NPI registry status
Active
2026 NPPES data Family Nurse Practitioner NPI 1013381391 NP-C
Verify on CMS → Donald Spoon, NP-C
Family Nurse Practitioner in Monroe, Georgia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 216,959 in Family 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
319
Medicare Part D claims · 201 beneficiaries · Family Nurse Practitioner avg: 1K
MIPS score
51.3/100
▼ 32 pts below national avg 83.5 · Mid-tier
What the federal data shows
Donald Spoon, NP-C reported a CMS MIPS final score of 51.3/100 - below the 83.5 national average - and filed 319 Medicare Part D claims in 2024.
- 51.3/100
- MIPS score · -32 vs avg
- 319
- Part D claims, 2024
- ≥5th
- pct among measured MIPS (lower-bound band)
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 Donald Spoon, NP-C
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 1013381391), first enumerated 11/24/2015.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 319 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 51.3/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- 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 1013381391 · Family Nurse Practitioner
NPI-10 · ENUM-MID · TAX-MEGA · MIPS-LOW · RX-LIGHT · BOOK-MID · PHOTO-FINISH
- NPI-10 1013381391
- ENUM-MID 2015
- TAX-MEGA 217K Family Nurse
- MIPS-LOW 51.3/100
- RX-LIGHT 319
- BOOK-MID 8,120 in Georgia
- PHOTO-FINISH Kirtiben Mulji · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- David Nash · low…
David Nash
51.2 MIPS pts
- Carolyn Estes · …
Carolyn Estes
51.2 MIPS pts
- Spoon · this pro…
Spoon · this provider
51.3 MIPS pts
- Kirtiben Mulji ·…
Kirtiben Mulji
51.3 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Donald Spoon, NP-C'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.
51 ≥ 5th percentile 5% 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 Donald Spoon, NP-C sits
This provider among family nurse practitioner peers
Across the 26,556 family nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Donald Spoon, NP-C writes more Part D claims than 44% of them and scores higher on MIPS quality than 3% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one family nurse practitioner peer from a representative sample of 60; the gold marker is Donald Spoon, NP-C. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Donald Spoon, NP-C?
Below national averagePrimary specialty
Family Nurse Practitioner
Medicare Part D claims
319 75% vs specialty avg
MIPS final score
51.3/100 32.2 pts vs avg
Specialty distribution in Georgia
How Family Nurse Practitioner compares to other specialties among Georgia providers
Medicare quality performance, MIPS
Donald Spoon, NP-C's 2023 MIPS final score plotted against the Family Nurse Practitioner national average
- MIPS Final Score
- 51.3/100
- 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 | 1013381391 |
|---|---|
| Specialty | Family Nurse Practitioner |
| Credentials | NP-C |
| Gender | Male |
| NPI Issued | 11/24/2015 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
51.2604
Final Score
Measured-score avg: 83.5
16.7751
Quality
46.593
Cost
99
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Donald Spoon, NP-C 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.
Pine Ridge Indian Health Service Hospital
Pine Ridge, SD
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
319
Total Claims
$2K
Total Drug Cost
201
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 321
- Total Day Supply
- 2,662
- Generic Drug Cost
- $2K
- Opioid Claims
- 16 (5.0% rate)
- Antibiotic Claims
- 84
Patient Demographics
- Average Patient Age
- 68.3 years
- Avg HCC Risk Score
- 1.77
- Gender Split
- 70% female / 30% male
- Age Distribution
- <65: 53, 65-74: 84, 75-84: 41, 85+: 23
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Donald Spoon, NP-C prescribes most
Top Medicare Part D drugs by claim count, 2024
- Prednisone
Prednisone
61 claims
- Cephalexin
Cephalexin
33 claims
- Ibuprofen
Ibuprofen
32 claims
- Ondansetron Odt
Ondansetron Odt
27 claims
- Doxycycline Hyclate 11
Doxycycline Hyclate
11 claims
| Drug | Claims |
|---|---|
| Prednisone | 61 |
| Cephalexin | 33 |
| Ibuprofen | 32 |
| Ondansetron Odt Ondansetron | 27 |
| Doxycycline Hyclate | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Nurse Practitioner Overview
How Donald Spoon, NP-C fits within the Family Nurse Practitioner landscape nationally.
216,959
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,302
Avg Claims per Provider
Donald Spoon, NP-C's 319 claims are below the specialty average of 1,302.
Nationwide Family Nurse Practitioner peers with similar MIPS or enrollment year
Two federal-record peer sets for Spoon, both outside Georgia so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (51.3 here).
Same NPPES enumeration year (2015)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Nurse Practitioner Providers in Georgia
Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as Spoon.
One of 8,120 Family Nurse Practitioner providers enrolled in Georgia, 5 are shown here.
Diana Ababio
NP
Decatur, GA
Dr. Ugomma Abanukam
DNP, FNP
Atlanta, GA
Adefunke Abatan
NP
Hampton, GA
Johnna Abbasi
FNP
Cedartown, GA
Lisa Abbott
NP
Marietta, GA
Compare Family Nurse Practitioner nationally: see state-by-state distribution →
Frequently Asked Questions
What is Donald Spoon, NP-C's specialty? ▼
Donald Spoon, NP-C specializes in Family Nurse Practitioner and practices in Monroe, Georgia. Credentials: NP-C.
How much does Donald Spoon, NP-C prescribe under Medicare Part D? ▼
In 2024, Donald Spoon, NP-C wrote 319 Medicare Part D claims totaling $2K in drug costs for 201 beneficiaries.
What is Donald Spoon, NP-C's Medicare quality score? ▼
Donald Spoon, NP-C has a CMS MIPS Final Score of 51.3/100 (Quality: 16.8, Cost: 46.6). 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 Donald Spoon, NP-C located? ▼
Donald Spoon, NP-C is located at 2151 W SPRING ST, Monroe, GA, 30655. Phone: (770) 267-1789.
What is Donald Spoon, NP-C's NPI number? ▼
Donald Spoon, NP-C's National Provider Identifier (NPI) is 1013381391, issued on 11/24/2015.
Does Donald Spoon, NP-C prescribe opioids? ▼
Yes, Donald Spoon, NP-C had 16 opioid claims in 2024 with an opioid prescribing rate of 5.0%.
How many Family Nurse Practitioner providers are there in the US? ▼
There are 216,959 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,302 Medicare Part D claims per year.
What drugs does Donald Spoon, NP-C prescribe most often? ▼
Based on 2024 Medicare Part D data, Donald Spoon, NP-C's most frequently prescribed drugs include Prednisone, Cephalexin, Ibuprofen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Donald Spoon, NP-C accept Medicare? ▼
Donald Spoon, NP-C appears in CMS Medicare data with 319 Part D claims and 201 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Donald Spoon, NP-C's credentials? ▼
Donald Spoon, NP-C's NPI is 1013381391 with credentials NP-C. 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.