2026 NPPES data Primary Care Nurse Practitioner NPI 1538542840 DNP, A/GNP-C
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TIFFANY PULGIANO, DNP, A/GNP-C

Primary Care Nurse Practitioner in MIDVALE, Utah. 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
3K
Medicare Part D claims · 245 beneficiaries · Primary Care Nurse Practitioner avg: 1K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.7054/100
▲ 13 pts above national avg 83.1 · [object Object]
Industry payments
$414.1
15 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: TIFFANY PULGIANO, DNP, A/GNP-C is a Primary Care Nurse Practitioner ([object Object]) practicing in MIDVALE, Utah with a Medicare Part D prescribing footprint of 3K claims across 245 beneficiaries — 14% brand-name prescribing . Their CMS MIPS Final Score of 95.7054/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $414.1 across 15 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: TIFFANY PULGIANO, DNP, A/GNP-C reported a CMS MIPS final score of 95.7054 out of 100, above the 83.1 national average, and filed 3,131 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

TIFFANY PULGIANO, DNP, A/GNP-C at a glance

High performer (top quartile)

NPI registry status

Active

Issued 07/06/2015

NPI 1538542840

Primary specialty

Primary Care Nurse Practitioner

Mid-sized

10,138 US NPIs in this specialty

Medicare Part D claims

3,131 130% vs specialty avg

2023 prescription claims

Specialty avg: 1,363

MIPS final score

95.7054/100 12.605400000000003% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Utah

How Primary Care Nurse Practitioner compares to other specialties among Utah providers

Utah providers

Primary Care Nurse Practitioner share within Utah

1. Primary Care Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Primary Care Nurse Practitioner share within Utah

Medicare quality performance — MIPS

TIFFANY PULGIANO, DNP, A/GNP-C's 2023 MIPS final score plotted against the Primary Care Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
95.7054/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Primary Care Nurse Practitioner) — 95.7054/100 vs national avg 83.1

0%100%National avg83%95.7%
MIPS final score (Primary Care Nurse Practitioner) — 95.7054/100 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 PULGIANO, DNP, A/GNP-C is a Primary Care Nurse Practitioner provider practicing in MIDVALE, Utah, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DNP, A/GNP-C. NPI: 1538542840. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

TIFFANY PULGIANO, DNP, A/GNP-C appears in the CMS NPPES registry as a Primary Care Nurse Practitioner provider holding DNP, A/GNP-C credentials at 7495 S STATE ST, MIDVALE, UT, 84047, with a listed phone of (801) 213-9400. NPI 1538542840 was issued on 07/06/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PULGIANO 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 3,131 prescription claims written by this provider, covering 245 Medicare beneficiaries and totaling roughly $315K in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 2.8%. 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 95.7054/100 for the 2023 performance year (Quality 92.1917), compared with the national average of 83.1.

Primary Care Nurse Practitioner is a mid-sized specialty nationwide, with 10,138 enrolled providers across 54 states and an average of 1,363 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

7495 S STATE ST
MIDVALE, UT 84047

Provider Details

NPI 1538542840
Specialty Primary Care Nurse Practitioner
Credentials DNP, A/GNP-C
Gender Female
NPI Issued 07/06/2015

CMS Quality Score (MIPS)

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

95.7054
Final Score
Avg: 83.1
92.1917
Quality
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where TIFFANY PULGIANO, DNP, A/GNP-C 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.

PRIMARY HEALTHCARE, PLLC
MURRAY, UT

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 TIFFANY PULGIANO, DNP, A/GNP-C. Source: openpaymentsdata.cms.gov.

Total received

$414

Largest payer

Phathom 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.

Brand vs generic prescribing mix · Typical

TIFFANY PULGIANO, DNP, A/GNP-C — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 3,131 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

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

3,131
Total Claims
$315K
Total Drug Cost
245
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
7,076
Total Day Supply
205,832
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$248K
Generic Drug Cost
$65K
Opioid Claims
89 (2.8% rate)
Antibiotic Claims
45

Patient Demographics

Average Patient Age
68.9 years
Avg HCC Risk Score
1.34
Gender Split
73% female / 27% male
Age Distribution
<65: 56, 65-74: 104, 75-84: 74, 85+: 11

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
165
Omeprazole
118
Levothyroxine Sodium
109
Lisinopril
94
Losartan Potassium
74
Gabapentin
73
Amlodipine Besylate
71
Metformin Hcl Er
Metformin Hcl
70
Albuterol Sulfate Hfa
Albuterol Sulfate
62
Lisinopril-Hydrochlorothiazide
Lisinopril/Hydrochlorothiazide
61

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

Primary Care Nurse Practitioner Overview

How TIFFANY PULGIANO, DNP, A/GNP-C fits within the Primary Care Nurse Practitioner landscape nationally.

10,138
Primary Care Nurse Practitioner Providers in US
54
States with Primary Care Nurse Practitioner
1,363
Avg Claims per Provider

TIFFANY PULGIANO, DNP, A/GNP-C's 3,131 claims are above the specialty average of 1,363.

Nearby Primary Care Nurse Practitioner Providers in Utah

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

Compare Primary Care Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is TIFFANY PULGIANO, DNP, A/GNP-C's specialty?
TIFFANY PULGIANO, DNP, A/GNP-C specializes in Primary Care Nurse Practitioner and practices in MIDVALE, Utah. Credentials: DNP, A/GNP-C.
How much does TIFFANY PULGIANO, DNP, A/GNP-C prescribe under Medicare Part D?
In 2023, TIFFANY PULGIANO, DNP, A/GNP-C wrote 3,131 Medicare Part D claims totaling $315K in drug costs for 245 beneficiaries.
What is TIFFANY PULGIANO, DNP, A/GNP-C's Medicare quality score?
TIFFANY PULGIANO, DNP, A/GNP-C has a CMS MIPS Final Score of 95.7054/100 (Quality: 92.1917). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TIFFANY PULGIANO, DNP, A/GNP-C located?
TIFFANY PULGIANO, DNP, A/GNP-C is located at 7495 S STATE ST, MIDVALE, UT, 84047. Phone: (801) 213-9400.
What is TIFFANY PULGIANO, DNP, A/GNP-C's NPI number?
TIFFANY PULGIANO, DNP, A/GNP-C's National Provider Identifier (NPI) is 1538542840, issued on 07/06/2015.
Does TIFFANY PULGIANO, DNP, A/GNP-C prescribe more brand-name or generic drugs?
TIFFANY PULGIANO, DNP, A/GNP-C's prescribing is 14% brand-name and 86% generic drugs by claim count, with $248K in brand drug costs.
Does TIFFANY PULGIANO, DNP, A/GNP-C prescribe opioids?
Yes, TIFFANY PULGIANO, DNP, A/GNP-C had 89 opioid claims in 2023 with an opioid prescribing rate of 2.8%.
How many Primary Care Nurse Practitioner providers are there in the US?
There are 10,138 Primary Care Nurse Practitioner providers across 54 states in the US. The average Primary Care Nurse Practitioner provider writes 1,363 Medicare Part D claims per year.
What drugs does TIFFANY PULGIANO, DNP, A/GNP-C prescribe most often?
Based on 2023 Medicare Part D data, TIFFANY PULGIANO, DNP, A/GNP-C's most frequently prescribed drugs include Atorvastatin Calcium, Omeprazole, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TIFFANY PULGIANO, DNP, A/GNP-C accept Medicare?
TIFFANY PULGIANO, DNP, A/GNP-C appears in CMS Medicare data with 3,131 Part D claims and 245 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TIFFANY PULGIANO, DNP, A/GNP-C's credentials?
TIFFANY PULGIANO, DNP, A/GNP-C's NPI is 1538542840 with credentials DNP, A/GNP-C. 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