NPI registry status
Active
2026 NPPES data Clinical Nurse Specialist NPI 1134433931 APRN
Verify on CMS → Deborah Bray, APRN
Clinical Nurse Specialist in Paducah, Kentucky.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,715 in Clinical Nurse Specialist, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
8K
Medicare Part D claims · 2K beneficiaries · Clinical Nurse Specialist avg: 953
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84.8/100
▲ 2 pts above national avg 83.1 · Above neutral
Industry payments
$39.25
2 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Deborah Bray, APRN reported a CMS MIPS final score of 84.8/100 - above the 83.1 national average - and filed 8,259 Medicare Part D claims in 2023.
- 84.8/100
- MIPS score · +2 vs avg
- 8K
- Part D claims, 2023
- 83%
- generic prescribing
- $39.25
- 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.
Deborah Bray, APRN's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
85 45th percentile higher than 45% of 477,587 scored providers
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
Where Deborah Bray, APRN sits
This provider among clinical nurse specialist peers
Across the 134 clinical nurse specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Deborah Bray, APRN writes more Part D claims than 99% of them and scores higher on MIPS quality than 53% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one clinical nurse specialist peer from a representative sample of 60; the gold marker is Deborah Bray, APRN. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Deborah Bray, APRN?
Near national averagePrimary specialty
Clinical Nurse Specialist
Medicare Part D claims
8,259 9× vs specialty avg
MIPS final score
84.8/100 1.7 pts vs avg
Specialty distribution in Kentucky
How Clinical Nurse Specialist compares to other specialties among Kentucky providers
Medicare quality performance, MIPS
Deborah Bray, APRN's 2023 MIPS final score plotted against the Clinical Nurse Specialist national average
- MIPS Final Score
- 84.8/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Clinical Nurse Specialist) - 84.8/100 vs national avg 83.1
How MIPS and board certification work
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).
Deborah Bray, APRN appears in the CMS NPPES registry as a Clinical Nurse Specialist provider holding APRN credentials at 1532 LONE OAK RD, Paducah, KY, 42003, with a listed phone of (270) 442-0103. NPI 1134433931 was issued on 08/04/2010.
Medicare Part D records for calendar year 2023 show 8,259 prescription claims written by this provider, covering 1,729 Medicare beneficiaries and totaling roughly $1.4 million in drug spend, split 17% brand-name and 83% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 84.8/100 for the 2023 performance year (Quality 94.2, Cost 50.9), compared with the national average of 83.1.
Clinical Nurse Specialist is a narrow specialty nationwide, with 1,715 enrolled providers across 49 states and an average of 953 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 | 1134433931 |
|---|---|
| Specialty | Clinical Nurse Specialist |
| Credentials | APRN |
| Gender | Female |
| NPI Issued | 08/04/2010 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
84.8378
Final Score
Avg: 83.1
94.182
Quality
50.913
Cost
100
Promoting Interoperability
Reporting: Individual
Hospital and facility affiliations
Facilities where Deborah Bray, APRN 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.
Mercy Health Physicians Kentucky Specialty Care LLC
Paducah, KY
Mercy Health-Lourdes Hospital LLC
Benton, KY
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 Deborah Bray, APRN. Source: openpaymentsdata.cms.gov.
Total received
$39
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 · Typical
Deborah Bray, APRN - brand share 17.0%
Clinical Nurse Specialist average
17% brand-name claims vs 83% generic, on 8,259 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.
8,259
Total Claims
$1.4M
Total Drug Cost
1,729
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 17,604
- Total Day Supply
- 522,093
- Brand vs Generic
- 17% brand / 83% generic
- Brand Drug Cost
- $1.3M
- Generic Drug Cost
- $152K
Patient Demographics
- Average Patient Age
- 74.6 years
- Avg HCC Risk Score
- 1.63
- Gender Split
- 46% female / 54% male
- Age Distribution
- <65: 152, 65-74: 721, 75-84: 638, 85+: 218
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Deborah Bray, APRN prescribes most
Top Medicare Part D drugs by claim count, 2023
- Metoprolol Succinate
Metoprolol Succinate
801 claims
- Eliquis
Eliquis
606 claims
- Isosorbide Mononit…
Isosorbide Mononitrate Er
437 claims
- Metoprolol Tartrate
Metoprolol Tartrate
432 claims
- Clopidogrel
Clopidogrel
399 claims
- Atorvastatin Calcium
Atorvastatin Calcium
370 claims
- Furosemide
Furosemide
361 claims
- Lisinopril
Lisinopril
351 claims
| Drug | Claims |
|---|---|
| Metoprolol Succinate | 801 |
| Eliquis Apixaban | 606 |
| Isosorbide Mononitrate Er Isosorbide Mononitrate | 437 |
| Metoprolol Tartrate | 432 |
| Clopidogrel Clopidogrel Bisulfate | 399 |
| Atorvastatin Calcium | 370 |
| Furosemide | 361 |
| Lisinopril | 351 |
| Entresto Sacubitril/Valsartan | 335 |
| Amlodipine Besylate | 331 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Clinical Nurse Specialist Overview
How Deborah Bray, APRN fits within the Clinical Nurse Specialist landscape nationally.
1,715
Clinical Nurse Specialist Providers in US
49
States with Clinical Nurse Specialist
953
Avg Claims per Provider
Deborah Bray, APRN's 8,259 claims are above the specialty average of 953.
Nearby Clinical Nurse Specialist Providers in Kentucky
Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as Bray.
Dr. Stephanie Allison
ARNP
Louisville, KY
Dr. Rhonda Casey
CNS
Louisville, KY
Dr. Melissa Johnson
A.P.R.N.
Murray, KY
Dr. Casie Kichler
APRN
Louisville, KY
Dr. Crystal Labbato
APRN
Louisville, KY
Compare Clinical Nurse Specialist nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Kentucky medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Clinical Nurse Specialist peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Deborah Bray, APRN's specialty? ▼
Deborah Bray, APRN specializes in Clinical Nurse Specialist and practices in Paducah, Kentucky. Credentials: APRN.
How much does Deborah Bray, APRN prescribe under Medicare Part D? ▼
In 2023, Deborah Bray, APRN wrote 8,259 Medicare Part D claims totaling $1.4M in drug costs for 1,729 beneficiaries.
What is Deborah Bray, APRN's Medicare quality score? ▼
Deborah Bray, APRN has a CMS MIPS Final Score of 84.8/100 (Quality: 94.2, Cost: 50.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Deborah Bray, APRN located? ▼
Deborah Bray, APRN is located at 1532 LONE OAK RD, Paducah, KY, 42003. Phone: (270) 442-0103.
What is Deborah Bray, APRN's NPI number? ▼
Deborah Bray, APRN's National Provider Identifier (NPI) is 1134433931, issued on 08/04/2010.
Does Deborah Bray, APRN prescribe more brand-name or generic drugs? ▼
Deborah Bray, APRN's prescribing is 17% brand-name and 83% generic drugs by claim count, with $1.3M in brand drug costs.
How many Clinical Nurse Specialist providers are there in the US? ▼
There are 1,715 Clinical Nurse Specialist providers across 49 states in the US. The average Clinical Nurse Specialist provider writes 953 Medicare Part D claims per year.
What drugs does Deborah Bray, APRN prescribe most often? ▼
Based on 2023 Medicare Part D data, Deborah Bray, APRN's most frequently prescribed drugs include Metoprolol Succinate, Eliquis, Isosorbide Mononitrate Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Deborah Bray, APRN accept Medicare? ▼
Deborah Bray, APRN appears in CMS Medicare data with 8,259 Part D claims and 1,729 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Deborah Bray, APRN's credentials? ▼
Deborah Bray, APRN's NPI is 1134433931 with credentials APRN. 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.