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.
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
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 reportedPrimary specialty
Medicare Part D claims
Specialty distribution in New York
How Community Health Registered Nurse compares to other specialties among New York providers
Community Health Registered Nurse share within New York
Community Health Registered Nurse is one of the more visible NUCC categories in New York
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Specialty board-certification context
Estimated specialty board-certified rate — Community Health Registered Nurse (ABMS / AOA reference)
- Est. board-certified rate
- 78%
- Community Health Registered Nurse ABMS/AOA estimate
Est. board-certified rate (Community Health Registered Nurse) — ABMS / AOA estimate
Verify credentials
- Verify via ABMS free public lookup
- Verify via AOA osteopathic boards
- Specialty volume Community Health Registered Nurse US NPIs
Specialty board-certified rate — Community Health Registered Nurse estimate
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus Maintenance of Certification cycles. CMS does not publish a per-provider board-certification field; the figure shown is the specialty-level estimated rate from ABMS / AOA reference data.
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
Provider Details
| NPI | 1588088637 |
|---|---|
| Specialty | Community Health Registered Nurse |
| Credentials | NURSE PRACTITIONER |
| Gender | Female |
| NPI Issued | 02/10/2014 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm CLEOPATRA DOWNER, NURSE PRACTITIONER's current license status, disciplinary history, and board certifications with the New York State Education Department, Office of the Professions in New York before relying on this page for a clinical or care decision.
How we sourced this profile
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.
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.
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
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.
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
- Quetiapine Fumarate
Quetiapine Fumarate
63 claims
- Trazodone Hcl
Trazodone Hcl
58 claims
- Aripiprazole
Aripiprazole
57 claims
- Risperidone
Risperidone
44 claims
- Clonazepam
Clonazepam
43 claims
- Dextroamphetamine-…
Dextroamphetamine-Amphetamine
42 claims
- Bupropion Xl
Bupropion Xl
38 claims
- Fluoxetine Hcl
Fluoxetine Hcl
38 claims
| 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.
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 →
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Frequently Asked Questions
What is CLEOPATRA DOWNER, NURSE PRACTITIONER's specialty? ▼
How much does CLEOPATRA DOWNER, NURSE PRACTITIONER prescribe under Medicare Part D? ▼
Where is CLEOPATRA DOWNER, NURSE PRACTITIONER located? ▼
What is CLEOPATRA DOWNER, NURSE PRACTITIONER's NPI number? ▼
Does CLEOPATRA DOWNER, NURSE PRACTITIONER prescribe more brand-name or generic drugs? ▼
How many Community Health Registered Nurse providers are there in the US? ▼
What drugs does CLEOPATRA DOWNER, NURSE PRACTITIONER prescribe most often? ▼
Does CLEOPATRA DOWNER, NURSE PRACTITIONER accept Medicare? ▼
How can I verify CLEOPATRA DOWNER, NURSE PRACTITIONER's credentials? ▼
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