2026 NPPES data Acute Care Clinical Nurse Specialist NPI 1306139365 APN
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DEBORAH UPCHURCH HOWARD, APN

Acute Care Clinical Nurse Specialist in WARTBURG, Tennessee. 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
195
Medicare Part D claims · 68 beneficiaries · Acute Care Clinical Nurse Specialist avg: 773
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

DEBORAH UPCHURCH HOWARD, APN filed 195 Medicare Part D claims in 2023 as a Acute Care Clinical Nurse Specialist in WARTBURG, Tennessee, prescribing 91% generic.

195
Part D claims, 2023
91%
generic prescribing

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 UPCHURCH HOWARD, APN's Medicare Part D volume vs every U.S. prescriber

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

195 35th percentile higher than 35% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 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 DEBORAH UPCHURCH HOWARD, APN?

Quality data not reported

NPI registry status

Active

Issued 05/25/2011

NPI 1306139365

Primary specialty

Acute Care Clinical Nurse Specialist

Niche

510 US NPIs in this specialty

Medicare Part D claims

195 75% vs specialty avg

2023 prescription claims

Specialty avg: 773

Specialty distribution in Tennessee

How Acute Care Clinical Nurse Specialist compares to other specialties among Tennessee providers

Tennessee providers

Acute Care Clinical Nurse Specialist share within Tennessee

1. Acute Care Clinical Nurse Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Acute Care Clinical Nurse Specialist share within Tennessee

Specialty board-certification context

Estimated specialty board-certified rate — Acute Care Clinical Nurse Specialist (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Acute Care Clinical Nurse Specialist ABMS/AOA estimate

Est. board-certified rate (Acute Care Clinical Nurse Specialist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Acute Care Clinical Nurse Specialist) — 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).

DEBORAH UPCHURCH HOWARD, APN is a Acute Care Clinical Nurse Specialist provider practicing in WARTBURG, Tennessee, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: APN. NPI: 1306139365. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

DEBORAH UPCHURCH HOWARD, APN appears in the CMS NPPES registry as a Acute Care Clinical Nurse Specialist provider holding APN credentials at 1236 KNOXVILLE HWY, WARTBURG, TN, 37887, with a listed phone of (423) 346-5566. NPI 1306139365 was issued on 05/25/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what UPCHURCH HOWARD 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 195 prescription claims written by this provider, covering 68 Medicare beneficiaries and totaling roughly $7K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 10.3%. 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.

Acute Care Clinical Nurse Specialist is a narrow specialty nationwide, with 510 enrolled providers across 47 states and an average of 773 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

1236 KNOXVILLE HWY
WARTBURG, TN 37887

Provider Details

NPI 1306139365
Specialty Acute Care Clinical Nurse Specialist
Credentials APN
Gender Female
NPI Issued 05/25/2011

Brand vs generic prescribing mix · Generic-heavy

DEBORAH UPCHURCH HOWARD, APN — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 195 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.

195
Total Claims
$7K
Total Drug Cost
68
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
198
Total Day Supply
3,714
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$1K
Generic Drug Cost
$6K
Opioid Claims
20 (10.3% rate)
Antibiotic Claims
28

Patient Demographics

Average Patient Age
71.5 years
Avg HCC Risk Score
2.83
Gender Split
38% female / 62% male
Age Distribution
<65: 15, 65-74: 28, 75-84: 14, 85+: 11

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Gentamicin Sulfate
59
Gabapentin
25
Tramadol Hcl
20
Temazepam
17
Duloxetine Hcl
12

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

Acute Care Clinical Nurse Specialist Overview

How DEBORAH UPCHURCH HOWARD, APN fits within the Acute Care Clinical Nurse Specialist landscape nationally.

510
Acute Care Clinical Nurse Specialist Providers in US
47
States with Acute Care Clinical Nurse Specialist
773
Avg Claims per Provider

DEBORAH UPCHURCH HOWARD, APN's 195 claims are below the specialty average of 773.

Nearby Acute Care Clinical Nurse Specialist Providers in Tennessee

Other clinicians with the same primary specialty enrolled in Tennessee, drawn from the same CMS NPPES roster as UPCHURCH HOWARD.

Compare Acute Care Clinical Nurse Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is DEBORAH UPCHURCH HOWARD, APN's specialty?
DEBORAH UPCHURCH HOWARD, APN specializes in Acute Care Clinical Nurse Specialist and practices in WARTBURG, Tennessee. Credentials: APN.
How much does DEBORAH UPCHURCH HOWARD, APN prescribe under Medicare Part D?
In 2023, DEBORAH UPCHURCH HOWARD, APN wrote 195 Medicare Part D claims totaling $7K in drug costs for 68 beneficiaries.
Where is DEBORAH UPCHURCH HOWARD, APN located?
DEBORAH UPCHURCH HOWARD, APN is located at 1236 KNOXVILLE HWY, WARTBURG, TN, 37887. Phone: (423) 346-5566.
What is DEBORAH UPCHURCH HOWARD, APN's NPI number?
DEBORAH UPCHURCH HOWARD, APN's National Provider Identifier (NPI) is 1306139365, issued on 05/25/2011.
Does DEBORAH UPCHURCH HOWARD, APN prescribe more brand-name or generic drugs?
DEBORAH UPCHURCH HOWARD, APN's prescribing is 9% brand-name and 91% generic drugs by claim count, with $1K in brand drug costs.
Does DEBORAH UPCHURCH HOWARD, APN prescribe opioids?
Yes, DEBORAH UPCHURCH HOWARD, APN had 20 opioid claims in 2023 with an opioid prescribing rate of 10.3%.
How many Acute Care Clinical Nurse Specialist providers are there in the US?
There are 510 Acute Care Clinical Nurse Specialist providers across 47 states in the US. The average Acute Care Clinical Nurse Specialist provider writes 773 Medicare Part D claims per year.
What drugs does DEBORAH UPCHURCH HOWARD, APN prescribe most often?
Based on 2023 Medicare Part D data, DEBORAH UPCHURCH HOWARD, APN's most frequently prescribed drugs include Gentamicin Sulfate, Gabapentin, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DEBORAH UPCHURCH HOWARD, APN accept Medicare?
DEBORAH UPCHURCH HOWARD, APN appears in CMS Medicare data with 195 Part D claims and 68 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DEBORAH UPCHURCH HOWARD, APN's credentials?
DEBORAH UPCHURCH HOWARD, APN's NPI is 1306139365 with credentials APN. 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