2026 NPPES data Community Health/Public Health Clinical Nurse Specialist NPI 1063813962 PMHNP
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TIFFANY MARTINEZ, PMHNP

Community Health/Public Health Clinical Nurse Specialist in PLEASANT POINT, Maine. 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
27
Medicare Part D claims · 18 beneficiaries · Community Health/Public Health Clinical Nurse Specialist avg: 951
MIPS score
98.0699/100
▲ 15 pts above national avg 83.1 · [object Object]

What the federal data shows

TIFFANY MARTINEZ, PMHNP reported a CMS MIPS final score of 98.0699/100 — above the 83.1 national average — and filed 27 Medicare Part D claims in 2023.

98.0699/100
MIPS score · +15 vs avg
27
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.

TIFFANY MARTINEZ, PMHNP's MIPS score vs every scored U.S. clinician

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

98 Top 11% higher than 89% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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 TIFFANY MARTINEZ, PMHNP?

High performer (top quartile)

NPI registry status

Active

Issued 09/10/2014

NPI 1063813962

Primary specialty

Community Health/Public Health Clinical Nurse Specialist

Rare

143 US NPIs in this specialty

Medicare Part D claims

27 97% vs specialty avg

2023 prescription claims

Specialty avg: 951

MIPS final score

98.0699/100 14.96990000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Maine

How Community Health/Public Health Clinical Nurse Specialist compares to other specialties among Maine providers

Maine providers

Community Health/Public Health Clinical Nurse Specialist share within Maine

1. Community Health/Public Health Clinical Nurse Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Community Health/Public Health Clinical Nurse Specialist share within Maine

Medicare quality performance — MIPS

TIFFANY MARTINEZ, PMHNP's 2023 MIPS final score plotted against the Community Health/Public Health Clinical Nurse Specialist national average

High performer (top quartile)
MIPS Final Score
98.0699/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Community Health/Public Health Clinical Nurse Specialist) — 98.0699/100 vs national avg 83.1

0%100%National avg83%98.1%
MIPS final score (Community Health/Public Health Clinical Nurse Specialist) — 98.0699/100 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).

TIFFANY MARTINEZ, PMHNP appears in the CMS NPPES registry as a Community Health/Public Health Clinical Nurse Specialist provider holding PMHNP credentials at 11 BACK RD, PLEASANT POINT, ME, 04667, with a listed phone of (207) 853-0644. NPI 1063813962 was issued on 09/10/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MARTINEZ 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 27 prescription claims written by this provider, covering 18 Medicare beneficiaries and totaling roughly $469 in drug spend. 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 98.0699/100 for the 2023 performance year (Quality 86.1398), compared with the national average of 83.1.

Community Health/Public Health Clinical Nurse Specialist is a narrow specialty nationwide, with 143 enrolled providers across 39 states and an average of 951 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

11 BACK RD
PLEASANT POINT, ME 04667

Provider Details

NPI 1063813962
Specialty Community Health/Public Health Clinical Nurse Specialist
Credentials PMHNP
Gender Female
NPI Issued 09/10/2014

CMS Quality Score (MIPS)

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

98.0699
Final Score
Avg: 83.1
86.1398
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where TIFFANY MARTINEZ, PMHNP 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.

PASSAMAQUODDY TRIBAL COUNCIL
PLEASANT POINT, ME

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

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

27
Total Claims
$469
Total Drug Cost
18
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
27
Total Day Supply
487
Brand Drug Cost
$0
Generic Drug Cost
$469

Patient Demographics

Average Patient Age
55.0 years
Avg HCC Risk Score
1.55

Community Health/Public Health Clinical Nurse Specialist Overview

How TIFFANY MARTINEZ, PMHNP fits within the Community Health/Public Health Clinical Nurse Specialist landscape nationally.

143
Community Health/Public Health Clinical Nurse Specialist Providers in US
39
States with Community Health/Public Health Clinical Nurse Specialist
951
Avg Claims per Provider

TIFFANY MARTINEZ, PMHNP's 27 claims are below the specialty average of 951.

Frequently Asked Questions

What is TIFFANY MARTINEZ, PMHNP's specialty?
TIFFANY MARTINEZ, PMHNP specializes in Community Health/Public Health Clinical Nurse Specialist and practices in PLEASANT POINT, Maine. Credentials: PMHNP.
How much does TIFFANY MARTINEZ, PMHNP prescribe under Medicare Part D?
In 2023, TIFFANY MARTINEZ, PMHNP wrote 27 Medicare Part D claims totaling $469 in drug costs for 18 beneficiaries.
What is TIFFANY MARTINEZ, PMHNP's Medicare quality score?
TIFFANY MARTINEZ, PMHNP has a CMS MIPS Final Score of 98.0699/100 (Quality: 86.1398). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TIFFANY MARTINEZ, PMHNP located?
TIFFANY MARTINEZ, PMHNP is located at 11 BACK RD, PLEASANT POINT, ME, 04667. Phone: (207) 853-0644.
What is TIFFANY MARTINEZ, PMHNP's NPI number?
TIFFANY MARTINEZ, PMHNP's National Provider Identifier (NPI) is 1063813962, issued on 09/10/2014.
How many Community Health/Public Health Clinical Nurse Specialist providers are there in the US?
There are 143 Community Health/Public Health Clinical Nurse Specialist providers across 39 states in the US. The average Community Health/Public Health Clinical Nurse Specialist provider writes 951 Medicare Part D claims per year.
Does TIFFANY MARTINEZ, PMHNP accept Medicare?
TIFFANY MARTINEZ, PMHNP appears in CMS Medicare data with 27 Part D claims and 18 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TIFFANY MARTINEZ, PMHNP's credentials?
TIFFANY MARTINEZ, PMHNP's NPI is 1063813962 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

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