2026 NPPES data Psychiatric/Mental Health Clinical Nurse Specialist NPI 1922246743 CNS
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CARYN METZGER SMITH, CNS

Psychiatric/Mental Health Clinical Nurse Specialist in JAMAICA PLAIN, Massachusetts. 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
282
Medicare Part D claims · 17 beneficiaries · Psychiatric/Mental Health Clinical Nurse Specialist avg: 1K
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$46.17
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

CARYN METZGER SMITH, CNS filed 282 Medicare Part D claims in 2023 as a Psychiatric/Mental Health Clinical Nurse Specialist in JAMAICA PLAIN, Massachusetts, prescribing 94% generic.

282
Part D claims, 2023
94%
generic prescribing
$46.17
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.

CARYN METZGER SMITH, CNS's Medicare Part D volume vs every U.S. prescriber

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

282 49th percentile higher than 49% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 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 CARYN METZGER SMITH, CNS?

Quality data not reported

NPI registry status

Active

Issued 02/02/2009

NPI 1922246743

Primary specialty

Psychiatric/Mental Health Clinical Nurse Specialist

Niche

980 US NPIs in this specialty

Medicare Part D claims

282 73% vs specialty avg

2023 prescription claims

Specialty avg: 1,050

Specialty distribution in Massachusetts

How Psychiatric/Mental Health Clinical Nurse Specialist compares to other specialties among Massachusetts providers

Massachusetts providers

Psychiatric/Mental Health Clinical Nurse Specialist share within Massachusetts

1. Psychiatric/Mental Health Clinical Nurse Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Psychiatric/Mental Health Clinical Nurse Specialist share within Massachusetts

Specialty board-certification context

Estimated specialty board-certified rate — Psychiatric/Mental Health Clinical Nurse Specialist (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Psychiatric/Mental Health Clinical Nurse Specialist ABMS/AOA estimate

Est. board-certified rate (Psychiatric/Mental Health Clinical Nurse Specialist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Psychiatric/Mental Health Clinical Nurse Specialist) — 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).

CARYN METZGER SMITH, CNS appears in the CMS NPPES registry as a Psychiatric/Mental Health Clinical Nurse Specialist provider holding CNS credentials at 170 MORTON ST, JAMAICA PLAIN, MA, 02130, with a listed phone of (617) 619-5903. NPI 1922246743 was issued on 02/02/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what METZGER SMITH 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 282 prescription claims written by this provider, covering 17 Medicare beneficiaries and totaling roughly $43K in drug spend, split 6% brand-name and 94% 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.

Psychiatric/Mental Health Clinical Nurse Specialist is a narrow specialty nationwide, with 980 enrolled providers across 50 states and an average of 1,050 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

170 MORTON ST
JAMAICA PLAIN, MA 02130

Provider Details

NPI 1922246743
Specialty Psychiatric/Mental Health Clinical Nurse Specialist
Credentials CNS
Gender Female
NPI Issued 02/02/2009

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 CARYN METZGER SMITH, CNS. Source: openpaymentsdata.cms.gov.

Total received

$46

Largest payer

E.R. Squibb & Sons, L.L.C.

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 — Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 — they are NOT specific to CARYN METZGER SMITH, CNS. To verify CARYN METZGER SMITH, CNS's current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM 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 Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

CARYN METZGER SMITH, CNS — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 282 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.

282
Total Claims
$43K
Total Drug Cost
17
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
413
Total Day Supply
11,820
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$25K
Generic Drug Cost
$19K

Patient Demographics

Average Patient Age
61.3 years
Avg HCC Risk Score
1.06

Top Prescribed Drugs (Medicare Part D)

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

What CARYN METZGER SMITH, CNS 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
Clonazepam
41
Duloxetine Hcl
28
Clozapine
22
Lurasidone Hcl
22
Dextroamphetamine-Amphetamine
Dextroamphetamine/Amphetamine
18
Bupropion Hcl Sr
Bupropion Hcl
14
Sertraline Hcl
13
Trazodone Hcl
13

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

Psychiatric/Mental Health Clinical Nurse Specialist Overview

How CARYN METZGER SMITH, CNS fits within the Psychiatric/Mental Health Clinical Nurse Specialist landscape nationally.

980
Psychiatric/Mental Health Clinical Nurse Specialist Providers in US
50
States with Psychiatric/Mental Health Clinical Nurse Specialist
1,050
Avg Claims per Provider

CARYN METZGER SMITH, CNS's 282 claims are below the specialty average of 1,050.

Nearby Psychiatric/Mental Health Clinical Nurse Specialist Providers in Massachusetts

Other clinicians with the same primary specialty enrolled in Massachusetts, drawn from the same CMS NPPES roster as METZGER SMITH.

Compare Psychiatric/Mental Health Clinical Nurse Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is CARYN METZGER SMITH, CNS's specialty?
CARYN METZGER SMITH, CNS specializes in Psychiatric/Mental Health Clinical Nurse Specialist and practices in JAMAICA PLAIN, Massachusetts. Credentials: CNS.
How much does CARYN METZGER SMITH, CNS prescribe under Medicare Part D?
In 2023, CARYN METZGER SMITH, CNS wrote 282 Medicare Part D claims totaling $43K in drug costs for 17 beneficiaries.
Where is CARYN METZGER SMITH, CNS located?
CARYN METZGER SMITH, CNS is located at 170 MORTON ST, JAMAICA PLAIN, MA, 02130. Phone: (617) 619-5903.
What is CARYN METZGER SMITH, CNS's NPI number?
CARYN METZGER SMITH, CNS's National Provider Identifier (NPI) is 1922246743, issued on 02/02/2009.
Does CARYN METZGER SMITH, CNS prescribe more brand-name or generic drugs?
CARYN METZGER SMITH, CNS's prescribing is 6% brand-name and 94% generic drugs by claim count, with $25K in brand drug costs.
How many Psychiatric/Mental Health Clinical Nurse Specialist providers are there in the US?
There are 980 Psychiatric/Mental Health Clinical Nurse Specialist providers across 50 states in the US. The average Psychiatric/Mental Health Clinical Nurse Specialist provider writes 1,050 Medicare Part D claims per year.
What drugs does CARYN METZGER SMITH, CNS prescribe most often?
Based on 2023 Medicare Part D data, CARYN METZGER SMITH, CNS's most frequently prescribed drugs include Clonazepam, Duloxetine Hcl, Clozapine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CARYN METZGER SMITH, CNS accept Medicare?
CARYN METZGER SMITH, CNS appears in CMS Medicare data with 282 Part D claims and 17 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CARYN METZGER SMITH, CNS's credentials?
CARYN METZGER SMITH, CNS's NPI is 1922246743 with credentials CNS. 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