2026 NPPES data Family Nurse Practitioner NPI 1063029247 APN
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Valarie Pfoutz, APN

Family Nurse Practitioner in Dixon, Illinois. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 209,817 in Family 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
994
Medicare Part D claims · 175 beneficiaries · Family Nurse Practitioner avg: 1K
MIPS score
82.1/100
▼ 1 pts below national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Valarie Pfoutz, APN reported a CMS MIPS final score of 82.1/100 — below the 83.1 national average — and filed 994 Medicare Part D claims in 2023.

82.1/100
MIPS score · -1 vs avg
994
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.

Valarie Pfoutz, APN's MIPS score vs every scored U.S. clinician

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

82 39th percentile higher than 39% 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

Where Valarie Pfoutz, APN sits

This provider among family nurse practitioner peers

Across the 27,154 family nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Valarie Pfoutz, APN writes more Part D claims than 68% of them and scores higher on MIPS quality than 36% — placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100022.344.666.989.3Part D claim volume — percentile in specialtyMIPS quality — percentilePart D claim volume — percentile in specialty: 75 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 8 · MIPS quality — percentile: 35Part D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 53 · MIPS quality — percentile: 8Part D claim volume — percentile in specialty: 37 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 42 · MIPS quality — percentile: 55Part D claim volume — percentile in specialty: 62 · MIPS quality — percentile: 12Part D claim volume — percentile in specialty: 15 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 85 · MIPS quality — percentile: 72Part D claim volume — percentile in specialty: 12 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 23 · MIPS quality — percentile: 78Part D claim volume — percentile in specialty: 92 · MIPS quality — percentile: 5Part D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 77 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 75Part D claim volume — percentile in specialty: 70 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 72 · MIPS quality — percentile: 20Part D claim volume — percentile in specialty: 43 · MIPS quality — percentile: 3Part D claim volume — percentile in specialty: 67 · MIPS quality — percentile: 23Part D claim volume — percentile in specialty: 30 · MIPS quality — percentile: 65Part D claim volume — percentile in specialty: 45 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 100 · MIPS quality — percentile: 43Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 22Part D claim volume — percentile in specialty: 80 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 2 · MIPS quality — percentile: 10Part D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 7 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 60 · MIPS quality — percentile: 38Part D claim volume — percentile in specialty: 65 · MIPS quality — percentile: 48Part D claim volume — percentile in specialty: 50 · MIPS quality — percentile: 62Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 60Part D claim volume — percentile in specialty: 10 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 40Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 78 · MIPS quality — percentile: 70Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 58Part D claim volume — percentile in specialty: 38 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 33 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 97 · MIPS quality — percentile: 53Part D claim volume — percentile in specialty: 48 · MIPS quality — percentile: 75Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 28Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 5 · MIPS quality — percentile: 52Part D claim volume — percentile in specialty: 95 · MIPS quality — percentile: 80Part D claim volume — percentile in specialty: 32 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 68 · MIPS quality — percentile: 25Part D claim volume — percentile in specialty: 90 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 18 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 17 · MIPS quality — percentile: 2Part D claim volume — percentile in specialty: 87 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 57 · MIPS quality — percentile: 33Part D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 47Part D claim volume — percentile in specialty: 47 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 83 · MIPS quality — percentile: 42Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 43Valarie Pfoutz, APN — Part D claim volume — percentile in specialty: 68 · MIPS quality — percentile: 36
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one family nurse practitioner peer from a representative sample of 60; the gold marker is Valarie Pfoutz, APN. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Valarie Pfoutz, APN?

Near national average

NPI registry status

Active

Issued 09/30/2020

NPI 1063029247

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

994 19% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

MIPS final score

82.1/100 1 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Illinois

How Family Nurse Practitioner compares to other specialties among Illinois providers

Illinois providers

Largest specialties in Illinois (% of in-state providers)

Clinical Social Worker — 5.2%Clinical Social Worker5.2%Physical Therapist — 5%Physical Therapist5%Mental Health Counselor — 4.5%Mental Health Counselor4.5%Speech-Language Pathologist — 4.2%Speech-Language Pathologist4.2%Student in an Organized Health Care Education/Training Program — 4.2%Student in an Organized Health Care Education/Training Program4.2%Pharmacist — 4.1%Pharmacist4.1%Family Nurse Practitioner — 3%Family Nurse Practitioner3%
Largest specialties in Illinois (% of in-state providers)

Medicare quality performance — MIPS

Valarie Pfoutz, APN's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

Near national average
MIPS Final Score
82.1/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Nurse Practitioner) — 82.1/100 vs national avg 83.1

0%100%National avg83%82.1%
MIPS final score (Family Nurse Practitioner) — 82.1/100 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).

Valarie Pfoutz, APN appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding APN credentials at 403 E 1ST ST, Dixon, IL, 61021, with a listed phone of (815) 288-5531. NPI 1063029247 was issued on 09/30/2020. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Pfoutz 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 994 prescription claims written by this provider, covering 175 Medicare beneficiaries and totaling roughly $71K in drug spend, with an opioid prescribing rate of 19.4%. 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 82.1/100 for the 2023 performance year (Quality 71.8, Cost 66.1), compared with the national average of 83.1.

Family Nurse Practitioner is a high-volume specialty nationwide, with 209,817 enrolled providers across 56 states and an average of 1,222 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

403 E 1ST ST
Dixon, IL 61021

Provider Details

NPI 1063029247
Specialty Family Nurse Practitioner
Credentials APN
Gender Female
NPI Issued 09/30/2020

CMS Quality Score (MIPS)

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

82.1337
Final Score
Avg: 83.1
71.8028
Quality
66.07
Cost
98
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Valarie Pfoutz, APN 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.

Osf Multi-Specialty Group
Dixon, IL
Renovo Health Inc
Lombard, IL

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 — Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 — they are NOT specific to Valarie Pfoutz, APN. To verify Valarie Pfoutz, APN's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

994
Total Claims
$71K
Total Drug Cost
175
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,131
Total Day Supply
27,586
Generic Drug Cost
$19K
Opioid Claims
193 (19.4% rate)
Antibiotic Claims
45

Patient Demographics

Average Patient Age
79.4 years
Avg HCC Risk Score
2.16
Gender Split
77% female / 23% male
Age Distribution
<65: 19, 65-74: 37, 75-84: 51, 85+: 68

Top Prescribed Drugs (Medicare Part D)

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

What Valarie Pfoutz, APN 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
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
87
Tramadol Hcl
54
Alprazolam
51
Fentanyl
37
Clonazepam
33
Losartan Potassium
22
Atorvastatin Calcium
21
Eliquis
Apixaban
21
Pantoprazole Sodium
21
Furosemide
20

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

Family Nurse Practitioner Overview

How Valarie Pfoutz, APN fits within the Family Nurse Practitioner landscape nationally.

209,817
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider

Valarie Pfoutz, APN's 994 claims are below the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in Illinois

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

Compare Family 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 Illinois medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family 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.

Frequently Asked Questions

What is Valarie Pfoutz, APN's specialty?
Valarie Pfoutz, APN specializes in Family Nurse Practitioner and practices in Dixon, Illinois. Credentials: APN.
How much does Valarie Pfoutz, APN prescribe under Medicare Part D?
In 2023, Valarie Pfoutz, APN wrote 994 Medicare Part D claims totaling $71K in drug costs for 175 beneficiaries.
What is Valarie Pfoutz, APN's Medicare quality score?
Valarie Pfoutz, APN has a CMS MIPS Final Score of 82.1/100 (Quality: 71.8, Cost: 66.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Valarie Pfoutz, APN located?
Valarie Pfoutz, APN is located at 403 E 1ST ST, Dixon, IL, 61021. Phone: (815) 288-5531.
What is Valarie Pfoutz, APN's NPI number?
Valarie Pfoutz, APN's National Provider Identifier (NPI) is 1063029247, issued on 09/30/2020.
Does Valarie Pfoutz, APN prescribe opioids?
Yes, Valarie Pfoutz, APN had 193 opioid claims in 2023 with an opioid prescribing rate of 19.4%.
How many Family Nurse Practitioner providers are there in the US?
There are 209,817 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
What drugs does Valarie Pfoutz, APN prescribe most often?
Based on 2023 Medicare Part D data, Valarie Pfoutz, APN's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Tramadol Hcl, Alprazolam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Valarie Pfoutz, APN accept Medicare?
Valarie Pfoutz, APN appears in CMS Medicare data with 994 Part D claims and 175 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Valarie Pfoutz, APN's credentials?
Valarie Pfoutz, APN's NPI is 1063029247 with credentials APN. 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

Compiled from official public sources by the PlainDoctor editorial team.