NPI registry status
Active
2026 NPPES data Nurse Practitioner NPI 1831438472 ARNP
Verify on CMS → Caleb Ledford, ARNP
Nurse Practitioner in Richland, Washington.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 87,700 in 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
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
12.7/100
▼ 70 pts below national avg 83.1 · Penalty band
Industry payments
$248.94
5 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Caleb Ledford, ARNP reported a CMS MIPS final score of 12.7/100 - below the 83.1 national average - and filed 142 Medicare Part D claims in 2023.
- 12.7/100
- 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
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
Where Caleb Ledford, ARNP sits
This provider among nurse practitioner peers
Across the 13,476 nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Caleb Ledford, ARNP writes more Part D claims than 28% of them and scores higher on MIPS quality than 0% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one nurse practitioner peer from a representative sample of 60; the gold marker is Caleb Ledford, ARNP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Caleb Ledford, ARNP?
Below national averagePrimary specialty
Nurse Practitioner
Medicare Part D claims
142 87% vs specialty avg
MIPS final score
12.7/100 70.4 pts vs avg
Specialty distribution in Washington
How Nurse Practitioner compares to other specialties among Washington providers
Medicare quality performance, MIPS
Caleb Ledford, ARNP's 2023 MIPS final score plotted against the Nurse Practitioner national average
- MIPS Final Score
- 12.7/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Nurse Practitioner) - 12.7/100 vs national avg 83.1
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).
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.
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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 12.7/100 for the 2023 performance year (Quality 0, Cost 42.5), compared with the national average of 83.1.
Nurse Practitioner is a high-volume specialty nationwide, with 87,700 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
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%
Nurse Practitioner average
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
- Gabapentin
Gabapentin
58 claims
- Methylprednisolone 23
Methylprednisolone
23 claims
- Alprazolam 20
Alprazolam
20 claims
| 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.
87,700
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.
Saada Abdela
Seattle, WA
Dr. Glenda Abercrombie
ARNP, FNP-C
Yakima, WA
Dr. Brenda Abraham
N.P.
Bremerton, WA
Dr. Hemlal Acharya
ARNP PHMNP-BC, MS
Auburn, WA
Dr. Marja Adair
ARNP
Richland, WA
Compare Nurse Practitioner nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Washington medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Nurse Practitioner peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Washington
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 12.7/100 (Quality: 0, Cost: 42.5). 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 87,700 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
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 (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
Compiled from official public sources by the PlainDoctor editorial team.
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 May 2026.