NPI registry status
Active
2026 NPPES data Otolaryngology Physician NPI 1205390499 APRN,MSN, FNP-BC
Verify on CMS → Zonia Fiesta, APRN,MSN, FNP-BC
Otolaryngology Physician in Las Vegas, Nevada.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 10,893 in Otolaryngology Physician, 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
183
Medicare Part D claims · 38 beneficiaries · Otolaryngology Physician avg: 509
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · Above neutral
Industry payments
$1.8K
56 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Zonia Fiesta, APRN,MSN, FNP-BC reported a CMS MIPS final score of 75/100 - below the 83.1 national average - and filed 183 Medicare Part D claims in 2023.
- 75/100
- MIPS score · -8 vs avg
- 183
- Part D claims, 2023
- 84%
- generic prescribing
- Likely
- board-certified (heuristic)
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.
Zonia Fiesta, APRN,MSN, FNP-BC's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
75 15th percentile higher than 15% of 477,587 scored providers
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 Zonia Fiesta, APRN,MSN, FNP-BC sits
This provider among otolaryngology physician peers
Across the 3,669 otolaryngology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Zonia Fiesta, APRN,MSN, FNP-BC writes more Part D claims than 26% of them and scores higher on MIPS quality than 29% - placing this provider in the lower-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
Each dot is one otolaryngology physician peer from a representative sample of 60; the gold marker is Zonia Fiesta, APRN,MSN, FNP-BC. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Zonia Fiesta, APRN,MSN, FNP-BC practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Zonia Fiesta, APRN,MSN, FNP-BC?
Below national averagePrimary specialty
Otolaryngology Physician
Medicare Part D claims
183 64% vs specialty avg
MIPS final score
75/100 8.1 pts vs avg
Specialty distribution in Nevada
How Otolaryngology Physician compares to other specialties among Nevada providers
Medicare quality performance, MIPS
Zonia Fiesta, APRN,MSN, FNP-BC's 2023 MIPS final score plotted against the Otolaryngology Physician national average
- MIPS Final Score
- 75/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Otolaryngology Physician) - 75/100 vs national avg 83.1
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).
Zonia Fiesta, APRN,MSN, FNP-BC appears in the CMS NPPES registry as an Otolaryngology Physician provider holding APRN,MSN, FNP-BC credentials at 3483 S EASTERN AVE, Las Vegas, NV, 89169, with a listed phone of (702) 309-2311. NPI 1205390499 was issued on 01/22/2019.
Medicare Part D records for calendar year 2023 show 183 prescription claims written by this provider, covering 38 Medicare beneficiaries and totaling roughly $165K in drug spend, split 16% brand-name and 84% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75/100 for the 2023 performance year (Quality 55.9, Cost 42.1), compared with the national average of 83.1.
Otolaryngology Physician is a mid-sized specialty nationwide, with 10,893 enrolled providers across 54 states and an average of 509 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
Provider Details
| NPI | 1205390499 |
|---|---|
| Specialty | Otolaryngology Physician |
| Credentials | APRN,MSN, FNP-BC |
| Gender | Female |
| NPI Issued | 01/22/2019 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75.0146
Final Score
Avg: 83.1
55.926
Quality
42.1473
Cost
Reporting: Group practice
Hospital and facility affiliations
Facilities where Zonia Fiesta, APRN,MSN, FNP-BC 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.
Ronald A Shockley MD A Professional Corporation
Las Vegas, NV
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 Zonia Fiesta, APRN,MSN, FNP-BC. Source: openpaymentsdata.cms.gov.
Total received
$1.8K
Largest payer
Melinta Therapeutics, 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.
Brand vs generic prescribing mix · Typical
Zonia Fiesta, APRN,MSN, FNP-BC - brand share 16.0%
Otolaryngology Physician average
16% brand-name claims vs 84% generic, on 183 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.
183
Total Claims
$165K
Total Drug Cost
38
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 205
- Total Day Supply
- 4,492
- Brand vs Generic
- 16% brand / 84% generic
- Brand Drug Cost
- $112K
- Generic Drug Cost
- $53K
- Antibiotic Claims
- 144
Patient Demographics
- Average Patient Age
- 69.9 years
- Avg HCC Risk Score
- 2.46
- Gender Split
- 53% female / 47% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Zonia Fiesta, APRN,MSN, FNP-BC prescribes most
Top Medicare Part D drugs by claim count, 2023
- Fosfomycin Trometh…
Fosfomycin Tromethamine
55 claims
- Ertapenem 19
Ertapenem
19 claims
- Daptomycin 15
Daptomycin
15 claims
- Doxycycline Hyclate 14
Doxycycline Hyclate
14 claims
| Drug | Claims |
|---|---|
| Fosfomycin Tromethamine | 55 |
| Ertapenem Ertapenem Sodium | 19 |
| Daptomycin | 15 |
| Doxycycline Hyclate | 14 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Otolaryngology Physician Overview
How Zonia Fiesta, APRN,MSN, FNP-BC fits within the Otolaryngology Physician landscape nationally.
10,893
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider
Zonia Fiesta, APRN,MSN, FNP-BC's 183 claims are below the specialty average of 509.
Nearby Otolaryngology Physician Providers in Nevada
Other clinicians with the same primary specialty enrolled in Nevada, drawn from the same CMS NPPES roster as Fiesta.
Dr. Jeffrey Beall
MD
Reno, NV
Dr. Steven Becker
M.D.
Las Vegas, NV
Dr. Keely Chevallier
M.D.
Reno, NV
Dr. Harry Ching
M.D.
Las Vegas, NV
Dr. Michael Clampitt
M.D.
Nellis Afb, NV
Compare Otolaryngology Physician 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 Nevada medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Otolaryngology Physician 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.
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Frequently Asked Questions
What is Zonia Fiesta, APRN,MSN, FNP-BC's specialty? ▼
Zonia Fiesta, APRN,MSN, FNP-BC specializes in Otolaryngology Physician and practices in Las Vegas, Nevada. Credentials: APRN,MSN, FNP-BC.
How much does Zonia Fiesta, APRN,MSN, FNP-BC prescribe under Medicare Part D? ▼
In 2023, Zonia Fiesta, APRN,MSN, FNP-BC wrote 183 Medicare Part D claims totaling $165K in drug costs for 38 beneficiaries.
What is Zonia Fiesta, APRN,MSN, FNP-BC's Medicare quality score? ▼
Zonia Fiesta, APRN,MSN, FNP-BC has a CMS MIPS Final Score of 75/100 (Quality: 55.9, Cost: 42.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Zonia Fiesta, APRN,MSN, FNP-BC located? ▼
Zonia Fiesta, APRN,MSN, FNP-BC is located at 3483 S EASTERN AVE, Las Vegas, NV, 89169. Phone: (702) 309-2311.
What is Zonia Fiesta, APRN,MSN, FNP-BC's NPI number? ▼
Zonia Fiesta, APRN,MSN, FNP-BC's National Provider Identifier (NPI) is 1205390499, issued on 01/22/2019.
Does Zonia Fiesta, APRN,MSN, FNP-BC prescribe more brand-name or generic drugs? ▼
Zonia Fiesta, APRN,MSN, FNP-BC's prescribing is 16% brand-name and 84% generic drugs by claim count, with $112K in brand drug costs.
How many Otolaryngology Physician providers are there in the US? ▼
There are 10,893 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does Zonia Fiesta, APRN,MSN, FNP-BC prescribe most often? ▼
Based on 2023 Medicare Part D data, Zonia Fiesta, APRN,MSN, FNP-BC's most frequently prescribed drugs include Fosfomycin Tromethamine, Ertapenem, Daptomycin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Zonia Fiesta, APRN,MSN, FNP-BC accept Medicare? ▼
Zonia Fiesta, APRN,MSN, FNP-BC appears in CMS Medicare data with 183 Part D claims and 38 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Zonia Fiesta, APRN,MSN, FNP-BC's credentials? ▼
Zonia Fiesta, APRN,MSN, FNP-BC's NPI is 1205390499 with credentials APRN,MSN, FNP-BC. 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
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.