NPI registry status
Active
2026 NPPES data Primary Care Nurse Practitioner NPI 1679122592 NP
Verify on CMS → Yuan Zhao, NP
Primary Care Nurse Practitioner in El Segundo, California.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 10,597 in Primary Care 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
4K
Medicare Part D claims · 452 beneficiaries · Primary Care Nurse Practitioner avg: 1K
Generic prescribing
40%
generic claims · 53% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.3/100
▼ 7 pts below national avg 83.5 · Above neutral
Industry payments
$1.7K
107 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Yuan Zhao, NP reported a CMS MIPS final score of 76.3/100 - below the 83.5 national average - and filed 3,504 Medicare Part D claims in 2024.
- 76.3/100
- MIPS score · -7 vs avg
- 4K
- Part D claims, 2024
- 40%
- generic prescribing
- $1.7K
- industry payments (Sunshine Act)
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.
Federal trust snapshot
What official records show about Yuan Zhao, NP
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1679122592), first enumerated 09/04/2019.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 3,504 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 76.3/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$1.7K in reported industry payments (107 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
California statewide board action statistics are published annually — these figures describe aggregate state activity, not Yuan Zhao, NP's individual license status. Verify directly with the state medical board.
Source: MBC annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1679122592 · Primary Care Nurse Practitioner
NPI-10 · ENUM-RECENT · TAX-MID · MIPS-BELOW · RX-MID · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1679122592
- ENUM-RECENT 2019
- TAX-MID 11K Primary Care
- MIPS-BELOW 76.3/100
- RX-MID 3,504
- BOOK-LIGHT 1,015 in California
- PHOTO-FINISH Karen Bailey · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Rachel Ashley · …
Rachel Ashley
76.2 MIPS pts
- Zhao · this prov…
Zhao · this provider
76.3 MIPS pts
- Karen Bailey · h…
Karen Bailey
76.3 MIPS pts
- Phoebe Chongong …
Phoebe Chongong
76.3 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Yuan Zhao, NP'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.
76 ≥ 17th percentile 17% of 454,083 measured providers are in lower value bands
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
Where Yuan Zhao, NP sits
This provider among primary care nurse practitioner peers
Across the 926 primary care nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Yuan Zhao, NP writes more Part D claims than 87% of them and scores higher on MIPS quality than 18% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one primary care nurse practitioner peer from a representative sample of 60; the gold marker is Yuan Zhao, NP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Yuan Zhao, NP?
Below national averagePrimary specialty
Primary Care Nurse Practitioner
Medicare Part D claims
3,504 138% vs specialty avg
MIPS final score
76.3/100 7.2 pts vs avg
Specialty distribution in California
How Primary Care Nurse Practitioner compares to other specialties among California providers
Medicare quality performance, MIPS
Yuan Zhao, NP's 2023 MIPS final score plotted against the Primary Care Nurse Practitioner national average
- MIPS Final Score
- 76.3/100
- vs 83.5 national avg · 2023 performance year
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
Provider Details
| NPI | 1679122592 |
|---|---|
| Specialty | Primary Care Nurse Practitioner |
| Credentials | NP |
| Gender | Female |
| NPI Issued | 09/04/2019 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
76.2631
Final Score
Measured-score avg: 83.5
62.7438
Quality
59.2967
Cost
Reporting: Group practice
Hospital and facility affiliations
Facilities where Yuan Zhao, NP 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.
Pih Health Physicians
Whittier, CA
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 Yuan Zhao, NP. Source: openpaymentsdata.cms.gov.
Total received
$1.7K
Largest payer
Lilly USA, LLC
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.
License & disciplinary context - California MBC 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 ~150K California medical licensees in 2023 - they are NOT specific to Yuan Zhao, NP. To verify Yuan Zhao, NP's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases
MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Brand-heavy
Yuan Zhao, NP - brand share 53.0%
Primary Care Nurse Practitioner average
53% brand-name claims vs 40% generic, on 3,504 2024 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 2024.
3,504
Total Claims
$1.5M
Total Drug Cost
452
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 7,794.933
- Total Day Supply
- 230,594
- Brand vs Generic
- 53% brand / 40% generic
- Brand Drug Cost
- $1.4M
- Generic Drug Cost
- $32K
Patient Demographics
- Average Patient Age
- 72.1 years
- Avg HCC Risk Score
- 1.87
- Gender Split
- 68% female / 32% male
- Age Distribution
- <65: 62, 65-74: 210, 75-84: 136, 85+: 44
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Yuan Zhao, NP prescribes most
Top Medicare Part D drugs by claim count, 2024
- Ozempic
Ozempic
471 claims
- Levothyroxine Sodium
Levothyroxine Sodium
327 claims
- Lantus Solostar
Lantus Solostar
202 claims
- Metformin Hcl
Metformin Hcl
197 claims
- Atorvastatin Calcium 168
Atorvastatin Calcium
168 claims
- Mounjaro 122
Mounjaro
122 claims
- Humalog Kwikpen U-… 119
Humalog Kwikpen U-100
119 claims
- Nano 2nd Gen Pen N… 118
Nano 2nd Gen Pen Needle
118 claims
| Drug | Claims |
|---|---|
| Ozempic Semaglutide | 471 |
| Levothyroxine Sodium | 327 |
| Lantus Solostar Insulin Glargine,hum.Rec.Anlog | 202 |
| Metformin Hcl | 197 |
| Atorvastatin Calcium | 168 |
| Mounjaro Tirzepatide | 122 |
| Humalog Kwikpen U-100 Insulin Lispro | 119 |
| Nano 2nd Gen Pen Needle Pen Needle, Diabetic | 118 |
| Metformin Hcl Er Metformin Hcl | 103 |
| Jardiance Empagliflozin | 70 |
* 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 Yuan Zhao, NP fits within the Primary Care Nurse Practitioner landscape nationally.
10,597
Primary Care Nurse Practitioner Providers in US
54
States with Primary Care Nurse Practitioner
1,471
Avg Claims per Provider
Yuan Zhao, NP's 3,504 claims are above the specialty average of 1,471.
Nationwide Primary Care Nurse Practitioner peers with similar MIPS or enrollment year
Two federal-record peer sets for Zhao, both outside California so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (76.3 here).
Same NPPES enumeration year (2019)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Primary Care Nurse Practitioner Providers in California
Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Zhao.
One of 1,015 Primary Care Nurse Practitioner providers enrolled in California, 5 are shown here.
Pernian Abadi
Bakersfield, CA
Ann Abraham
Long Beach, CA
Angelica Acevedo
FNP
Parlier, CA
Natalie Adame
PNP
Orange, CA
Pratikshya Adhikari
MSN, APRN, FNP-BC
Sacramento, CA
Compare Primary Care Nurse Practitioner nationally: see state-by-state distribution →
Frequently Asked Questions
What is Yuan Zhao, NP's specialty? ▼
Yuan Zhao, NP specializes in Primary Care Nurse Practitioner and practices in El Segundo, California. Credentials: NP.
How much does Yuan Zhao, NP prescribe under Medicare Part D? ▼
In 2024, Yuan Zhao, NP wrote 3,504 Medicare Part D claims totaling $1.5M in drug costs for 452 beneficiaries.
What is Yuan Zhao, NP's Medicare quality score? ▼
Yuan Zhao, NP has a CMS MIPS Final Score of 76.3/100 (Quality: 62.7, Cost: 59.3). 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 Yuan Zhao, NP located? ▼
Yuan Zhao, NP is located at 2101 ROSECRANS AVE # 3230, El Segundo, CA, 90245. Phone: (323) 628-8671.
What is Yuan Zhao, NP's NPI number? ▼
Yuan Zhao, NP's National Provider Identifier (NPI) is 1679122592, issued on 09/04/2019.
Does Yuan Zhao, NP prescribe more brand-name or generic drugs? ▼
Yuan Zhao, NP's prescribing is 53% brand-name and 40% generic drugs by claim count, with $1.4M in brand drug costs.
How many Primary Care Nurse Practitioner providers are there in the US? ▼
There are 10,597 Primary Care Nurse Practitioner providers across 54 states in the US. The average Primary Care Nurse Practitioner provider writes 1,471 Medicare Part D claims per year.
What drugs does Yuan Zhao, NP prescribe most often? ▼
Based on 2024 Medicare Part D data, Yuan Zhao, NP's most frequently prescribed drugs include Ozempic, Levothyroxine Sodium, Lantus Solostar. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Yuan Zhao, NP accept Medicare? ▼
Yuan Zhao, NP appears in CMS Medicare data with 3,504 Part D claims and 452 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Yuan Zhao, NP's credentials? ▼
Yuan Zhao, NP's NPI is 1679122592 with credentials NP. 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 (2024). 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 August 2026 (NPPES) / 2024 (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
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 August 2026.