2026 NPPES data Gerontology Clinical Nurse Specialist NPI 1164935391 CRNP
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TRACEY GUSTITUS, CRNP

Gerontology Clinical Nurse Specialist in WEST READING, Pennsylvania. 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
224
Medicare Part D claims · 58 beneficiaries · Gerontology Clinical Nurse Specialist avg: 906
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
81.1913/100
▼ 2 pts below national avg 83.1 · [object Object]

What the federal data shows

TRACEY GUSTITUS, CRNP reported a CMS MIPS final score of 81.1913/100 — below the 83.1 national average — and filed 224 Medicare Part D claims in 2023.

81.1913/100
MIPS score · -2 vs avg
224
Part D claims, 2023
94%
generic prescribing

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.

TRACEY GUSTITUS, CRNP's MIPS score vs every scored U.S. clinician

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

81 36th percentile higher than 36% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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 TRACEY GUSTITUS, CRNP?

Near national average

NPI registry status

Active

Issued 11/09/2017

NPI 1164935391

Primary specialty

Gerontology Clinical Nurse Specialist

Rare

393 US NPIs in this specialty

Medicare Part D claims

224 75% vs specialty avg

2023 prescription claims

Specialty avg: 906

MIPS final score

81.1913/100 1.908699999999996% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Gerontology Clinical Nurse Specialist compares to other specialties among Pennsylvania providers

Pennsylvania providers

Gerontology Clinical Nurse Specialist share within Pennsylvania

1. Gerontology Clinical Nurse Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gerontology Clinical Nurse Specialist share within Pennsylvania

Medicare quality performance — MIPS

TRACEY GUSTITUS, CRNP's 2023 MIPS final score plotted against the Gerontology Clinical Nurse Specialist national average

Near national average
MIPS Final Score
81.1913/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gerontology Clinical Nurse Specialist) — 81.1913/100 vs national avg 83.1

0%100%National avg83%81.2%
MIPS final score (Gerontology Clinical Nurse Specialist) — 81.1913/100 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).

TRACEY GUSTITUS, CRNP appears in the CMS NPPES registry as a Gerontology Clinical Nurse Specialist provider holding CRNP credentials at 420 S 5TH AVE, WEST READING, PA, 19611, with a listed phone of (484) 628-5455. NPI 1164935391 was issued on 11/09/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GUSTITUS 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 224 prescription claims written by this provider, covering 58 Medicare beneficiaries and totaling roughly $11K in drug spend, split 6% brand-name and 94% generic by claim count. 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 81.1913/100 for the 2023 performance year (Quality 74.5659, Cost 65.2384), compared with the national average of 83.1.

Gerontology Clinical Nurse Specialist is a narrow specialty nationwide, with 393 enrolled providers across 47 states and an average of 906 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

420 S 5TH AVE
WEST READING, PA 19611

Provider Details

NPI 1164935391
Specialty Gerontology Clinical Nurse Specialist
Credentials CRNP
Gender Female
NPI Issued 11/09/2017

CMS Quality Score (MIPS)

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

81.1913
Final Score
Avg: 83.1
74.5659
Quality
65.2384
Cost
97
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where TRACEY GUSTITUS, CRNP 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.

TOWER HEALTH MEDICAL GROUP
WYOMISSING, PA

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 — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to TRACEY GUSTITUS, CRNP. To verify TRACEY GUSTITUS, CRNP's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

TRACEY GUSTITUS, CRNP — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 224 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.

224
Total Claims
$11K
Total Drug Cost
58
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
229
Total Day Supply
5,650
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$7K
Generic Drug Cost
$3K
Antibiotic Claims
30

Patient Demographics

Average Patient Age
68.0 years
Avg HCC Risk Score
3.55
Gender Split
55% female / 45% male
Age Distribution
<65: 21, 65-74: 19, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What TRACEY GUSTITUS, CRNP 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
Atorvastatin Calcium
23
Mirtazapine
18
Amlodipine Besylate
17

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

Gerontology Clinical Nurse Specialist Overview

How TRACEY GUSTITUS, CRNP fits within the Gerontology Clinical Nurse Specialist landscape nationally.

393
Gerontology Clinical Nurse Specialist Providers in US
47
States with Gerontology Clinical Nurse Specialist
906
Avg Claims per Provider

TRACEY GUSTITUS, CRNP's 224 claims are below the specialty average of 906.

Nearby Gerontology Clinical Nurse Specialist Providers in Pennsylvania

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

Compare Gerontology Clinical Nurse Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is TRACEY GUSTITUS, CRNP's specialty?
TRACEY GUSTITUS, CRNP specializes in Gerontology Clinical Nurse Specialist and practices in WEST READING, Pennsylvania. Credentials: CRNP.
How much does TRACEY GUSTITUS, CRNP prescribe under Medicare Part D?
In 2023, TRACEY GUSTITUS, CRNP wrote 224 Medicare Part D claims totaling $11K in drug costs for 58 beneficiaries.
What is TRACEY GUSTITUS, CRNP's Medicare quality score?
TRACEY GUSTITUS, CRNP has a CMS MIPS Final Score of 81.1913/100 (Quality: 74.5659, Cost: 65.2384). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TRACEY GUSTITUS, CRNP located?
TRACEY GUSTITUS, CRNP is located at 420 S 5TH AVE, WEST READING, PA, 19611. Phone: (484) 628-5455.
What is TRACEY GUSTITUS, CRNP's NPI number?
TRACEY GUSTITUS, CRNP's National Provider Identifier (NPI) is 1164935391, issued on 11/09/2017.
Does TRACEY GUSTITUS, CRNP prescribe more brand-name or generic drugs?
TRACEY GUSTITUS, CRNP's prescribing is 6% brand-name and 94% generic drugs by claim count, with $7K in brand drug costs.
How many Gerontology Clinical Nurse Specialist providers are there in the US?
There are 393 Gerontology Clinical Nurse Specialist providers across 47 states in the US. The average Gerontology Clinical Nurse Specialist provider writes 906 Medicare Part D claims per year.
What drugs does TRACEY GUSTITUS, CRNP prescribe most often?
Based on 2023 Medicare Part D data, TRACEY GUSTITUS, CRNP's most frequently prescribed drugs include Atorvastatin Calcium, Mirtazapine, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TRACEY GUSTITUS, CRNP accept Medicare?
TRACEY GUSTITUS, CRNP appears in CMS Medicare data with 224 Part D claims and 58 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TRACEY GUSTITUS, CRNP's credentials?
TRACEY GUSTITUS, CRNP's NPI is 1164935391 with credentials CRNP. 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