NPI registry status
Active
2026 NPPES data Adult Health Clinical Nurse Specialist NPI 1669700803 RN, CNS, MSN
Verify on CMS → Donna Preble, RN, CNS, MSN
Adult Health Clinical Nurse Specialist in Austin, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,379 in Adult Health 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
219
Medicare Part D claims · 66 beneficiaries · Adult Health Clinical Nurse Specialist avg: 1K
Generic prescribing
74%
generic claims · 26% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
89.4/100
▲ 6 pts above national avg 83.5 · Exceptional
Industry payments
$248.89
5 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Donna Preble, RN, CNS, MSN reported a CMS MIPS final score of 89.4/100 - above the 83.5 national average - and filed 219 Medicare Part D claims in 2023.
- 89.4/100
- MIPS score · +6 vs avg
- 219
- Part D claims, 2023
- 74%
- generic prescribing
- $248.89
- 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.
Donna Preble, RN, CNS, MSN'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.
89 ≥ 56th percentile 56% 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 Donna Preble, RN, CNS, MSN sits
This provider among adult health clinical nurse specialist peers
Across the 141 adult health clinical nurse specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Donna Preble, RN, CNS, MSN writes more Part D claims than 33% of them and scores higher on MIPS quality than 62% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one adult health clinical nurse specialist peer from a representative sample of 60; the gold marker is Donna Preble, RN, CNS, MSN. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Donna Preble, RN, CNS, MSN?
High performer (top quartile)Primary specialty
Adult Health Clinical Nurse Specialist
Medicare Part D claims
219 80% vs specialty avg
MIPS final score
89.4/100 5.9 pts vs avg
Specialty distribution in Texas
How Adult Health Clinical Nurse Specialist compares to other specialties among Texas providers
Medicare quality performance, MIPS
Donna Preble, RN, CNS, MSN's 2023 MIPS final score plotted against the Adult Health Clinical Nurse Specialist national average
- MIPS Final Score
- 89.4/100
- vs 83.5 national avg · 2023 performance year
MIPS final score (Adult Health Clinical Nurse Specialist) - 89.4/100 vs national avg 83.5
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).
Donna Preble, RN, CNS, MSN appears in the CMS NPPES registry as an Adult Health Clinical Nurse Specialist provider holding RN, CNS, MSN credentials at 6204 BALCONES DR, Austin, TX, 78731, with a listed phone of (512) 427-9400. NPI 1669700803 was issued on 11/30/2009.
Medicare Part D records for calendar year 2023 show 219 prescription claims written by this provider, covering 66 Medicare beneficiaries and totaling roughly $440K in drug spend, split 26% brand-name and 74% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 89.4/100 for the 2023 performance year (Quality 75.9), compared with the 83.5 average among clinicians with a measured score.
Adult Health Clinical Nurse Specialist is a narrow specialty nationwide, with 1,379 enrolled providers across 49 states and an average of 1,088 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 | 1669700803 |
|---|---|
| Specialty | Adult Health Clinical Nurse Specialist |
| Credentials | RN, CNS, MSN |
| Gender | Female |
| NPI Issued | 11/30/2009 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
89.4449
Final Score
Measured-score avg: 83.5
75.8575
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Donna Preble, RN, CNS, MSN 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.
Texas Oncology PA
Austin, TX
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 Donna Preble, RN, CNS, MSN. Source: openpaymentsdata.cms.gov.
Total received
$249
Largest payer
Janssen Biotech, Inc.
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.
License & disciplinary context - Texas TMB 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 - they are NOT specific to Donna Preble, RN, CNS, MSN. To verify Donna Preble, RN, CNS, MSN's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Above average
Donna Preble, RN, CNS, MSN - brand share 26.0%
Adult Health Clinical Nurse Specialist average
26% brand-name claims vs 74% generic, on 219 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.
219
Total Claims
$440K
Total Drug Cost
66
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 308
- Total Day Supply
- 8,203
- Brand vs Generic
- 26% brand / 74% generic
- Brand Drug Cost
- $432K
- Generic Drug Cost
- $8K
- Antibiotic Claims
- 11
Patient Demographics
- Average Patient Age
- 73.8 years
- Avg HCC Risk Score
- 2.42
- Gender Split
- 52% female / 48% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Donna Preble, RN, CNS, MSN prescribes most
Top Medicare Part D drugs by claim count, 2023
- Verzenio
Verzenio
15 claims
- Anastrozole
Anastrozole
14 claims
- Potassium Chloride
Potassium Chloride
13 claims
- Zarxio
Zarxio
13 claims
- Hydroxyurea
Hydroxyurea
12 claims
| Drug | Claims |
|---|---|
| Verzenio Abemaciclib | 15 |
| Anastrozole | 14 |
| Potassium Chloride | 13 |
| Zarxio Filgrastim-Sndz | 13 |
| Hydroxyurea | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Adult Health Clinical Nurse Specialist Overview
How Donna Preble, RN, CNS, MSN fits within the Adult Health Clinical Nurse Specialist landscape nationally.
1,379
Adult Health Clinical Nurse Specialist Providers in US
49
States with Adult Health Clinical Nurse Specialist
1,088
Avg Claims per Provider
Donna Preble, RN, CNS, MSN's 219 claims are below the specialty average of 1,088.
Nearby Adult Health Clinical Nurse Specialist Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Preble.
Zeena Abdul-Kafor
Round Rock, TX
Dr. Michelle Alexandre
ACNS-BC
Plano, TX
Dr. Sherry Alvarado
RN,MSN,ACNS-BC
Temple, TX
Dr. Jennifer Arce
APRN, FNP, CNS
Austin, TX
Jeanette Armstrong
San Antonio, TX
Compare Adult Health Clinical Nurse Specialist 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 Texas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Adult Health Clinical Nurse Specialist 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.
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Frequently Asked Questions
What is Donna Preble, RN, CNS, MSN's specialty? ▼
Donna Preble, RN, CNS, MSN specializes in Adult Health Clinical Nurse Specialist and practices in Austin, Texas. Credentials: RN, CNS, MSN.
How much does Donna Preble, RN, CNS, MSN prescribe under Medicare Part D? ▼
In 2023, Donna Preble, RN, CNS, MSN wrote 219 Medicare Part D claims totaling $440K in drug costs for 66 beneficiaries.
What is Donna Preble, RN, CNS, MSN's Medicare quality score? ▼
Donna Preble, RN, CNS, MSN has a CMS MIPS Final Score of 89.4/100 (Quality: 75.9). 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 Donna Preble, RN, CNS, MSN located? ▼
Donna Preble, RN, CNS, MSN is located at 6204 BALCONES DR, Austin, TX, 78731. Phone: (512) 427-9400.
What is Donna Preble, RN, CNS, MSN's NPI number? ▼
Donna Preble, RN, CNS, MSN's National Provider Identifier (NPI) is 1669700803, issued on 11/30/2009.
Does Donna Preble, RN, CNS, MSN prescribe more brand-name or generic drugs? ▼
Donna Preble, RN, CNS, MSN's prescribing is 26% brand-name and 74% generic drugs by claim count, with $432K in brand drug costs.
How many Adult Health Clinical Nurse Specialist providers are there in the US? ▼
There are 1,379 Adult Health Clinical Nurse Specialist providers across 49 states in the US. The average Adult Health Clinical Nurse Specialist provider writes 1,088 Medicare Part D claims per year.
What drugs does Donna Preble, RN, CNS, MSN prescribe most often? ▼
Based on 2023 Medicare Part D data, Donna Preble, RN, CNS, MSN's most frequently prescribed drugs include Verzenio, Anastrozole, Potassium Chloride. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Donna Preble, RN, CNS, MSN accept Medicare? ▼
Donna Preble, RN, CNS, MSN appears in CMS Medicare data with 219 Part D claims and 66 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Donna Preble, RN, CNS, MSN's credentials? ▼
Donna Preble, RN, CNS, MSN's NPI is 1669700803 with credentials RN, CNS, MSN. 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.
- 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 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
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.