NPI registry status
Active
2026 NPPES data Adult Health Nurse Practitioner NPI 1417187626 APN
Verify on CMS → Bruce Dyer, APN
Adult Health Nurse Practitioner in East Ridge, Tennessee.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 29,811 in Adult Health Nurse Practitioner, 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
2K
Medicare Part D claims · 178 beneficiaries · Adult Health Nurse Practitioner avg: 1K
Generic prescribing
82%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
66.5/100
▼ 17 pts below national avg 83.5 · Mid-tier
Industry payments
$123.97
6 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Bruce Dyer, APN reported a CMS MIPS final score of 66.5/100 - below the 83.5 national average - and filed 2,268 Medicare Part D claims in 2024.
- 66.5/100
- MIPS score · -17 vs avg
- 2K
- Part D claims, 2024
- 82%
- generic prescribing
- $123.97
- 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 Bruce Dyer, APN
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 1417187626), first enumerated 07/22/2009.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 2,268 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 66.5/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Hospital affiliations
2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$123.97 in reported industry payments (6 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 1417187626 · Adult Health Nurse Practitioner
NPI-10 · ENUM-MID · TAX-MID · MIPS-LOW · RX-MID · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1417187626
- ENUM-MID 2009
- TAX-MID 30K Adult Health
- MIPS-LOW 66.5/100
- RX-MID 2,268
- BOOK-LIGHT 513 in Tennessee
- PHOTO-FINISH Linda Andreessen · ±0.2
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Matthew Highfiel…
Matthew Highfield
66.2 MIPS pts
- Linda Andreessen…
Linda Andreessen
66.3 MIPS pts
- Dyer · this prov…
Dyer · this provider
66.5 MIPS pts
- Michele McMurray…
Michele McMurray
66.8 MIPS pts
- Carole Harte · n…
Carole Harte
66.8 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Bruce Dyer, APN'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.
67 ≥ 7th percentile 7% 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 Bruce Dyer, APN sits
This provider among adult health nurse practitioner peers
Across the 4,201 adult health nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Bruce Dyer, APN writes more Part D claims than 86% of them and scores higher on MIPS quality than 5% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one adult health nurse practitioner peer from a representative sample of 60; the gold marker is Bruce Dyer, APN. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Bruce Dyer, APN?
Below national averagePrimary specialty
Adult Health Nurse Practitioner
Medicare Part D claims
2,268 76% vs specialty avg
MIPS final score
66.5/100 17 pts vs avg
Specialty distribution in Tennessee
How Adult Health Nurse Practitioner compares to other specialties among Tennessee providers
Medicare quality performance, MIPS
Bruce Dyer, APN's 2023 MIPS final score plotted against the Adult Health Nurse Practitioner national average
- MIPS Final Score
- 66.5/100
- 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 | 1417187626 |
|---|---|
| Specialty | Adult Health Nurse Practitioner |
| Credentials | APN |
| Gender | Male |
| NPI Issued | 07/22/2009 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
66.4834
Final Score
Measured-score avg: 83.5
51.4001
Quality
39.3015
Cost
61
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Bruce Dyer, APN 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.
Advanced Practice Alliance
East Ridge, TN
Your Good Health, LLC
East Ridge, TN
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 Bruce Dyer, APN. Source: openpaymentsdata.cms.gov.
Total received
$124
Largest payer
Neurocrine Biosciences, 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
Bruce Dyer, APN - brand share 16.0%
Adult Health Nurse Practitioner average
16% brand-name claims vs 82% generic, on 2,268 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.
2,268
Total Claims
$149K
Total Drug Cost
178
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,280.9
- Total Day Supply
- 42,786
- Brand vs Generic
- 16% brand / 82% generic
- Brand Drug Cost
- $89K
- Generic Drug Cost
- $60K
- Opioid Claims
- 337 (14.9% rate)
- Antibiotic Claims
- 88
Patient Demographics
- Average Patient Age
- 77.0 years
- Avg HCC Risk Score
- 2.80
- Gender Split
- 67% female / 33% male
- Age Distribution
- <65: 19, 65-74: 60, 75-84: 49, 85+: 50
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Bruce Dyer, APN prescribes most
Top Medicare Part D drugs by claim count, 2024
- Gabapentin
Gabapentin
188 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
134 claims
- Oxycodone-Acetamin…
Oxycodone-Acetaminophen
108 claims
- Furosemide
Furosemide
93 claims
- Potassium Chloride 70
Potassium Chloride
70 claims
- Eliquis 60
Eliquis
60 claims
- Clonazepam 56
Clonazepam
56 claims
- Lactulose 50
Lactulose
50 claims
| Drug | Claims |
|---|---|
| Gabapentin | 188 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 134 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 108 |
| Furosemide | 93 |
| Potassium Chloride | 70 |
| Eliquis Apixaban | 60 |
| Clonazepam | 56 |
| Lactulose | 50 |
| Tramadol Hcl | 45 |
| Basaglar Kwikpen U-100 Insulin Glargine,hum.Rec.Anlog | 38 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Adult Health Nurse Practitioner Overview
How Bruce Dyer, APN fits within the Adult Health Nurse Practitioner landscape nationally.
29,811
Adult Health Nurse Practitioner Providers in US
55
States with Adult Health Nurse Practitioner
1,291
Avg Claims per Provider
Bruce Dyer, APN's 2,268 claims are above the specialty average of 1,291.
Nationwide Adult Health Nurse Practitioner peers with similar MIPS or enrollment year
Two federal-record peer sets for Dyer, both outside Tennessee so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (66.5 here).
Same NPPES enumeration year (2009)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Adult Health Nurse Practitioner Providers in Tennessee
Other clinicians with the same primary specialty enrolled in Tennessee, drawn from the same CMS NPPES roster as Dyer.
One of 513 Adult Health Nurse Practitioner providers enrolled in Tennessee, 5 are shown here.
Amber Adams
NP
Memphis, TN
Darryl Adams
APN
Altamont, TN
Joanna Adams
NP
Knoxville, TN
Kimberly Adams
NP
Chattanooga, TN
Wanda Adams
ANP
Murfreesboro, TN
Compare Adult Health Nurse Practitioner nationally: see state-by-state distribution →
Frequently Asked Questions
What is Bruce Dyer, APN's specialty? ▼
Bruce Dyer, APN specializes in Adult Health Nurse Practitioner and practices in East Ridge, Tennessee. Credentials: APN.
How much does Bruce Dyer, APN prescribe under Medicare Part D? ▼
In 2024, Bruce Dyer, APN wrote 2,268 Medicare Part D claims totaling $149K in drug costs for 178 beneficiaries.
What is Bruce Dyer, APN's Medicare quality score? ▼
Bruce Dyer, APN has a CMS MIPS Final Score of 66.5/100 (Quality: 51.4, Cost: 39.3). 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 Bruce Dyer, APN located? ▼
Bruce Dyer, APN is located at 1508 TOMBRAS AVE, East Ridge, TN, 37412. Phone: (423) 867-4969.
What is Bruce Dyer, APN's NPI number? ▼
Bruce Dyer, APN's National Provider Identifier (NPI) is 1417187626, issued on 07/22/2009.
Does Bruce Dyer, APN prescribe more brand-name or generic drugs? ▼
Bruce Dyer, APN's prescribing is 16% brand-name and 82% generic drugs by claim count, with $89K in brand drug costs.
Does Bruce Dyer, APN prescribe opioids? ▼
Yes, Bruce Dyer, APN had 337 opioid claims in 2024 with an opioid prescribing rate of 14.9%.
How many Adult Health Nurse Practitioner providers are there in the US? ▼
There are 29,811 Adult Health Nurse Practitioner providers across 55 states in the US. The average Adult Health Nurse Practitioner provider writes 1,291 Medicare Part D claims per year.
What drugs does Bruce Dyer, APN prescribe most often? ▼
Based on 2024 Medicare Part D data, Bruce Dyer, APN's most frequently prescribed drugs include Gabapentin, Hydrocodone-Acetaminophen, Oxycodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Bruce Dyer, APN accept Medicare? ▼
Bruce Dyer, APN appears in CMS Medicare data with 2,268 Part D claims and 178 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Bruce Dyer, APN's credentials? ▼
Bruce Dyer, APN's NPI is 1417187626 with credentials APN. 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.