Northern Mariana Islands is represented in the CMS Medicare Part D Prescriber Public Use File (calendar year 2023) by 33 prescribers, who collectively wrote 9,139 prescription claims totaling $838K in drug costs. Averaged across the state roster, that works out to roughly $25K in Part D drug cost per prescriber. The Part D PUF covers only Medicare Part D, prescriptions filled through commercial insurance, Medicaid, VA, TriCare, or cash payment are excluded, and CMS suppresses any prescriber-drug-beneficiary combination with fewer than 11 beneficiaries for patient privacy, which means the tables below understate low-volume activity and omit some specialty clinics entirely. According to the CMS Medicare Part D Prescriber data and the National Provider Identifier Registry, covering 2023 prescribing for more than 1 million U.S. clinicians since the benefit began in January 2006, you can search and compare here, every figure traces to its source in our methodology.

The opioid prescribing picture in Northern Mariana Islands is anchored by an average prescriber-level opioid rate of 0.8% against the national average of 6.4%, with 4 prescribers in the state having written at least one Part D opioid claim during 2023. Opioid rate is calculated by CMS as opioid claims divided by total claims for that prescriber, so a low-volume pain specialist can show a high rate while a high-volume primary-care physician writing occasional short-course scripts shows a low rate, raw rate alone does not indicate clinical appropriateness, and CMS explicitly cautions against using the PUF for quality judgments. The top-cost tables spotlight prescribers whose 2023 Part D drug spend was highest in Northern Mariana Islands; these are typically oncologists, rheumatologists, and specialists managing high-cost biologics, not an indicator of over-prescribing.

Drill into any provider in the rankings below to see their full NPPES record, credentials, and detailed prescribing breakdown including brand/generic mix, beneficiary demographics, and most-prescribed drugs. Important: PlainDoctor presents the CMS Medicare Part D Prescriber PUF exactly as published, without editorial ranking or quality judgment. These tables are a data-transparency resource, not medical advice, not an indictment, not a quality ranking, and not a substitute for clinical judgment. Opioid prescribing decisions are nuanced medical acts, and a high PUF rate reflects only the composition of a specific prescriber's 2023 Medicare Part D claims, not patient outcomes, treatment necessity, or compliance with CDC opioid prescribing guidelines. Always verify credentials through the NPPES NPI Registry and the Northern Mariana Islands medical board before drawing conclusions.