2026 NPPES data Nurse Practitioner NPI 1831438472 ARNP
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CALEB LEDFORD, ARNP

Nurse Practitioner in RICHLAND, 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
142
Medicare Part D claims · 67 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
12.7416/100
▼ 70 pts below national avg 83.1 · [object Object]
Industry payments
$248.94
5 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

CALEB LEDFORD, ARNP reported a CMS MIPS final score of 12.7416/100 — below the 83.1 national average — and filed 142 Medicare Part D claims in 2023.

12.7416/100
MIPS score · -70 vs avg
142
Part D claims, 2023
92%
generic prescribing
$248.94
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.

CALEB LEDFORD, ARNP's MIPS score vs every scored U.S. clinician

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

13 2nd percentile higher than 2% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). This entry sits in this band. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 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 CALEB LEDFORD, ARNP?

Below national average

NPI registry status

Active

Issued 02/01/2013

NPI 1831438472

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

142 87% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

12.7416/100 70.35839999999999% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Washington

How Nurse Practitioner compares to other specialties among Washington providers

Washington providers

Nurse Practitioner share within Washington

1. Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nurse Practitioner share within Washington

Medicare quality performance — MIPS

CALEB LEDFORD, ARNP's 2023 MIPS final score plotted against the Nurse Practitioner national average

Below national average
MIPS Final Score
12.7416/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) — 12.7416/100 vs national avg 83.1

0%100%National avg83%12.7%
MIPS final score (Nurse Practitioner) — 12.7416/100 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).

CALEB LEDFORD, ARNP appears in the CMS NPPES registry as a Nurse Practitioner provider holding ARNP credentials at 821 SWIFT BLVD, RICHLAND, WA, 99352, with a listed phone of (509) 606-5040. NPI 1831438472 was issued on 02/01/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LEDFORD 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 142 prescription claims written by this provider, covering 67 Medicare beneficiaries and totaling roughly $16K in drug spend, split 8% brand-name and 92% 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 12.7416/100 for the 2023 performance year (Quality 0, Cost 42.472), compared with the national average of 83.1.

Nurse Practitioner is a high-volume specialty nationwide, with 87,227 enrolled providers across 56 states and an average of 1,084 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

821 SWIFT BLVD
RICHLAND, WA 99352

Provider Details

NPI 1831438472
Specialty Nurse Practitioner
Credentials ARNP
Gender Male
NPI Issued 02/01/2013

CMS Quality Score (MIPS)

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

12.7416
Final Score
Avg: 83.1
0
Quality
42.472
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where CALEB LEDFORD, ARNP 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.

APEX SPINE INSTITUTE
RICHLAND, WA

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 CALEB LEDFORD, ARNP. Source: openpaymentsdata.cms.gov.

Total received

$249

Largest payer

INTUITIVE SURGICAL, 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 CALEB LEDFORD, ARNP. To verify CALEB LEDFORD, ARNP'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

CALEB LEDFORD, ARNP — brand share 8.0%
Specialty average (est.)

8% brand-name claims vs 92% generic, on 142 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.

142
Total Claims
$16K
Total Drug Cost
67
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
189
Total Day Supply
4,426
Brand vs Generic
8% brand / 92% generic
Brand Drug Cost
$14K
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
74.8 years
Avg HCC Risk Score
1.05
Gender Split
64% female / 36% male

Top Prescribed Drugs (Medicare Part D)

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

What CALEB LEDFORD, ARNP prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Gabapentin
58
Methylprednisolone
23
Alprazolam
20

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

Nurse Practitioner Overview

How CALEB LEDFORD, ARNP fits within the Nurse Practitioner landscape nationally.

87,227
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,084
Avg Claims per Provider

CALEB LEDFORD, ARNP's 142 claims are below the specialty average of 1,084.

Nearby Nurse Practitioner Providers in Washington

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

Compare Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is CALEB LEDFORD, ARNP's specialty?
CALEB LEDFORD, ARNP specializes in Nurse Practitioner and practices in RICHLAND, Washington. Credentials: ARNP.
How much does CALEB LEDFORD, ARNP prescribe under Medicare Part D?
In 2023, CALEB LEDFORD, ARNP wrote 142 Medicare Part D claims totaling $16K in drug costs for 67 beneficiaries.
What is CALEB LEDFORD, ARNP's Medicare quality score?
CALEB LEDFORD, ARNP has a CMS MIPS Final Score of 12.7416/100 (Quality: 0, Cost: 42.472). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CALEB LEDFORD, ARNP located?
CALEB LEDFORD, ARNP is located at 821 SWIFT BLVD, RICHLAND, WA, 99352. Phone: (509) 606-5040.
What is CALEB LEDFORD, ARNP's NPI number?
CALEB LEDFORD, ARNP's National Provider Identifier (NPI) is 1831438472, issued on 02/01/2013.
Does CALEB LEDFORD, ARNP prescribe more brand-name or generic drugs?
CALEB LEDFORD, ARNP's prescribing is 8% brand-name and 92% generic drugs by claim count, with $14K in brand drug costs.
How many Nurse Practitioner providers are there in the US?
There are 87,227 Nurse Practitioner providers across 56 states in the US. The average Nurse Practitioner provider writes 1,084 Medicare Part D claims per year.
What drugs does CALEB LEDFORD, ARNP prescribe most often?
Based on 2023 Medicare Part D data, CALEB LEDFORD, ARNP's most frequently prescribed drugs include Gabapentin, Methylprednisolone, Alprazolam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CALEB LEDFORD, ARNP accept Medicare?
CALEB LEDFORD, ARNP appears in CMS Medicare data with 142 Part D claims and 67 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CALEB LEDFORD, ARNP's credentials?
CALEB LEDFORD, ARNP's NPI is 1831438472 with credentials ARNP. 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