2026 NPPES data Community Health Registered Nurse NPI 1588088637 NURSE PRACTITIONER
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CLEOPATRA DOWNER, NURSE PRACTITIONER

Community Health Registered Nurse in MIDDLETOWN, New York. 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
937
Medicare Part D claims · 91 beneficiaries · Community Health Registered Nurse avg: 918
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$946.77
43 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

CLEOPATRA DOWNER, NURSE PRACTITIONER filed 937 Medicare Part D claims in 2023 as a Community Health Registered Nurse in MIDDLETOWN, New York, prescribing 96% generic.

937
Part D claims, 2023
96%
generic prescribing
$946.77
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.

CLEOPATRA DOWNER, NURSE PRACTITIONER's Medicare Part D volume vs every U.S. prescriber

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

937 Top 25% higher than 75% 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%). This entry sits in this band. 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 CLEOPATRA DOWNER, NURSE PRACTITIONER?

Quality data not reported

NPI registry status

Active

Issued 02/10/2014

NPI 1588088637

Primary specialty

Community Health Registered Nurse

Mid-sized

7,585 US NPIs in this specialty

Medicare Part D claims

937 2% vs specialty avg

2023 prescription claims

Specialty avg: 918

Specialty distribution in New York

How Community Health Registered Nurse compares to other specialties among New York providers

New York providers

Community Health Registered Nurse share within New York

1. Community Health Registered Nurse42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Community Health Registered Nurse share within New York

Specialty board-certification context

Estimated specialty board-certified rate — Community Health Registered Nurse (ABMS / AOA reference)

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

Est. board-certified rate (Community Health Registered Nurse) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Community Health Registered Nurse) — 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).

CLEOPATRA DOWNER, NURSE PRACTITIONER appears in the CMS NPPES registry as a Community Health Registered Nurse provider holding NURSE PRACTITIONER credentials at 117 SEWARD AVE, MIDDLETOWN, NY, 10940, with a listed phone of (845) 341-2532. NPI 1588088637 was issued on 02/10/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DOWNER 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 937 prescription claims written by this provider, covering 91 Medicare beneficiaries and totaling roughly $53K in drug spend, split 4% brand-name and 96% 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.

Community Health Registered Nurse is a mid-sized specialty nationwide, with 7,585 enrolled providers across 53 states and an average of 918 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

117 SEWARD AVE
MIDDLETOWN, NY 10940

Provider Details

NPI 1588088637
Specialty Community Health Registered Nurse
Credentials NURSE PRACTITIONER
Gender Female
NPI Issued 02/10/2014

Hospital and facility affiliations

Facilities where CLEOPATRA DOWNER, NURSE PRACTITIONER 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.

FAMILY SERVICES, INC.
POUGHKEEPSIE, NY

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 CLEOPATRA DOWNER, NURSE PRACTITIONER. Source: openpaymentsdata.cms.gov.

Total received

$947

Largest payer

ABBVIE 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 — New York NYSBPMC 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 ~100K New York medical licensees in 2023 — they are NOT specific to CLEOPATRA DOWNER, NURSE PRACTITIONER. To verify CLEOPATRA DOWNER, NURSE PRACTITIONER's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

CLEOPATRA DOWNER, NURSE PRACTITIONER — brand share 4.0%
Specialty average (est.)

4% brand-name claims vs 96% generic, on 937 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.

937
Total Claims
$53K
Total Drug Cost
91
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
996
Total Day Supply
28,697
Brand vs Generic
4% brand / 96% generic
Brand Drug Cost
$25K
Generic Drug Cost
$28K

Patient Demographics

Average Patient Age
54.3 years
Avg HCC Risk Score
1.28
Gender Split
57% female / 43% male
Age Distribution
<65: 65, 65-74: 22, 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 CLEOPATRA DOWNER, NURSE PRACTITIONER 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
Quetiapine Fumarate
63
Trazodone Hcl
58
Aripiprazole
57
Risperidone
44
Clonazepam
43
Dextroamphetamine-Amphetamine
Dextroamphetamine/Amphetamine
42
Bupropion Xl
Bupropion Hcl
38
Fluoxetine Hcl
38
Gabapentin
34
Lamotrigine
31

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

Community Health Registered Nurse Overview

How CLEOPATRA DOWNER, NURSE PRACTITIONER fits within the Community Health Registered Nurse landscape nationally.

7,585
Community Health Registered Nurse Providers in US
53
States with Community Health Registered Nurse
918
Avg Claims per Provider

CLEOPATRA DOWNER, NURSE PRACTITIONER's 937 claims are above the specialty average of 918.

Nearby Community Health Registered Nurse Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as DOWNER.

Compare Community Health Registered Nurse nationally: see state-by-state distribution →

Frequently Asked Questions

What is CLEOPATRA DOWNER, NURSE PRACTITIONER's specialty?
CLEOPATRA DOWNER, NURSE PRACTITIONER specializes in Community Health Registered Nurse and practices in MIDDLETOWN, New York. Credentials: NURSE PRACTITIONER.
How much does CLEOPATRA DOWNER, NURSE PRACTITIONER prescribe under Medicare Part D?
In 2023, CLEOPATRA DOWNER, NURSE PRACTITIONER wrote 937 Medicare Part D claims totaling $53K in drug costs for 91 beneficiaries.
Where is CLEOPATRA DOWNER, NURSE PRACTITIONER located?
CLEOPATRA DOWNER, NURSE PRACTITIONER is located at 117 SEWARD AVE, MIDDLETOWN, NY, 10940. Phone: (845) 341-2532.
What is CLEOPATRA DOWNER, NURSE PRACTITIONER's NPI number?
CLEOPATRA DOWNER, NURSE PRACTITIONER's National Provider Identifier (NPI) is 1588088637, issued on 02/10/2014.
Does CLEOPATRA DOWNER, NURSE PRACTITIONER prescribe more brand-name or generic drugs?
CLEOPATRA DOWNER, NURSE PRACTITIONER's prescribing is 4% brand-name and 96% generic drugs by claim count, with $25K in brand drug costs.
How many Community Health Registered Nurse providers are there in the US?
There are 7,585 Community Health Registered Nurse providers across 53 states in the US. The average Community Health Registered Nurse provider writes 918 Medicare Part D claims per year.
What drugs does CLEOPATRA DOWNER, NURSE PRACTITIONER prescribe most often?
Based on 2023 Medicare Part D data, CLEOPATRA DOWNER, NURSE PRACTITIONER's most frequently prescribed drugs include Quetiapine Fumarate, Trazodone Hcl, Aripiprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CLEOPATRA DOWNER, NURSE PRACTITIONER accept Medicare?
CLEOPATRA DOWNER, NURSE PRACTITIONER appears in CMS Medicare data with 937 Part D claims and 91 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CLEOPATRA DOWNER, NURSE PRACTITIONER's credentials?
CLEOPATRA DOWNER, NURSE PRACTITIONER's NPI is 1588088637 with credentials NURSE PRACTITIONER. 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