2026 NPPES data Adult Health Nurse Practitioner NPI 1194431239
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CAROLYN HIGHSTONE

Adult Health Nurse Practitioner in CHARLOTTE, North Carolina. 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
1K
Medicare Part D claims · 207 beneficiaries · Adult Health Nurse Practitioner avg: 1K
Generic prescribing
98%
generic claims · 2% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$26.1
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

CAROLYN HIGHSTONE filed 1,027 Medicare Part D claims in 2023 as a Adult Health Nurse Practitioner in CHARLOTTE, North Carolina, prescribing 98% generic.

1K
Part D claims, 2023
98%
generic prescribing
$26.1
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.

CAROLYN HIGHSTONE's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

1,027 Top 24% higher than 76% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). This entry sits in this band. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about CAROLYN HIGHSTONE?

Quality data not reported

NPI registry status

Active

Issued 01/23/2023

NPI 1194431239

Primary specialty

Adult Health Nurse Practitioner

Mid-sized

29,492 US NPIs in this specialty

Medicare Part D claims

1,027 14% vs specialty avg

2023 prescription claims

Specialty avg: 1,201

Specialty distribution in North Carolina

How Adult Health Nurse Practitioner compares to other specialties among North Carolina providers

North Carolina providers

Adult Health Nurse Practitioner share within North Carolina

1. Adult Health Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Health Nurse Practitioner share within North Carolina

Specialty board-certification context

Estimated specialty board-certified rate — Adult Health Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Adult Health Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Adult Health Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Adult Health Nurse Practitioner) — ABMS / AOA estimate

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).

CAROLYN HIGHSTONE appears in the CMS NPPES registry as a Adult Health Nurse Practitioner provider at 6429 BANNINGTON RD, CHARLOTTE, NC, 28226, with a listed phone of (704) 503-9338. NPI 1194431239 was issued on 01/23/2023. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HIGHSTONE 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 1,027 prescription claims written by this provider, covering 207 Medicare beneficiaries and totaling roughly $32K in drug spend, split 2% brand-name and 98% generic by claim count, with an opioid prescribing rate of 60.8%. 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.

Adult Health Nurse Practitioner is a mid-sized specialty nationwide, with 29,492 enrolled providers across 55 states and an average of 1,201 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

6429 BANNINGTON RD
CHARLOTTE, NC 28226

Provider Details

NPI 1194431239
Specialty Adult Health Nurse Practitioner
Gender Female
NPI Issued 01/23/2023

Hospital and facility affiliations

Facilities where CAROLYN HIGHSTONE 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.

VITAE HEALTH MEDICAL NORTH CAROLINA PLLC
MOORESVILLE, NC

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 CAROLYN HIGHSTONE. Source: openpaymentsdata.cms.gov.

Total received

$26

Largest payer

Boston Scientific Corporation

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 · Generic-heavy

CAROLYN HIGHSTONE — brand share 2.0%
Specialty average (est.)

2% brand-name claims vs 98% generic, on 1,027 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.

1,027
Total Claims
$32K
Total Drug Cost
207
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,029
Total Day Supply
29,587
Brand vs Generic
2% brand / 98% generic
Brand Drug Cost
$3K
Generic Drug Cost
$28K
Opioid Claims
624 (60.8% rate)

Patient Demographics

Average Patient Age
62.6 years
Avg HCC Risk Score
2.39
Gender Split
64% female / 36% male
Age Distribution
<65: 110, 65-74: 83, 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 CAROLYN HIGHSTONE 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
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
403
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
176
Gabapentin
107
Cyclobenzaprine Hcl
71
Tizanidine Hcl
63
Lidocaine
58
Diclofenac Sodium
43
Pregabalin
33
Morphine Sulfate Er
Morphine Sulfate
14

* 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 CAROLYN HIGHSTONE fits within the Adult Health Nurse Practitioner landscape nationally.

29,492
Adult Health Nurse Practitioner Providers in US
55
States with Adult Health Nurse Practitioner
1,201
Avg Claims per Provider

CAROLYN HIGHSTONE's 1,027 claims are below the specialty average of 1,201.

Nearby Adult Health Nurse Practitioner Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as HIGHSTONE.

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

Frequently Asked Questions

What is CAROLYN HIGHSTONE's specialty?
CAROLYN HIGHSTONE specializes in Adult Health Nurse Practitioner and practices in CHARLOTTE, North Carolina.
How much does CAROLYN HIGHSTONE prescribe under Medicare Part D?
In 2023, CAROLYN HIGHSTONE wrote 1,027 Medicare Part D claims totaling $32K in drug costs for 207 beneficiaries.
Where is CAROLYN HIGHSTONE located?
CAROLYN HIGHSTONE is located at 6429 BANNINGTON RD, CHARLOTTE, NC, 28226. Phone: (704) 503-9338.
What is CAROLYN HIGHSTONE's NPI number?
CAROLYN HIGHSTONE's National Provider Identifier (NPI) is 1194431239, issued on 01/23/2023.
Does CAROLYN HIGHSTONE prescribe more brand-name or generic drugs?
CAROLYN HIGHSTONE's prescribing is 2% brand-name and 98% generic drugs by claim count, with $3K in brand drug costs.
Does CAROLYN HIGHSTONE prescribe opioids?
Yes, CAROLYN HIGHSTONE had 624 opioid claims in 2023 with an opioid prescribing rate of 60.8%.
How many Adult Health Nurse Practitioner providers are there in the US?
There are 29,492 Adult Health Nurse Practitioner providers across 55 states in the US. The average Adult Health Nurse Practitioner provider writes 1,201 Medicare Part D claims per year.
What drugs does CAROLYN HIGHSTONE prescribe most often?
Based on 2023 Medicare Part D data, CAROLYN HIGHSTONE's most frequently prescribed drugs include Oxycodone-Acetaminophen, Hydrocodone-Acetaminophen, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CAROLYN HIGHSTONE accept Medicare?
CAROLYN HIGHSTONE appears in CMS Medicare data with 1,027 Part D claims and 207 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CAROLYN HIGHSTONE's credentials?
CAROLYN HIGHSTONE's NPI is 1194431239. 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.
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