2026 NPPES data Certified Registered Nurse Anesthetist NPI 1750549390 CRNA
Verify on CMS →

BRIAN SMITH, CRNA

Certified Registered Nurse Anesthetist in PAGOSA SPRINGS, Colorado. 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
32
Medicare Part D claims · Certified Registered Nurse Anesthetist avg: 282
Generic prescribing
59%
generic claims · 41% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
85.4075/100
▲ 2 pts above national avg 83.1 · [object Object]
Industry payments
$17.11
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

BRIAN SMITH, CRNA reported a CMS MIPS final score of 85.4075/100 — above the 83.1 national average — and filed 32 Medicare Part D claims in 2023.

85.4075/100
MIPS score · +2 vs avg
32
Part D claims, 2023
59%
generic prescribing
$17.11
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.

BRIAN SMITH, CRNA's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

85 49th percentile higher than 49% 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%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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 BRIAN SMITH, CRNA?

High performer (top quartile)

NPI registry status

Active

Issued 05/30/2008

NPI 1750549390

Primary specialty

Certified Registered Nurse Anesthetist

High-volume

62,433 US NPIs in this specialty

Medicare Part D claims

32 89% vs specialty avg

2023 prescription claims

Specialty avg: 282

MIPS final score

85.4075/100 2.3075000000000045% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Colorado

How Certified Registered Nurse Anesthetist compares to other specialties among Colorado providers

Colorado providers

Certified Registered Nurse Anesthetist share within Colorado

1. Certified Registered Nurse Anesthetist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Certified Registered Nurse Anesthetist share within Colorado

Medicare quality performance — MIPS

BRIAN SMITH, CRNA's 2023 MIPS final score plotted against the Certified Registered Nurse Anesthetist national average

High performer (top quartile)
MIPS Final Score
85.4075/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Certified Registered Nurse Anesthetist) — 85.4075/100 vs national avg 83.1

0%100%National avg83%85.4%
MIPS final score (Certified Registered Nurse Anesthetist) — 85.4075/100 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).

BRIAN SMITH, CRNA appears in the CMS NPPES registry as a Certified Registered Nurse Anesthetist provider holding CRNA credentials at 95 S PAGOSA BLVD, PAGOSA SPRINGS, CO, 81147, with a listed phone of (970) 731-3700. NPI 1750549390 was issued on 05/30/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SMITH 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 32 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $8K in drug spend, split 41% brand-name and 59% generic by claim count, with an opioid prescribing rate of 71.9%. 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 85.4075/100 for the 2023 performance year (Quality 74.0136), compared with the national average of 83.1.

Certified Registered Nurse Anesthetist is a high-volume specialty nationwide, with 62,433 enrolled providers across 55 states and an average of 282 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

95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 81147

Provider Details

NPI 1750549390
Specialty Certified Registered Nurse Anesthetist
Credentials CRNA
Gender Male
NPI Issued 05/30/2008

CMS Quality Score (MIPS)

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

85.4075
Final Score
Avg: 83.1
74.0136
Quality
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where BRIAN SMITH, CRNA 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.

ANIMAS SURGICAL HOSPITAL LLC
DURANGO, CO
UPPER SAN JUAN HEALTH SERVICE DISTRICT
PAGOSA SPRINGS, CO

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 BRIAN SMITH, CRNA. Source: openpaymentsdata.cms.gov.

Total received

$17

Largest payer

Siemens Medical Solutions USA, 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 · Above average

BRIAN SMITH, CRNA — brand share 41.0%
Specialty average (est.)

41% brand-name claims vs 59% generic, on 32 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.

32
Total Claims
$8K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
32
Total Day Supply
871
Brand vs Generic
41% brand / 59% generic
Brand Drug Cost
$8K
Generic Drug Cost
$293
Opioid Claims
23 (71.9% rate)

Patient Demographics

Average Patient Age
70.8 years
Avg HCC Risk Score
1.22

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Nucynta Er
Tapentadol Hcl
13

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

Certified Registered Nurse Anesthetist Overview

How BRIAN SMITH, CRNA fits within the Certified Registered Nurse Anesthetist landscape nationally.

62,433
Certified Registered Nurse Anesthetist Providers in US
55
States with Certified Registered Nurse Anesthetist
282
Avg Claims per Provider

BRIAN SMITH, CRNA's 32 claims are below the specialty average of 282.

Nearby Certified Registered Nurse Anesthetist Providers in Colorado

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

Compare Certified Registered Nurse Anesthetist nationally: see state-by-state distribution →

Frequently Asked Questions

What is BRIAN SMITH, CRNA's specialty?
BRIAN SMITH, CRNA specializes in Certified Registered Nurse Anesthetist and practices in PAGOSA SPRINGS, Colorado. Credentials: CRNA.
How much does BRIAN SMITH, CRNA prescribe under Medicare Part D?
In 2023, BRIAN SMITH, CRNA wrote 32 Medicare Part D claims totaling $8K in drug costs for N/A beneficiaries.
What is BRIAN SMITH, CRNA's Medicare quality score?
BRIAN SMITH, CRNA has a CMS MIPS Final Score of 85.4075/100 (Quality: 74.0136). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BRIAN SMITH, CRNA located?
BRIAN SMITH, CRNA is located at 95 S PAGOSA BLVD, PAGOSA SPRINGS, CO, 81147. Phone: (970) 731-3700.
What is BRIAN SMITH, CRNA's NPI number?
BRIAN SMITH, CRNA's National Provider Identifier (NPI) is 1750549390, issued on 05/30/2008.
Does BRIAN SMITH, CRNA prescribe more brand-name or generic drugs?
BRIAN SMITH, CRNA's prescribing is 41% brand-name and 59% generic drugs by claim count, with $8K in brand drug costs.
Does BRIAN SMITH, CRNA prescribe opioids?
Yes, BRIAN SMITH, CRNA had 23 opioid claims in 2023 with an opioid prescribing rate of 71.9%.
How many Certified Registered Nurse Anesthetist providers are there in the US?
There are 62,433 Certified Registered Nurse Anesthetist providers across 55 states in the US. The average Certified Registered Nurse Anesthetist provider writes 282 Medicare Part D claims per year.
What drugs does BRIAN SMITH, CRNA prescribe most often?
Based on 2023 Medicare Part D data, BRIAN SMITH, CRNA's most frequently prescribed drugs include Nucynta Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BRIAN SMITH, CRNA accept Medicare?
BRIAN SMITH, CRNA appears in CMS Medicare data with 32 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BRIAN SMITH, CRNA's credentials?
BRIAN SMITH, CRNA's NPI is 1750549390 with credentials CRNA. 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