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 1,760 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
10K
Medicare Part D claims · 2K beneficiaries · Clinical Nurse Specialist avg: 1K
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84.8/100
▲ 1 pts above national avg 83.5 · Above neutral
Industry payments
$39.25
2 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Deborah Bray, APRN reported a CMS MIPS final score of 84.8/100 - above the 83.5 national average - and filed 9,584 Medicare Part D claims in 2024.
- 84.8/100
- MIPS score · +1 vs avg
- 10K
- Part D claims, 2024
- 80%
- 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.
Federal trust snapshot
What official records show about Deborah Bray, APRN
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1134433931), first enumerated 08/04/2010.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 9,584 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 84.8/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Hospital affiliations
2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$39.25 in reported industry payments (2 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1134433931 · Clinical Nurse Specialist
NPI-10 · ENUM-MID · TAX-NARROW · MIPS-INLINE · RX-MID · BOOK-THIN · PHOTO-FINISH
- NPI-10 1134433931
- ENUM-MID 2010
- TAX-NARROW 1,760
- MIPS-INLINE 84.8/100
- RX-MID 9,584
- BOOK-THIN 11 in Kentucky
- PHOTO-FINISH Maryjane Cerrone · ±0.1
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Maryjane Cerrone…
Maryjane Cerrone
84.7 MIPS pts
- Bray · this prov…
Bray · this provider
84.8 MIPS pts
- Carol Jones · near
Carol Jones
85.1 MIPS pts
- Nicole Murray · …
Nicole Murray
85.2 MIPS pts
- Ingrid Hazlett ·…
Ingrid Hazlett
85.4 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Deborah Bray, APRN's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
85 ≥ 42nd percentile 42% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Deborah Bray, APRN sits
This provider among clinical nurse specialist peers
Across the 132 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 100% of them and scores higher on MIPS quality than 52% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
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
9,584 9× vs specialty avg
MIPS final score
84.8/100 1.3 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 83.5 national avg · 2023 performance year
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).
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
Measured-score avg: 83.5
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 20.0%
Clinical Nurse Specialist average
20% brand-name claims vs 80% generic, on 9,584 2024 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 2024.
9,584
Total Claims
$1.7M
Total Drug Cost
1,876
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 20,066.067
- Total Day Supply
- 592,467
- Brand vs Generic
- 20% brand / 80% generic
- Brand Drug Cost
- $1.5M
- Generic Drug Cost
- $118K
Patient Demographics
- Average Patient Age
- 74.5 years
- Avg HCC Risk Score
- 1.65
- Gender Split
- 46% female / 54% male
- Age Distribution
- <65: 184, 65-74: 744, 75-84: 720, 85+: 228
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Deborah Bray, APRN prescribes most
Top Medicare Part D drugs by claim count, 2024
- Metoprolol Succinate
Metoprolol Succinate
966 claims
- Eliquis
Eliquis
785 claims
- Isosorbide Mononit…
Isosorbide Mononitrate Er
442 claims
- Atorvastatin Calcium
Atorvastatin Calcium
429 claims
- Spironolactone
Spironolactone
422 claims
- Metoprolol Tartrate
Metoprolol Tartrate
401 claims
- Amlodipine Besylate 386
Amlodipine Besylate
386 claims
- Entresto 386
Entresto
386 claims
| Drug | Claims |
|---|---|
| Metoprolol Succinate | 966 |
| Eliquis Apixaban | 785 |
| Isosorbide Mononitrate Er Isosorbide Mononitrate | 442 |
| Atorvastatin Calcium | 429 |
| Spironolactone | 422 |
| Metoprolol Tartrate | 401 |
| Amlodipine Besylate | 386 |
| Entresto Sacubitril/Valsartan | 386 |
| Furosemide | 374 |
| Clopidogrel Clopidogrel Bisulfate | 358 |
* 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.
1,760
Clinical Nurse Specialist Providers in US
51
States with Clinical Nurse Specialist
1,012
Avg Claims per Provider
Deborah Bray, APRN's 9,584 claims are above the specialty average of 1,012.
Nationwide Clinical Nurse Specialist peers with similar MIPS or enrollment year
Two federal-record peer sets for Bray, both outside Kentucky so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (84.8 here).
Same NPPES enumeration year (2010)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
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.
One of 11 Clinical Nurse Specialist providers enrolled in Kentucky, 5 are shown here.
Stephanie Allison
ARNP
Louisville, KY
Rhonda Casey
CNS
Louisville, KY
Melissa Johnson
A.P.R.N.
Murray, KY
Casie Kichler
APRN
Louisville, KY
Crystal Labbato
APRN
Louisville, KY
Compare Clinical Nurse Specialist nationally: see state-by-state distribution →
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 2024, Deborah Bray, APRN wrote 9,584 Medicare Part D claims totaling $1.7M in drug costs for 1,876 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 average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. 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 20% brand-name and 80% generic drugs by claim count, with $1.5M in brand drug costs.
How many Clinical Nurse Specialist providers are there in the US? ▼
There are 1,760 Clinical Nurse Specialist providers across 51 states in the US. The average Clinical Nurse Specialist provider writes 1,012 Medicare Part D claims per year.
What drugs does Deborah Bray, APRN prescribe most often? ▼
Based on 2024 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 9,584 Part D claims and 1,876 Medicare beneficiaries in 2024. 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.