls Church, VA
Compare Psychiatric/Mental Health 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 Psychiatric/Mental Health 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.
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Frequently Asked Questions
What is Theresa Benedikter, PMHNP's specialty? ▼
Theresa Benedikter, PMHNP specializes in Psychiatric/Mental Health Nurse Practitioner and practices in Lynchburg, Virginia. Credentials: PMHNP.
How much does Theresa Benedikter, PMHNP prescribe under Medicare Part D? ▼
In 2023, Theresa Benedikter, PMHNP wrote 79 Medicare Part D claims totaling $4K in drug costs for N/A beneficiaries.
What is Theresa Benedikter, PMHNP's Medicare quality score? ▼
Theresa Benedikter, PMHNP has a CMS MIPS Final Score of 94.1/100 (Quality: 86.4). 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 Theresa Benedikter, PMHNP located? ▼
Theresa Benedikter, PMHNP is located at 693 LEESVILLE RD, Lynchburg, VA, 24502. Phone: (434) 200-5750.
What is Theresa Benedikter, PMHNP's NPI number? ▼
Theresa Benedikter, PMHNP's National Provider Identifier (NPI) is 1225600877, issued on 07/13/2021.
How many Psychiatric/Mental Health Nurse Practitioner providers are there in the US? ▼
There are 40,776 Psychiatric/Mental Health Nurse Practitioner providers across 54 states in the US. The average Psychiatric/Mental Health Nurse Practitioner provider writes 927 Medicare Part D claims per year.
What drugs does Theresa Benedikter, PMHNP prescribe most often? ▼
Based on 2023 Medicare Part D data, Theresa Benedikter, PMHNP's most frequently prescribed drugs include Guanfacine Hcl Er, Aripiprazole, Escitalopram Oxalate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Theresa Benedikter, PMHNP accept Medicare? ▼
Theresa Benedikter, PMHNP appears in CMS Medicare data with 79 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Theresa Benedikter, PMHNP's credentials? ▼
Theresa Benedikter, PMHNP's NPI is 1225600877 with credentials PMHNP. 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
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.