NPI registry status
Active
2026 NPPES data Family Health Clinical Nurse Specialist NPI 1821398678 APRN
Verify on CMS → Andrew Garner, APRN
Family Health Clinical Nurse Specialist in Cape Girardeau, Missouri.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 585 in Family Health Clinical Nurse Specialist, 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
2K
Medicare Part D claims · 477 beneficiaries · Family Health Clinical Nurse Specialist avg: 1K
MIPS score
63.6/100
▼ 19 pts below national avg 83.1 · Mid-tier
Industry payments
$909.97
34 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Andrew Garner, APRN reported a CMS MIPS final score of 63.6/100 - below the 83.1 national average - and filed 1,602 Medicare Part D claims in 2023.
- 63.6/100
- MIPS score · -19 vs avg
- 2K
- Part D claims, 2023
- $909.97
- 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.
Andrew Garner, APRN's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
64 6th percentile higher than 6% 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 Andrew Garner, APRN sits
This provider among family health clinical nurse specialist peers
Across the 56 family health clinical nurse specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Andrew Garner, APRN writes more Part D claims than 82% of them and scores higher on MIPS quality than 5% - 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
Each dot is one family health clinical nurse specialist peer from a representative sample of 55; the gold marker is Andrew Garner, APRN. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Andrew Garner, APRN?
Below national averagePrimary specialty
Family Health Clinical Nurse Specialist
Medicare Part D claims
1,602 12% vs specialty avg
MIPS final score
63.6/100 19.5 pts vs avg
Specialty distribution in Missouri
How Family Health Clinical Nurse Specialist compares to other specialties among Missouri providers
Medicare quality performance, MIPS
Andrew Garner, APRN's 2023 MIPS final score plotted against the Family Health Clinical Nurse Specialist national average
- MIPS Final Score
- 63.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Family Health Clinical Nurse Specialist) - 63.6/100 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).
Andrew Garner, APRN appears in the CMS NPPES registry as a Family Health Clinical Nurse Specialist provider holding APRN credentials at 1723 BROADWAY ST, Cape Girardeau, MO, 63701, with a listed phone of (573) 331-7910. NPI 1821398678 was issued on 10/27/2010.
Medicare Part D records for calendar year 2023 show 1,602 prescription claims written by this provider, covering 477 Medicare beneficiaries and totaling roughly $753K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 63.6/100 for the 2023 performance year (Quality 20.2, Cost 58.6), compared with the national average of 83.1.
Family Health Clinical Nurse Specialist is a narrow specialty nationwide, with 585 enrolled providers across 48 states and an average of 1,429 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 | 1821398678 |
|---|---|
| Specialty | Family Health Clinical Nurse Specialist |
| Credentials | APRN |
| Gender | Male |
| NPI Issued | 10/27/2010 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
63.6378
Final Score
Avg: 83.1
20.1939
Quality
58.5987
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Andrew Garner, APRN 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.
Southeast Missouri Hospital Physicians LLC
Dexter, MO
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 Andrew Garner, APRN. Source: openpaymentsdata.cms.gov.
Total received
$910
Largest payer
ABBVIE INC.
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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
1,602
Total Claims
$753K
Total Drug Cost
477
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,511
- Total Day Supply
- 63,555
- Generic Drug Cost
- $71K
- Antibiotic Claims
- 62
Patient Demographics
- Average Patient Age
- 68.5 years
- Avg HCC Risk Score
- 1.42
- Gender Split
- 67% female / 33% male
- Age Distribution
- <65: 124, 65-74: 230, 75-84: 102, 85+: 21
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Andrew Garner, APRN prescribes most
Top Medicare Part D drugs by claim count, 2023
- Pantoprazole Sodium
Pantoprazole Sodium
271 claims
- Omeprazole
Omeprazole
190 claims
- Linzess 92
Linzess
92 claims
- Dicyclomine Hcl 56
Dicyclomine Hcl
56 claims
- Sucralfate 41
Sucralfate
41 claims
- Azathioprine 39
Azathioprine
39 claims
- Ondansetron Hcl 35
Ondansetron Hcl
35 claims
- Famotidine 33
Famotidine
33 claims
| Drug | Claims |
|---|---|
| Pantoprazole Sodium | 271 |
| Omeprazole | 190 |
| Linzess Linaclotide | 92 |
| Dicyclomine Hcl | 56 |
| Sucralfate | 41 |
| Azathioprine | 39 |
| Ondansetron Hcl | 35 |
| Famotidine | 33 |
| Mesalamine Er Mesalamine | 33 |
| Creon Lipase/Protease/Amylase | 26 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Family Health Clinical Nurse Specialist in MO →
All providers in Missouri →
Compare specialties →
Family Health Clinical Nurse Specialist Overview
How Andrew Garner, APRN fits within the Family Health Clinical Nurse Specialist landscape nationally.
585
Family Health Clinical Nurse Specialist Providers in US
48
States with Family Health Clinical Nurse Specialist
1,429
Avg Claims per Provider
Andrew Garner, APRN's 1,602 claims are above the specialty average of 1,429.
Nearby Family Health Clinical Nurse Specialist Providers in Missouri
Other clinicians with the same primary specialty enrolled in Missouri, drawn from the same CMS NPPES roster as Garner.
Dr. Jacqueline Allen
FNP
Saint Louis, MO
Dr. Deanna Bafus
NP-C
Blue Springs, MO
Dr. Jessica Bell
NP
Cuba, MO
Dr. Rhonda Bragg
FNP-C
Mound City, MO
Dr. Courtney Brush
FNP
Ballwin, MO
Compare Family Health Clinical Nurse Specialist 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 Missouri medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Family Health Clinical Nurse Specialist 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 Andrew Garner, APRN's specialty? ▼
Andrew Garner, APRN specializes in Family Health Clinical Nurse Specialist and practices in Cape Girardeau, Missouri. Credentials: APRN.
How much does Andrew Garner, APRN prescribe under Medicare Part D? ▼
In 2023, Andrew Garner, APRN wrote 1,602 Medicare Part D claims totaling $753K in drug costs for 477 beneficiaries.
What is Andrew Garner, APRN's Medicare quality score? ▼
Andrew Garner, APRN has a CMS MIPS Final Score of 63.6/100 (Quality: 20.2, Cost: 58.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Andrew Garner, APRN located? ▼
Andrew Garner, APRN is located at 1723 BROADWAY ST, Cape Girardeau, MO, 63701. Phone: (573) 331-7910.
What is Andrew Garner, APRN's NPI number? ▼
Andrew Garner, APRN's National Provider Identifier (NPI) is 1821398678, issued on 10/27/2010.
How many Family Health Clinical Nurse Specialist providers are there in the US? ▼
There are 585 Family Health Clinical Nurse Specialist providers across 48 states in the US. The average Family Health Clinical Nurse Specialist provider writes 1,429 Medicare Part D claims per year.
What drugs does Andrew Garner, APRN prescribe most often? ▼
Based on 2023 Medicare Part D data, Andrew Garner, APRN's most frequently prescribed drugs include Pantoprazole Sodium, Omeprazole, Linzess. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Andrew Garner, APRN accept Medicare? ▼
Andrew Garner, APRN appears in CMS Medicare data with 1,602 Part D claims and 477 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Andrew Garner, APRN's credentials? ▼
Andrew Garner, APRN's NPI is 1821398678 with credentials APRN. 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
Compiled from official public sources by the PlainDoctor editorial team.
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.