NPI registry status
Active
2026 NPPES data Primary Care Nurse Practitioner NPI 1669974119 NURSE PRACTITIONER
Verify on CMS → Donald Avery, NURSE PRACTITIONER
Primary Care Nurse Practitioner in Lexington, 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 10,179 in Primary Care Nurse Practitioner, 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
1K
Medicare Part D claims · 195 beneficiaries · Primary Care Nurse Practitioner avg: 1K
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
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
Donald Avery, NURSE PRACTITIONER filed 1,195 Medicare Part D claims in 2023 as a Primary Care Nurse Practitioner in Lexington, Kentucky, prescribing 84% generic.
- 1K
- Part D claims, 2023
- 84%
- 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.
Donald Avery, NURSE PRACTITIONER's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
1,195 Top 23% higher than 77% 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 Donald Avery, NURSE PRACTITIONER?
Quality data not reportedPrimary specialty
Primary Care Nurse Practitioner
Medicare Part D claims
1,195 12% vs specialty avg
Specialty distribution in Kentucky
How Primary Care Nurse Practitioner compares to other specialties among Kentucky providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Primary Care Nurse Practitioner. Verify directly:
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).
Donald Avery, NURSE PRACTITIONER appears in the CMS NPPES registry as a Primary Care Nurse Practitioner provider holding NURSE PRACTITIONER credentials at 1050 CHINOE RD STE 350, Lexington, KY, 40502, with a listed phone of (859) 255-0075. NPI 1669974119 was issued on 03/01/2018.
Medicare Part D records for calendar year 2023 show 1,195 prescription claims written by this provider, covering 195 Medicare beneficiaries and totaling roughly $90K in drug spend, split 16% brand-name and 84% generic by claim count, with an opioid prescribing rate of 6.5%.
Primary Care Nurse Practitioner is a mid-sized specialty nationwide, with 10,179 enrolled providers across 54 states and an average of 1,363 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 | 1669974119 |
|---|---|
| Specialty | Primary Care Nurse Practitioner |
| Credentials | NURSE PRACTITIONER |
| Gender | Male |
| NPI Issued | 03/01/2018 |
Hospital and facility affiliations
Facilities where Donald Avery, 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.
Exceptional Care Services LLC
Morgantown, WV
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Typical
Donald Avery, NURSE PRACTITIONER - brand share 16.0%
Primary Care Nurse Practitioner average
16% brand-name claims vs 84% generic, on 1,195 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.
1,195
Total Claims
$90K
Total Drug Cost
195
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,206
- Total Day Supply
- 25,375
- Brand vs Generic
- 16% brand / 84% generic
- Brand Drug Cost
- $62K
- Generic Drug Cost
- $28K
- Opioid Claims
- 78 (6.5% rate)
- Antibiotic Claims
- 15
Patient Demographics
- Average Patient Age
- 73.2 years
- Avg HCC Risk Score
- 3.08
- Gender Split
- 60% female / 40% male
- Age Distribution
- <65: 45, 65-74: 64, 75-84: 47, 85+: 39
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Donald Avery, NURSE PRACTITIONER prescribes most
Top Medicare Part D drugs by claim count, 2023
- Gabapentin
Gabapentin
144 claims
- Sertraline Hcl
Sertraline Hcl
68 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
62 claims
- Atorvastatin Calcium 55
Atorvastatin Calcium
55 claims
- Metformin Hcl 40
Metformin Hcl
40 claims
- Lorazepam 38
Lorazepam
38 claims
- Quetiapine Fumarate 31
Quetiapine Fumarate
31 claims
- Eliquis 29
Eliquis
29 claims
| Drug | Claims |
|---|---|
| Gabapentin | 144 |
| Sertraline Hcl | 68 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 62 |
| Atorvastatin Calcium | 55 |
| Metformin Hcl | 40 |
| Lorazepam | 38 |
| Quetiapine Fumarate | 31 |
| Eliquis Apixaban | 29 |
| Tamsulosin Hcl | 29 |
| Trazodone Hcl | 28 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Primary Care Nurse Practitioner Overview
How Donald Avery, NURSE PRACTITIONER fits within the Primary Care Nurse Practitioner landscape nationally.
10,179
Primary Care Nurse Practitioner Providers in US
54
States with Primary Care Nurse Practitioner
1,363
Avg Claims per Provider
Donald Avery, NURSE PRACTITIONER's 1,195 claims are below the specialty average of 1,363.
Nearby Primary Care Nurse Practitioner Providers in Kentucky
Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as Avery.
Dr. Cynthia Adams
APRN
Louisville, KY
Dr. Doris Adams
APRN
Lexington, KY
Dr. Heather Adams
APRN, FNP-C
Lexington, KY
Dr. Stephanie Adkins
APRN
Ashland, KY
Dr. Brandy Akers
APRN
Lexington, KY
Compare Primary Care Nurse Practitioner 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 Primary Care Nurse Practitioner 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.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Kentucky
Frequently Asked Questions
What is Donald Avery, NURSE PRACTITIONER's specialty? ▼
Donald Avery, NURSE PRACTITIONER specializes in Primary Care Nurse Practitioner and practices in Lexington, Kentucky. Credentials: NURSE PRACTITIONER.
How much does Donald Avery, NURSE PRACTITIONER prescribe under Medicare Part D? ▼
In 2023, Donald Avery, NURSE PRACTITIONER wrote 1,195 Medicare Part D claims totaling $90K in drug costs for 195 beneficiaries.
Where is Donald Avery, NURSE PRACTITIONER located? ▼
Donald Avery, NURSE PRACTITIONER is located at 1050 CHINOE RD STE 350, Lexington, KY, 40502. Phone: (859) 255-0075.
What is Donald Avery, NURSE PRACTITIONER's NPI number? ▼
Donald Avery, NURSE PRACTITIONER's National Provider Identifier (NPI) is 1669974119, issued on 03/01/2018.
Does Donald Avery, NURSE PRACTITIONER prescribe more brand-name or generic drugs? ▼
Donald Avery, NURSE PRACTITIONER's prescribing is 16% brand-name and 84% generic drugs by claim count, with $62K in brand drug costs.
Does Donald Avery, NURSE PRACTITIONER prescribe opioids? ▼
Yes, Donald Avery, NURSE PRACTITIONER had 78 opioid claims in 2023 with an opioid prescribing rate of 6.5%.
How many Primary Care Nurse Practitioner providers are there in the US? ▼
There are 10,179 Primary Care Nurse Practitioner providers across 54 states in the US. The average Primary Care Nurse Practitioner provider writes 1,363 Medicare Part D claims per year.
What drugs does Donald Avery, NURSE PRACTITIONER prescribe most often? ▼
Based on 2023 Medicare Part D data, Donald Avery, NURSE PRACTITIONER's most frequently prescribed drugs include Gabapentin, Sertraline Hcl, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Donald Avery, NURSE PRACTITIONER accept Medicare? ▼
Donald Avery, NURSE PRACTITIONER appears in CMS Medicare data with 1,195 Part D claims and 195 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Donald Avery, NURSE PRACTITIONER's credentials? ▼
Donald Avery, NURSE PRACTITIONER's NPI is 1669974119 with credentials NURSE PRACTITIONER. 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.
- 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.
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 May 2026.