2026 NPPES data Acute Care Nurse Practitioner NPI 1225632904 APRN
Verify on CMS →

CANDICE GRAY-CUNNINGHAM, APRN

Acute Care Nurse Practitioner in LOUISVILLE, Kentucky. 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
516
Medicare Part D claims · 183 beneficiaries · Acute Care Nurse Practitioner avg: 576
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]

What the federal data shows

CANDICE GRAY-CUNNINGHAM, APRN reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 516 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
516
Part D claims, 2023
95%
generic prescribing

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.

CANDICE GRAY-CUNNINGHAM, APRN's MIPS score vs every scored U.S. clinician

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

100 Top 7% higher than 93% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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 CANDICE GRAY-CUNNINGHAM, APRN?

High performer (top quartile)

NPI registry status

Active

Issued 11/24/2020

NPI 1225632904

Primary specialty

Acute Care Nurse Practitioner

Mid-sized

24,583 US NPIs in this specialty

Medicare Part D claims

516 10% vs specialty avg

2023 prescription claims

Specialty avg: 576

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Kentucky

How Acute Care Nurse Practitioner compares to other specialties among Kentucky providers

Kentucky providers

Acute Care Nurse Practitioner share within Kentucky

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

Medicare quality performance — MIPS

CANDICE GRAY-CUNNINGHAM, APRN's 2023 MIPS final score plotted against the Acute Care Nurse Practitioner national average

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

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

0%100%National avg83%99%
MIPS final score (Acute Care Nurse Practitioner) — 100/100 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).

CANDICE GRAY-CUNNINGHAM, APRN appears in the CMS NPPES registry as a Acute Care Nurse Practitioner provider holding APRN credentials at 4950 NORTON HEALTHCARE BLVD STE 303, LOUISVILLE, KY, 40241, with a listed phone of (502) 394-6470. NPI 1225632904 was issued on 11/24/2020. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GRAY-CUNNINGHAM 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 516 prescription claims written by this provider, covering 183 Medicare beneficiaries and totaling roughly $177K in drug spend, split 5% brand-name and 95% 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 100/100 for the 2023 performance year, compared with the national average of 83.1.

Acute Care Nurse Practitioner is a mid-sized specialty nationwide, with 24,583 enrolled providers across 53 states and an average of 576 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

4950 NORTON HEALTHCARE BLVD STE 303
LOUISVILLE, KY 40241

Provider Details

NPI 1225632904
Specialty Acute Care Nurse Practitioner
Credentials APRN
Gender Female
NPI Issued 11/24/2020

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where CANDICE GRAY-CUNNINGHAM, APRN 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.

COMMONWEALTH PAIN ASSOCIATES PLLC
ELIZABETHTOWN, KY

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Generic-heavy

CANDICE GRAY-CUNNINGHAM, APRN — brand share 5.0%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 516 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.

516
Total Claims
$177K
Total Drug Cost
183
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
538
Total Day Supply
7,030
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$108K
Generic Drug Cost
$69K
Antibiotic Claims
441

Patient Demographics

Average Patient Age
67.8 years
Avg HCC Risk Score
2.87
Gender Split
47% female / 53% male
Age Distribution
<65: 58, 65-74: 73, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What CANDICE GRAY-CUNNINGHAM, APRN 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
Vancomycin Hcl
85
Cephalexin
36
Doxycycline Hyclate
33
Cefepime Hcl
30
Cefazolin Sodium
29
Ceftriaxone
Ceftriaxone Sodium
29
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
28
Ampicillin-Sulbactam
Ampicillin Sod/Sulbactam Sod
16
Doxycycline Monohydrate
16
Ondansetron Hcl
16

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

Acute Care Nurse Practitioner Overview

How CANDICE GRAY-CUNNINGHAM, APRN fits within the Acute Care Nurse Practitioner landscape nationally.

24,583
Acute Care Nurse Practitioner Providers in US
53
States with Acute Care Nurse Practitioner
576
Avg Claims per Provider

CANDICE GRAY-CUNNINGHAM, APRN's 516 claims are below the specialty average of 576.

Nearby Acute Care Nurse Practitioner Providers in Kentucky

Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as GRAY-CUNNINGHAM.

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

Frequently Asked Questions

What is CANDICE GRAY-CUNNINGHAM, APRN's specialty?
CANDICE GRAY-CUNNINGHAM, APRN specializes in Acute Care Nurse Practitioner and practices in LOUISVILLE, Kentucky. Credentials: APRN.
How much does CANDICE GRAY-CUNNINGHAM, APRN prescribe under Medicare Part D?
In 2023, CANDICE GRAY-CUNNINGHAM, APRN wrote 516 Medicare Part D claims totaling $177K in drug costs for 183 beneficiaries.
What is CANDICE GRAY-CUNNINGHAM, APRN's Medicare quality score?
CANDICE GRAY-CUNNINGHAM, APRN has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CANDICE GRAY-CUNNINGHAM, APRN located?
CANDICE GRAY-CUNNINGHAM, APRN is located at 4950 NORTON HEALTHCARE BLVD STE 303, LOUISVILLE, KY, 40241. Phone: (502) 394-6470.
What is CANDICE GRAY-CUNNINGHAM, APRN's NPI number?
CANDICE GRAY-CUNNINGHAM, APRN's National Provider Identifier (NPI) is 1225632904, issued on 11/24/2020.
Does CANDICE GRAY-CUNNINGHAM, APRN prescribe more brand-name or generic drugs?
CANDICE GRAY-CUNNINGHAM, APRN's prescribing is 5% brand-name and 95% generic drugs by claim count, with $108K in brand drug costs.
How many Acute Care Nurse Practitioner providers are there in the US?
There are 24,583 Acute Care Nurse Practitioner providers across 53 states in the US. The average Acute Care Nurse Practitioner provider writes 576 Medicare Part D claims per year.
What drugs does CANDICE GRAY-CUNNINGHAM, APRN prescribe most often?
Based on 2023 Medicare Part D data, CANDICE GRAY-CUNNINGHAM, APRN's most frequently prescribed drugs include Vancomycin Hcl, Cephalexin, Doxycycline Hyclate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CANDICE GRAY-CUNNINGHAM, APRN accept Medicare?
CANDICE GRAY-CUNNINGHAM, APRN appears in CMS Medicare data with 516 Part D claims and 183 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CANDICE GRAY-CUNNINGHAM, APRN's credentials?
CANDICE GRAY-CUNNINGHAM, APRN's NPI is 1225632904 with credentials APRN. 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