2026 NPPES data Advanced Practice Midwife NPI 1225039944 RN, MSN, CNM
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CYNTHIA STOKES, RN, MSN, CNM

Advanced Practice Midwife in SAN ANGELO, Texas. 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
225
Medicare Part D claims · 77 beneficiaries · Advanced Practice Midwife avg: 99
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.75/100
▲ 13 pts above national avg 83.1 · [object Object]
Industry payments
$108.41
7 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

CYNTHIA STOKES, RN, MSN, CNM reported a CMS MIPS final score of 95.75/100 — above the 83.1 national average — and filed 225 Medicare Part D claims in 2023.

95.75/100
MIPS score · +13 vs avg
225
Part D claims, 2023
88%
generic prescribing
$108.41
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.

CYNTHIA STOKES, RN, MSN, CNM's MIPS score vs every scored U.S. clinician

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

96 Top 21% higher than 79% 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 CYNTHIA STOKES, RN, MSN, CNM?

High performer (top quartile)

NPI registry status

Active

Issued 08/03/2005

NPI 1225039944

Primary specialty

Advanced Practice Midwife

Mid-sized

10,893 US NPIs in this specialty

Medicare Part D claims

225 127% vs specialty avg

2023 prescription claims

Specialty avg: 99

MIPS final score

95.75/100 12.650000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Texas

How Advanced Practice Midwife compares to other specialties among Texas providers

Texas providers

Advanced Practice Midwife share within Texas

1. Advanced Practice Midwife42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Advanced Practice Midwife share within Texas

Medicare quality performance — MIPS

CYNTHIA STOKES, RN, MSN, CNM's 2023 MIPS final score plotted against the Advanced Practice Midwife national average

High performer (top quartile)
MIPS Final Score
95.75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Advanced Practice Midwife) — 95.75/100 vs national avg 83.1

0%100%National avg83%95.8%
MIPS final score (Advanced Practice Midwife) — 95.75/100 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).

CYNTHIA STOKES, RN, MSN, CNM appears in the CMS NPPES registry as a Advanced Practice Midwife provider holding RN, MSN, CNM credentials at 1610 S CHADBOURNE ST, SAN ANGELO, TX, 76903, with a listed phone of (325) 658-5339. NPI 1225039944 was issued on 08/03/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what STOKES 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 225 prescription claims written by this provider, covering 77 Medicare beneficiaries and totaling roughly $20K in drug spend, split 12% brand-name and 88% 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 95.75/100 for the 2023 performance year, compared with the national average of 83.1.

Advanced Practice Midwife is a mid-sized specialty nationwide, with 10,893 enrolled providers across 55 states and an average of 99 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

1610 S CHADBOURNE ST
SAN ANGELO, TX 76903

Provider Details

NPI 1225039944
Specialty Advanced Practice Midwife
Credentials RN, MSN, CNM
Gender Female
NPI Issued 08/03/2005

CMS Quality Score (MIPS)

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

95.75
Final Score
Avg: 83.1
95
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where CYNTHIA STOKES, RN, MSN, CNM 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.

SHANNON CLINIC
SAN ANGELO, TX

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 CYNTHIA STOKES, RN, MSN, CNM. Source: openpaymentsdata.cms.gov.

Total received

$108

Largest payer

Amgen 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 — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to CYNTHIA STOKES, RN, MSN, CNM. To verify CYNTHIA STOKES, RN, MSN, CNM's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

CYNTHIA STOKES, RN, MSN, CNM — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 225 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.

225
Total Claims
$20K
Total Drug Cost
77
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
451
Total Day Supply
12,531
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$7K
Generic Drug Cost
$13K
Antibiotic Claims
16

Patient Demographics

Average Patient Age
68.8 years
Avg HCC Risk Score
0.78
Gender Split
100% female / 0% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Estradiol
84
Medroxyprogesterone Acetate
13
Premarin
"Estrogens
N/A

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

Advanced Practice Midwife Overview

How CYNTHIA STOKES, RN, MSN, CNM fits within the Advanced Practice Midwife landscape nationally.

10,893
Advanced Practice Midwife Providers in US
55
States with Advanced Practice Midwife
99
Avg Claims per Provider

CYNTHIA STOKES, RN, MSN, CNM's 225 claims are above the specialty average of 99.

Nearby Advanced Practice Midwife Providers in Texas

Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as STOKES.

Compare Advanced Practice Midwife nationally: see state-by-state distribution →

Frequently Asked Questions

What is CYNTHIA STOKES, RN, MSN, CNM's specialty?
CYNTHIA STOKES, RN, MSN, CNM specializes in Advanced Practice Midwife and practices in SAN ANGELO, Texas. Credentials: RN, MSN, CNM.
How much does CYNTHIA STOKES, RN, MSN, CNM prescribe under Medicare Part D?
In 2023, CYNTHIA STOKES, RN, MSN, CNM wrote 225 Medicare Part D claims totaling $20K in drug costs for 77 beneficiaries.
What is CYNTHIA STOKES, RN, MSN, CNM's Medicare quality score?
CYNTHIA STOKES, RN, MSN, CNM has a CMS MIPS Final Score of 95.75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CYNTHIA STOKES, RN, MSN, CNM located?
CYNTHIA STOKES, RN, MSN, CNM is located at 1610 S CHADBOURNE ST, SAN ANGELO, TX, 76903. Phone: (325) 658-5339.
What is CYNTHIA STOKES, RN, MSN, CNM's NPI number?
CYNTHIA STOKES, RN, MSN, CNM's National Provider Identifier (NPI) is 1225039944, issued on 08/03/2005.
Does CYNTHIA STOKES, RN, MSN, CNM prescribe more brand-name or generic drugs?
CYNTHIA STOKES, RN, MSN, CNM's prescribing is 12% brand-name and 88% generic drugs by claim count, with $7K in brand drug costs.
How many Advanced Practice Midwife providers are there in the US?
There are 10,893 Advanced Practice Midwife providers across 55 states in the US. The average Advanced Practice Midwife provider writes 99 Medicare Part D claims per year.
What drugs does CYNTHIA STOKES, RN, MSN, CNM prescribe most often?
Based on 2023 Medicare Part D data, CYNTHIA STOKES, RN, MSN, CNM's most frequently prescribed drugs include Estradiol, Medroxyprogesterone Acetate, Premarin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CYNTHIA STOKES, RN, MSN, CNM accept Medicare?
CYNTHIA STOKES, RN, MSN, CNM appears in CMS Medicare data with 225 Part D claims and 77 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CYNTHIA STOKES, RN, MSN, CNM's credentials?
CYNTHIA STOKES, RN, MSN, CNM's NPI is 1225039944 with credentials RN, MSN, CNM. 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