2026 NPPES data Integrative Medicine Physician NPI 1265020002 DNP, APRN
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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.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
723
Medicare Part D claims · 45 beneficiaries · Integrative Medicine Physician avg: 873
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.379/100
▼ 6 pts below national avg 83.1 · [object Object]
Industry payments
$540.81
30 payments · CMS Open Payments (Sunshine Act)

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

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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 average

NPI registry status

Active

Issued 01/07/2021

NPI 1265020002

Primary specialty

Integrative Medicine Physician

Rare

142 US NPIs in this specialty

Medicare Part D claims

723 17% vs specialty avg

2023 prescription claims

Specialty avg: 873

MIPS final score

77.379/100 5.720999999999989% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Washington

How Integrative Medicine Physician compares to other specialties among Washington providers

Washington providers

Integrative Medicine Physician share within Washington

1. Integrative Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Integrative Medicine Physician share within Washington

Medicare quality performance — MIPS

ANGELA KALEM, DNP, APRN's 2023 MIPS final score plotted against the Integrative Medicine Physician national average

Below 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

0%100%National avg83%77.4%
MIPS final score (Integrative Medicine Physician) — 77.379/100 vs national avg 83.1

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

7 S HOWARD ST STE 104
SPOKANE, WA 99201

Provider Details

NPI 1265020002
Specialty Integrative Medicine Physician
Credentials DNP, APRN
Gender Female
NPI Issued 01/07/2021

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

77.379
Final Score
Avg: 83.1
47.3121
Quality
68.4827
Cost
100
Promoting Interoperability

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.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

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

ANGELA KALEM, DNP, APRN — brand share 9.0%
Specialty average (est.)

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.

723
Total Claims
$257K
Total Drug Cost
45
Medicare Beneficiaries

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.

142
Integrative Medicine Physician Providers in US
37
States with Integrative Medicine Physician
873
Avg Claims per Provider

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 →

Frequently Asked Questions

What is ANGELA KALEM, DNP, APRN's specialty?
ANGELA KALEM, DNP, APRN specializes in Integrative Medicine Physician and practices in SPOKANE, Washington. Credentials: DNP, APRN.
How much does ANGELA KALEM, DNP, APRN prescribe under Medicare Part D?
In 2023, ANGELA KALEM, DNP, APRN wrote 723 Medicare Part D claims totaling $257K in drug costs for 45 beneficiaries.
What is ANGELA KALEM, DNP, APRN's Medicare quality score?
ANGELA KALEM, DNP, APRN has a CMS MIPS Final Score of 77.379/100 (Quality: 47.3121, Cost: 68.4827). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ANGELA KALEM, DNP, APRN located?
ANGELA KALEM, DNP, APRN is located at 7 S HOWARD ST STE 104, SPOKANE, WA, 99201. Phone: (509) 517-7465.
What is ANGELA KALEM, DNP, APRN's NPI number?
ANGELA KALEM, DNP, APRN's National Provider Identifier (NPI) is 1265020002, issued on 01/07/2021.
Does ANGELA KALEM, DNP, APRN prescribe more brand-name or generic drugs?
ANGELA KALEM, DNP, APRN's prescribing is 9% brand-name and 91% generic drugs by claim count, with $239K in brand drug costs.
How many Integrative Medicine Physician providers are there in the US?
There are 142 Integrative Medicine Physician providers across 37 states in the US. The average Integrative Medicine Physician provider writes 873 Medicare Part D claims per year.
What drugs does ANGELA KALEM, DNP, APRN prescribe most often?
Based on 2023 Medicare Part D data, ANGELA KALEM, DNP, APRN's most frequently prescribed drugs include Clonazepam, Alprazolam, Quetiapine Fumarate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANGELA KALEM, DNP, APRN accept Medicare?
ANGELA KALEM, DNP, APRN appears in CMS Medicare data with 723 Part D claims and 45 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANGELA KALEM, DNP, APRN's credentials?
ANGELA KALEM, DNP, APRN's NPI is 1265020002 with credentials DNP, 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

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