2026 NPPES data Clinical Nurse Specialist NPI 1467499319 CNS
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ASHLEY TROMBLEY, CNS

Clinical Nurse Specialist in TULSA, Oklahoma. 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
5K
Medicare Part D claims · 577 beneficiaries · Clinical Nurse Specialist avg: 953
Generic prescribing
79%
generic claims · 21% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.2403/100
▲ 8 pts above national avg 83.1 · [object Object]
Industry payments
$46.25
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ASHLEY TROMBLEY, CNS is a Clinical Nurse Specialist ([object Object]) practicing in TULSA, Oklahoma with a Medicare Part D prescribing footprint of 5K claims across 577 beneficiaries — 21% brand-name prescribing . Their CMS MIPS Final Score of 91.2403/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $46.25 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ASHLEY TROMBLEY, CNS reported a CMS MIPS final score of 91.2403 out of 100, above the 83.1 national average, and filed 5,032 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

ASHLEY TROMBLEY, CNS at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/01/2006

NPI 1467499319

Primary specialty

Clinical Nurse Specialist

Niche

1,708 US NPIs in this specialty

Medicare Part D claims

5,032 428% vs specialty avg

2023 prescription claims

Specialty avg: 953

MIPS final score

91.2403/100 8.14030000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Oklahoma

How Clinical Nurse Specialist compares to other specialties among Oklahoma providers

Oklahoma providers

Clinical Nurse Specialist share within Oklahoma

1. Clinical Nurse Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Clinical Nurse Specialist share within Oklahoma

Medicare quality performance — MIPS

ASHLEY TROMBLEY, CNS's 2023 MIPS final score plotted against the Clinical Nurse Specialist national average

High performer (top quartile)
MIPS Final Score
91.2403/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Clinical Nurse Specialist) — 91.2403/100 vs national avg 83.1

0%100%National avg83%91.2%
MIPS final score (Clinical Nurse Specialist) — 91.2403/100 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).

ASHLEY TROMBLEY, CNS is a Clinical Nurse Specialist provider practicing in TULSA, Oklahoma, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: CNS. NPI: 1467499319. 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.

ASHLEY TROMBLEY, CNS appears in the CMS NPPES registry as a Clinical Nurse Specialist provider holding CNS credentials at 1923 S UTICA AVE, TULSA, OK, 74104, with a listed phone of (918) 748-7650. NPI 1467499319 was issued on 06/01/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what TROMBLEY 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 5,032 prescription claims written by this provider, covering 577 Medicare beneficiaries and totaling roughly $891K in drug spend, split 21% brand-name and 79% 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 91.2403/100 for the 2023 performance year (Quality 74.1347), compared with the national average of 83.1.

Clinical Nurse Specialist is a narrow specialty nationwide, with 1,708 enrolled providers across 49 states and an average of 953 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

1923 S UTICA AVE
TULSA, OK 74104

Provider Details

NPI 1467499319
Specialty Clinical Nurse Specialist
Credentials CNS
Gender Female
NPI Issued 06/01/2006

CMS Quality Score (MIPS)

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

91.2403
Final Score
Avg: 83.1
74.1347
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where ASHLEY TROMBLEY, CNS 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.

ST JOHN PHYSICIANS INC
TULSA, OK

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 ASHLEY TROMBLEY, CNS. Source: openpaymentsdata.cms.gov.

Total received

$46

Largest payer

Boston Scientific Corporation

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.

Brand vs generic prescribing mix · Typical

ASHLEY TROMBLEY, CNS — brand share 21.0%
Specialty average (est.)

21% brand-name claims vs 79% generic, on 5,032 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.

5,032
Total Claims
$891K
Total Drug Cost
577
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
9,911
Total Day Supply
294,490
Brand vs Generic
21% brand / 79% generic
Brand Drug Cost
$817K
Generic Drug Cost
$74K

Patient Demographics

Average Patient Age
75.9 years
Avg HCC Risk Score
1.98
Gender Split
49% female / 51% male
Age Distribution
<65: 49, 65-74: 206, 75-84: 199, 85+: 123

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Spironolactone
798
Metoprolol Succinate
518
Furosemide
479
Torsemide
373
Carvedilol
335
Entresto
Sacubitril/Valsartan
231
Eliquis
Apixaban
208
Jardiance
Empagliflozin
205
Atorvastatin Calcium
204
Farxiga
Dapagliflozin Propanediol
187

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Clinical Nurse Specialist Overview

How ASHLEY TROMBLEY, CNS fits within the Clinical Nurse Specialist landscape nationally.

1,708
Clinical Nurse Specialist Providers in US
49
States with Clinical Nurse Specialist
953
Avg Claims per Provider

ASHLEY TROMBLEY, CNS's 5,032 claims are above the specialty average of 953.

Nearby Clinical Nurse Specialist Providers in Oklahoma

Other clinicians with the same primary specialty enrolled in Oklahoma, drawn from the same CMS NPPES roster as TROMBLEY.

Compare Clinical Nurse Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is ASHLEY TROMBLEY, CNS's specialty?
ASHLEY TROMBLEY, CNS specializes in Clinical Nurse Specialist and practices in TULSA, Oklahoma. Credentials: CNS.
How much does ASHLEY TROMBLEY, CNS prescribe under Medicare Part D?
In 2023, ASHLEY TROMBLEY, CNS wrote 5,032 Medicare Part D claims totaling $891K in drug costs for 577 beneficiaries.
What is ASHLEY TROMBLEY, CNS's Medicare quality score?
ASHLEY TROMBLEY, CNS has a CMS MIPS Final Score of 91.2403/100 (Quality: 74.1347). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ASHLEY TROMBLEY, CNS located?
ASHLEY TROMBLEY, CNS is located at 1923 S UTICA AVE, TULSA, OK, 74104. Phone: (918) 748-7650.
What is ASHLEY TROMBLEY, CNS's NPI number?
ASHLEY TROMBLEY, CNS's National Provider Identifier (NPI) is 1467499319, issued on 06/01/2006.
Does ASHLEY TROMBLEY, CNS prescribe more brand-name or generic drugs?
ASHLEY TROMBLEY, CNS's prescribing is 21% brand-name and 79% generic drugs by claim count, with $817K in brand drug costs.
How many Clinical Nurse Specialist providers are there in the US?
There are 1,708 Clinical Nurse Specialist providers across 49 states in the US. The average Clinical Nurse Specialist provider writes 953 Medicare Part D claims per year.
What drugs does ASHLEY TROMBLEY, CNS prescribe most often?
Based on 2023 Medicare Part D data, ASHLEY TROMBLEY, CNS's most frequently prescribed drugs include Spironolactone, Metoprolol Succinate, Furosemide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ASHLEY TROMBLEY, CNS accept Medicare?
ASHLEY TROMBLEY, CNS appears in CMS Medicare data with 5,032 Part D claims and 577 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ASHLEY TROMBLEY, CNS's credentials?
ASHLEY TROMBLEY, CNS's NPI is 1467499319 with credentials CNS. 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