NPI registry status
Active
2026 NPPES data Adult Health Clinical Nurse Specialist NPI 1255765822
Verify on CMS → Bernadette Huston
Adult 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 1,376 in Adult 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
436
Medicare Part D claims · 176 beneficiaries · Adult Health Clinical Nurse Specialist avg: 1K
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
92.6/100
▲ 9 pts above national avg 83.5 · Exceptional
Industry payments
$922.03
9 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Bernadette Huston reported a CMS MIPS final score of 92.6/100 - above the 83.5 national average - and filed 436 Medicare Part D claims in 2024.
- 92.6/100
- MIPS score · +9 vs avg
- 436
- Part D claims, 2024
- 83%
- generic prescribing
- $922.03
- 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.
Federal trust snapshot
What official records show about Bernadette Huston
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1255765822), first enumerated 08/30/2013.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 436 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 92.6/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$922.03 in reported industry payments (9 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1255765822 · Adult Health Clinical Nurse Specialist
NPI-10 · ENUM-MID · TAX-NARROW · MIPS-ABOVE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1255765822
- ENUM-MID 2013
- TAX-NARROW 1,376
- MIPS-ABOVE 92.6/100
- RX-LIGHT 436
- BOOK-THIN 40 in Missouri
- PHOTO-FINISH Rachel Perretta, MS,… · ±0.3
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Kenzie Reich, AP…
Kenzie Reich, APRN, AGCNS-BC
92 MIPS pts
- Huston · this pr…
Huston · this provider
92.6 MIPS pts
- Rachel Perretta,…
Rachel Perretta, MS, RN, ACNS-BC
92.9 MIPS pts
- Kathryn Norton, …
Kathryn Norton, DNP, AGACNP, ACNS
92.9 MIPS pts
- Sandra Russell, …
Sandra Russell, NP-C
93.1 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Bernadette Huston's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
93 ≥ 66th percentile 66% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Bernadette Huston sits
This provider among adult health clinical nurse specialist peers
Across the 141 adult health clinical nurse specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Bernadette Huston writes more Part D claims than 45% of them and scores higher on MIPS quality than 73% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one adult health clinical nurse specialist peer from a representative sample of 60; the gold marker is Bernadette Huston. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Bernadette Huston?
High performer (top quartile)Primary specialty
Adult Health Clinical Nurse Specialist
Medicare Part D claims
436 64% vs specialty avg
MIPS final score
92.6/100 9.1 pts vs avg
Specialty distribution in Missouri
How Adult Health Clinical Nurse Specialist compares to other specialties among Missouri providers
Medicare quality performance, MIPS
Bernadette Huston's 2023 MIPS final score plotted against the Adult Health Clinical Nurse Specialist national average
- MIPS Final Score
- 92.6/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
Provider Details
| NPI | 1255765822 |
|---|---|
| Specialty | Adult Health Clinical Nurse Specialist |
| Gender | Female |
| NPI Issued | 08/30/2013 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
92.5751
Final Score
Measured-score avg: 83.5
85.0323
Quality
88
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Bernadette Huston 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.
Saint Francis Medical Center
★★★☆☆ 3/5
Cape Girardeau, MO
Acute Care Hospitals
CMS CCN: 260183
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 Bernadette Huston. Source: openpaymentsdata.cms.gov.
Total received
$922
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.
Brand vs generic prescribing mix · Typical
Bernadette Huston - brand share 17.0%
Adult Health Clinical Nurse Specialist average
17% brand-name claims vs 83% generic, on 436 2024 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 2024.
436
Total Claims
$43K
Total Drug Cost
176
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 564.533
- Total Day Supply
- 13,478
- Brand vs Generic
- 17% brand / 83% generic
- Brand Drug Cost
- $33K
- Generic Drug Cost
- $10K
Patient Demographics
- Average Patient Age
- 70.3 years
- Avg HCC Risk Score
- 1.76
- Gender Split
- 56% female / 44% male
- Age Distribution
- <65: 39, 65-74: 82, 75-84: 41, 85+: 14
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Bernadette Huston prescribes most
Top Medicare Part D drugs by claim count, 2024
- Pantoprazole Sodium
Pantoprazole Sodium
65 claims
- Sod Sulf-Potass Su…
Sod Sulf-Potass Sulf-Mag Sulf
55 claims
- Clopidogrel
Clopidogrel
29 claims
- Omeprazole
Omeprazole
27 claims
- Rosuvastatin Calcium
Rosuvastatin Calcium
26 claims
- Peg 3350-Electrolyte 25
Peg 3350-Electrolyte
25 claims
- Atorvastatin Calcium 21
Atorvastatin Calcium
21 claims
- Brilinta 20
Brilinta
20 claims
| Drug | Claims |
|---|---|
| Pantoprazole Sodium | 65 |
| Sod Sulf-Potass Sulf-Mag Sulf Sodium, Potassium,mag Sulfates | 55 |
| Clopidogrel Clopidogrel Bisulfate | 29 |
| Omeprazole | 27 |
| Rosuvastatin Calcium | 26 |
| Peg 3350-Electrolyte Sodium Chloride/Nahco3/Kcl/Peg | 25 |
| Atorvastatin Calcium | 21 |
| Brilinta Ticagrelor | 20 |
| Dexlansoprazole Dr Dexlansoprazole | 13 |
| Ezetimibe | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Adult Health Clinical Nurse Specialist in MO →
All providers in Missouri →
Compare specialties →
Adult Health Clinical Nurse Specialist Overview
How Bernadette Huston fits within the Adult Health Clinical Nurse Specialist landscape nationally.
1,376
Adult Health Clinical Nurse Specialist Providers in US
49
States with Adult Health Clinical Nurse Specialist
1,202
Avg Claims per Provider
Bernadette Huston's 436 claims are below the specialty average of 1,202.
Nationwide Adult Health Clinical Nurse Specialist peers with similar MIPS or enrollment year
Two federal-record peer sets for Huston, both outside Missouri so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (92.6 here).
Same NPPES enumeration year (2013)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Adult 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 Huston.
One of 40 Adult Health Clinical Nurse Specialist providers enrolled in Missouri, 5 are shown here.
Catherine Ashbaugh
APRN
Columbia, MO
Laura Billings
A.H.C.N.S.
Columbia, MO
Judith Boland
RN, MSN, ACNS-BC
Marshall, MO
Dr. Janet Chance-Hetzler
DNP, MSN, RN, APRN
Sedalia, MO
Nadezhda Chernookaya
ACCNS-AG
Columbia, MO
Compare Adult Health Clinical Nurse Specialist nationally: see state-by-state distribution →
Frequently Asked Questions
What is Bernadette Huston's specialty? ▼
Bernadette Huston specializes in Adult Health Clinical Nurse Specialist and practices in Cape Girardeau, Missouri.
How much does Bernadette Huston prescribe under Medicare Part D? ▼
In 2024, Bernadette Huston wrote 436 Medicare Part D claims totaling $43K in drug costs for 176 beneficiaries.
What is Bernadette Huston's Medicare quality score? ▼
Bernadette Huston has a CMS MIPS Final Score of 92.6/100 (Quality: 85). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Bernadette Huston located? ▼
Bernadette Huston is located at 28 S MOUNT AUBURN RD, Cape Girardeau, MO, 63703. Phone: (573) 331-3350.
What is Bernadette Huston's NPI number? ▼
Bernadette Huston's National Provider Identifier (NPI) is 1255765822, issued on 08/30/2013.
Does Bernadette Huston prescribe more brand-name or generic drugs? ▼
Bernadette Huston's prescribing is 17% brand-name and 83% generic drugs by claim count, with $33K in brand drug costs.
How many Adult Health Clinical Nurse Specialist providers are there in the US? ▼
There are 1,376 Adult Health Clinical Nurse Specialist providers across 49 states in the US. The average Adult Health Clinical Nurse Specialist provider writes 1,202 Medicare Part D claims per year.
What drugs does Bernadette Huston prescribe most often? ▼
Based on 2024 Medicare Part D data, Bernadette Huston's most frequently prescribed drugs include Pantoprazole Sodium, Sod Sulf-Potass Sulf-Mag Sulf, Clopidogrel. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Bernadette Huston accept Medicare? ▼
Bernadette Huston appears in CMS Medicare data with 436 Part D claims and 176 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Bernadette Huston's credentials? ▼
Bernadette Huston's NPI is 1255765822. 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 (2024). 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 August 2026 (NPPES) / 2024 (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
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 August 2026.