2026 NPPES data Primary Care Nurse Practitioner NPI 1669974119 NURSE PRACTITIONER
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DONALD AVERY, NURSE PRACTITIONER

Primary Care Nurse Practitioner in LEXINGTON, Kentucky. 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
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

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

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). This entry sits in this band. 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 DONALD AVERY, NURSE PRACTITIONER?

Quality data not reported

NPI registry status

Active

Issued 03/01/2018

NPI 1669974119

Primary specialty

Primary Care Nurse Practitioner

Mid-sized

10,138 US NPIs in this specialty

Medicare Part D claims

1,195 12% vs specialty avg

2023 prescription claims

Specialty avg: 1,363

Specialty distribution in Kentucky

How Primary Care Nurse Practitioner compares to other specialties among Kentucky providers

Kentucky providers

Primary Care Nurse Practitioner share within Kentucky

1. Primary Care Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Primary Care Nurse Practitioner share within Kentucky

Specialty board-certification context

Estimated specialty board-certified rate — Primary Care Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Primary Care Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Primary Care Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Primary Care Nurse Practitioner) — 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).

DONALD AVERY, NURSE PRACTITIONER is a Primary Care Nurse Practitioner provider practicing in LEXINGTON, Kentucky, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: NURSE PRACTITIONER. NPI: 1669974119. 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.

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AVERY 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 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%. 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.

Primary Care Nurse Practitioner is a mid-sized specialty nationwide, with 10,138 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

1050 CHINOE RD STE 350
LEXINGTON, KY 40502

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%
Specialty average (est.)

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.

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.

10,138
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.

Compare Primary Care Nurse Practitioner nationally: see state-by-state distribution →

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 10,138 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

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