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Sara Pakyari Friedman , NP

Nurse Practitioner - Primary Care • Springfield, MA

Active NPI 1356829121 Individual Practitioner Female Practitioner
Practice location in NPPES

604 Cottage St
Springfield, MA 011044200

Call 4137345445 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

604 Cottage St

Springfield, MA 011044200

Telephone 4137345445
Organization at the Same NPPES Address or Phone
International Health Solutions,inc Facility NPI 1447203856

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Graduation Year

2018

30-day fills

3,658 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$215,263 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

8 years (graduated 2018)

CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Sara Friedman as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Springfield and Massachusetts

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

More Part D prescriptions than 85% of clinicians listed under Nurse Practitioner - Primary Care in Massachusetts (2024, 177 clinicians with data). Median for this group: 594. Middle half: 180 to 1,740.

Too few clinicians listed under Nurse Practitioner - Primary Care in Springfield have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 75% of clinicians listed under Nurse Practitioner - Primary Care in Massachusetts (2024, 177 clinicians with data). Median for this group: $43,605. Middle half: $2,889 to $155,027.

Too few clinicians listed under Nurse Practitioner - Primary Care in Springfield have Medicare Part D data for 2024 to compare.

15 active clinicians are listed under Nurse Practitioner - Primary Care with a practice address in Springfield, MA (385 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

26.7% of these 15 clinicians have the CMS telehealth indicator.

46.7% of these 15 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 350 10,477 $4,349.51 71
Metoprolol Succinate Metoprolol Succinate 187 5,175 $2,476.99 39
Furosemide Furosemide 179 4,953 $1,263.20 37
Amlodipine Besylate Amlodipine Besylate 161 4,731 $1,326.29 40
Alendronate Sodium Alendronate Sodium 120 3,346 $1,240.90 23
Gabapentin Gabapentin 119 3,390 $940.05 19
Levothyroxine Sodium Levothyroxine Sodium 105 3,825 $1,112.05 26
Sertraline Hcl Sertraline Hcl 100 2,873 $668.65 12
Lisinopril Lisinopril 95 2,619 $803.94 17
Losartan Potassium Losartan Potassium 92 2,576 $1,193.60 19
Pantoprazole Sodium Pantoprazole Sodium 91 2,792 $1,135.04 21
Pregabalin Pregabalin 87 2,355 $487.46 11
Tamsulosin Hcl Tamsulosin Hcl 84 2,552 $1,341.76 21
Omeprazole Omeprazole 79 2,374 $1,132.50 18
Trazodone Hcl Trazodone Hcl 79 2,296 $411.11 20
Rosuvastatin Calcium Rosuvastatin Calcium 76 2,128 $903.65 16
Citalopram Hbr Citalopram Hydrobromide 74 2,193 $611.14 12
Torsemide Torsemide 67 1,875 $800.17 17
Eliquis Apixaban 62 1,718 $34,949.97 13
Metformin Hcl Metformin Hcl 55 1,726 $567.70 15
Duloxetine Hcl Duloxetine Hcl 54 1,522 $631.20 —
Metformin Hcl Er Metformin Hcl 46 1,283 $413.88 —
Clopidogrel Clopidogrel Bisulfate 45 1,260 $540.60 —
Isosorbide Mononitrate Er Isosorbide Mononitrate 43 1,200 $371.39 —
Januvia Sitagliptin Phosphate 41 1,105 $21,022.83 —

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Nurse Practitioner - Primary Care Primary Specialty

NUCC Taxonomy Code: 363LP2300X

License # reported to NPPES MA RN2295826
Nurse Practitioner - Gerontology

NUCC Taxonomy Code: 363LG0600X

License # reported to NPPES MA RN2295826
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
👤
Provider Name / Credentials Updated November 26, 2018

Recorded as SARA FRIEDMAN, NP

✅
NPI Profile Active August 02, 2018

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) August 02, 2018

Registered at 604 COTTAGE ST, SPRINGFIELD, MA 011044200 (Tel: 4137345445)

📍
Business Mailing Address (Initial Record) August 02, 2018

Registered at 604 COTTAGE ST, SPRINGFIELD, MA 011044200

👤
Provider Name / Credentials (Initial Record) August 02, 2018

Recorded as SARA PAKYARI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2018

Nurse Practitioner (license number reported to NPPES: MA RN2295826)

🟢
Initial NPI Registration & Enumeration August 02, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1356829121
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2018
Last Update: November 26, 2018
Sole Proprietor: No

Other Nurse Practitioner - Primary Care Specialists in Springfield

All Nurse Practitioner - Primary Care Specialists in Springfield

Mailing Address

604 Cottage St

Springfield, MA 011044200

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.