PlainDoctor

2026 NPPES data Community Health/Public Health Clinical Nurse Specialist NPI 1063813962 PMHNP
Verify on CMS →

Tiffany Martinez, PMHNP

Community Health/Public Health Clinical Nurse Specialist in Pleasant Point, Maine.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 143 in Community Health/Public Health Clinical Nurse Specialist, 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
27
Medicare Part D claims · 18 beneficiaries · Community Health/Public Health Clinical Nurse Specialist avg: 951
MIPS score
98.1/100
▲ 15 pts above national avg 83.5 · Exceptional
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Tiffany Martinez, PMHNP reported a CMS MIPS final score of 98.1/100 - above the 83.5 national average - and filed 27 Medicare Part D claims in 2023.

98.1/100
MIPS score · +15 vs avg
27
Part D claims, 2023
≥89th
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.

CMS NPPES provider registry desk

NPI 1063813962 · Community Health/Public Health Clinical Nurse Specialist

NPI-10 · ENUM-MID · TAX-TRACE · MIPS-ELITE · RX-TRACE · BOOK-THIN · NEAR-MIPS

  • NPI-10 1063813962
  • ENUM-MID 2014
  • TAX-TRACE 143
  • MIPS-ELITE 98.1/100
  • RX-TRACE 27
  • BOOK-THIN 1 in Maine
  • NEAR-MIPS Jessie Dotson · 13.3

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Tiffany Martinez, 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.

98 ≥ 89th percentile 89% 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%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. 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

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

98.1/100 14.6 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in Maine

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

Maine providers
Clinical Social Worker10.2%Physical Therapist5%Pharmacist4.1%Occupational Therapist3.8%Family Medicine Physician3.5%Speech-Language Pathologist3.5%Community Health/Public Heal…0%
Largest specialties in Maine (% of in-state providers)

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
98.1/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%98.1%
MIPS final score (Community Health/Public Health Clinical Nurse Specialist) - 98.1/100 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).

Practice Address

11 BACK RD
Pleasant Point, ME 04667
(207) 853-0644

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
Measured-score avg: 83.5
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
More Community Health/Public Health Clinical Nurse Specialist in ME → All providers in Maine → Compare specialties →

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.

Nationwide Community Health/Public Health Clinical Nurse Specialist peers with similar MIPS or enrollment year

Two federal-record peer sets for Martinez, both outside Maine so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (98.1 here).

Jessie Dotson 84.8 NJ Tanya Trotter 76.8 OH

Same NPPES enumeration year (2014)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Jane Sawall Medford, OR Tanya Trotter Dayton, OH George Tazi Independence, OH Kim Francis Boston, MA

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 98.1/100 (Quality: 86.1). 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 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

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.