ANGELA KALEM, DNP, APRN
Integrative Medicine Physician in SPOKANE, Washington. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
ANGELA KALEM, DNP, APRN reported a CMS MIPS final score of 77.379/100 — below the 83.1 national average — and filed 723 Medicare Part D claims in 2023.
- 77.379/100
- MIPS score · -6 vs avg
- 723
- Part D claims, 2023
- 91%
- generic prescribing
- $540.81
- 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.
ANGELA KALEM, DNP, APRN's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure
77 24th percentile higher than 24% 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
What does the federal data show about ANGELA KALEM, DNP, APRN?
Below national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Washington
How Integrative Medicine Physician compares to other specialties among Washington providers
Integrative Medicine Physician share within Washington
Integrative Medicine Physician is one of the more visible NUCC categories in Washington
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
ANGELA KALEM, DNP, APRN's 2023 MIPS final score plotted against the Integrative Medicine Physician national average
- MIPS Final Score
- 77.379/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Integrative Medicine Physician) — 77.379/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Integrative Medicine Physician US NPIs
77.379/100 MIPS final score — 5.7 pts below the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Integrative Medicine Physician. Quality dim: 47.3121. Cost dim: 68.4827.
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).
ANGELA KALEM, DNP, APRN is a Integrative Medicine Physician provider practicing in SPOKANE, Washington, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DNP, APRN. NPI: 1265020002. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.
ANGELA KALEM, DNP, APRN appears in the CMS NPPES registry as a Integrative Medicine Physician provider holding DNP, APRN credentials at 7 S HOWARD ST STE 104, SPOKANE, WA, 99201, with a listed phone of (509) 517-7465. NPI 1265020002 was issued on 01/07/2021. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KALEM most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.
Medicare Part D records for calendar year 2023 show 723 prescription claims written by this provider, covering 45 Medicare beneficiaries and totaling roughly $257K in drug spend, split 9% brand-name and 91% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 77.379/100 for the 2023 performance year (Quality 47.3121, Cost 68.4827), compared with the national average of 83.1.
Integrative Medicine Physician is a narrow specialty nationwide, with 142 enrolled providers across 37 states and an average of 873 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 | 1265020002 |
|---|---|
| Specialty | Integrative Medicine Physician |
| Credentials | DNP, APRN |
| Gender | Female |
| NPI Issued | 01/07/2021 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm ANGELA KALEM, DNP, APRN's current license status, disciplinary history, and board certifications with the Washington State Department of Health, Medical Quality Assurance Commission in Washington before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Group practice
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 ANGELA KALEM, DNP, APRN. Source: openpaymentsdata.cms.gov.
Total received
$541
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.
License & disciplinary context — Washington WMC 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 ~34K Washington medical licensees in 2023 — they are NOT specific to ANGELA KALEM, DNP, APRN. To verify ANGELA KALEM, DNP, APRN's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
WMC 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 Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
9% brand-name claims vs 91% generic, on 723 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.
Prescribing Breakdown
- 30-Day Fills
- 1,235
- Total Day Supply
- 36,799
- Brand vs Generic
- 9% brand / 91% generic
- Brand Drug Cost
- $239K
- Generic Drug Cost
- $18K
Patient Demographics
- Average Patient Age
- 60.1 years
- Avg HCC Risk Score
- 1.48
- Gender Split
- 67% female / 33% male
- Age Distribution
- <65: 22, 65-74: 21, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Clonazepam | 78 |
| Alprazolam | 59 |
| Quetiapine Fumarate | 42 |
| Duloxetine Hcl | 41 |
| Sertraline Hcl | 40 |
| Lamotrigine | 37 |
| Bupropion Xl Bupropion Hcl | 33 |
| Trazodone Hcl | 30 |
| Gabapentin | 26 |
| Austedo Deutetrabenazine | 25 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Integrative Medicine Physician Overview
How ANGELA KALEM, DNP, APRN fits within the Integrative Medicine Physician landscape nationally.
ANGELA KALEM, DNP, APRN's 723 claims are below the specialty average of 873.
Nearby Integrative Medicine Physician Providers in Washington
Other clinicians with the same primary specialty enrolled in Washington, drawn from the same CMS NPPES roster as KALEM.
Compare Integrative Medicine Physician nationally: see state-by-state distribution →
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Frequently Asked Questions
What is ANGELA KALEM, DNP, APRN's specialty? ▼
How much does ANGELA KALEM, DNP, APRN prescribe under Medicare Part D? ▼
What is ANGELA KALEM, DNP, APRN's Medicare quality score? ▼
Where is ANGELA KALEM, DNP, APRN located? ▼
What is ANGELA KALEM, DNP, APRN's NPI number? ▼
Does ANGELA KALEM, DNP, APRN prescribe more brand-name or generic drugs? ▼
How many Integrative Medicine Physician providers are there in the US? ▼
What drugs does ANGELA KALEM, DNP, APRN prescribe most often? ▼
Does ANGELA KALEM, DNP, APRN accept Medicare? ▼
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Data Sources
- 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