2026 NPPES data Medical-Surgical Clinical Nurse Specialist NPI 1417940974 APRN
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Donna Riley, APRN

Medical-Surgical Clinical Nurse Specialist in Columbia, Missouri.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 282 in Medical-Surgical 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
173
Medicare Part D claims · 64 beneficiaries · Medical-Surgical Clinical Nurse Specialist avg: 570
MIPS score
84.8/100
▲ 2 pts above national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Donna Riley, APRN reported a CMS MIPS final score of 84.8/100 - above the 83.1 national average - and filed 173 Medicare Part D claims in 2023.

84.8/100
MIPS score · +2 vs avg
173
Part D claims, 2023

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 Riley, APRN's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

85 45th percentile higher than 45% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90+: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored 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.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Donna Riley, APRN sits

This provider among medical-surgical clinical nurse specialist peers

Across the 17 medical-surgical clinical nurse specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Donna Riley, APRN writes more Part D claims than 29% of them and scores higher on MIPS quality than 47% - placing this provider in the lower-volume, lower-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 31Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 19 · MIPS quality, percentile: 69Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 19Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 6Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 44Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 94Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 100Part D claim volume, percentile in specialty: 6 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 69 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 44 · MIPS quality, percentile: 81Part D claim volume, percentile in specialty: 94 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 81 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 56 · MIPS quality, percentile: 88Donna Riley, APRN-Part D claim volume, percentile in specialty: 29 · MIPS quality, percentile: 47
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one medical-surgical clinical nurse specialist peer from a representative sample of 16; the gold marker is Donna Riley, APRN. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Donna Riley, APRN?

Near national average

NPI registry status

Active

Issued 08/30/2005

NPI 1417940974

Primary specialty

Medical-Surgical Clinical Nurse Specialist

Rare

282 US NPIs in this specialty

Medicare Part D claims

173 70% vs specialty avg

2023 prescription claims

Specialty avg: 570

MIPS final score

84.8/100 1.7 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Missouri

How Medical-Surgical Clinical Nurse Specialist compares to other specialties among Missouri providers

Missouri providers
Pharmacist - 4.8%Pharmacist4.8%Professional Counselor - 4.8%Professional Counselor4.8%Speech-Language Pathologist - 4.5%Speech-Language Pathologist4.5%Clinical Social Worker - 4.5%Clinical Social Worker4.5%Family Nurse Practitioner - 4.3%Family Nurse Practitioner4.3%Physical Therapist - 4%Physical Therapist4%Medical-Surgical Clinical Nurse Specialist - 0%Medical-Surgical Clinical Nurse Specialist0%
Largest specialties in Missouri (% of in-state providers)

Medicare quality performance, MIPS

Donna Riley, APRN's 2023 MIPS final score plotted against the Medical-Surgical Clinical Nurse Specialist national average

Near national average
MIPS Final Score
84.8/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Medical-Surgical Clinical Nurse Specialist) - 84.8/100 vs national avg 83.1

0%100%National avg83%84.8%
MIPS final score (Medical-Surgical Clinical Nurse Specialist) - 84.8/100 vs national avg 83.1
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 Riley, APRN appears in the CMS NPPES registry as a Medical-Surgical Clinical Nurse Specialist provider holding APRN credentials at 1 S KEENE ST, Columbia, MO, 65201, with a listed phone of (573) 443-2402. NPI 1417940974 was issued on 08/30/2005.

Medicare Part D records for calendar year 2023 show 173 prescription claims written by this provider, covering 64 Medicare beneficiaries and totaling roughly $3K in drug spend, with an opioid prescribing rate of 15.6%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 84.8/100 for the 2023 performance year, compared with the national average of 83.1.

Medical-Surgical Clinical Nurse Specialist is a narrow specialty nationwide, with 282 enrolled providers across 39 states and an average of 570 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

1 S KEENE ST
Columbia, MO 65201

Provider Details

NPI 1417940974
Specialty Medical-Surgical Clinical Nurse Specialist
Credentials APRN
Gender Female
NPI Issued 08/30/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

84.7546
Final Score
Avg: 83.1
76.682
Cost
85
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Donna Riley, APRN 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.

Columbia Orthopaedic Group LLP
Columbia, MO

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 2023.

173
Total Claims
$3K
Total Drug Cost
64
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
205
Total Day Supply
5,073
Brand Drug Cost
$0
Generic Drug Cost
$3K
Opioid Claims
27 (15.6% rate)

Patient Demographics

Average Patient Age
71.1 years
Avg HCC Risk Score
0.70
Gender Split
59% female / 41% 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 Riley, APRN prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Diclofenac Sodium
64
Meloxicam
52
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
18

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

Medical-Surgical Clinical Nurse Specialist Overview

How Donna Riley, APRN fits within the Medical-Surgical Clinical Nurse Specialist landscape nationally.

282
Medical-Surgical Clinical Nurse Specialist Providers in US
39
States with Medical-Surgical Clinical Nurse Specialist
570
Avg Claims per Provider

Donna Riley, APRN's 173 claims are below the specialty average of 570.

Nearby Medical-Surgical Clinical Nurse Specialist Providers in Missouri

Other clinicians with the same primary specialty enrolled in Missouri, drawn from the same CMS NPPES roster as Riley.

Compare Medical-Surgical 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 Missouri medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Medical-Surgical 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.

Frequently Asked Questions

What is Donna Riley, APRN's specialty?
Donna Riley, APRN specializes in Medical-Surgical Clinical Nurse Specialist and practices in Columbia, Missouri. Credentials: APRN.
How much does Donna Riley, APRN prescribe under Medicare Part D?
In 2023, Donna Riley, APRN wrote 173 Medicare Part D claims totaling $3K in drug costs for 64 beneficiaries.
What is Donna Riley, APRN's Medicare quality score?
Donna Riley, APRN has a CMS MIPS Final Score of 84.8/100, Cost: 76.7. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Donna Riley, APRN located?
Donna Riley, APRN is located at 1 S KEENE ST, Columbia, MO, 65201. Phone: (573) 443-2402.
What is Donna Riley, APRN's NPI number?
Donna Riley, APRN's National Provider Identifier (NPI) is 1417940974, issued on 08/30/2005.
Does Donna Riley, APRN prescribe opioids?
Yes, Donna Riley, APRN had 27 opioid claims in 2023 with an opioid prescribing rate of 15.6%.
How many Medical-Surgical Clinical Nurse Specialist providers are there in the US?
There are 282 Medical-Surgical Clinical Nurse Specialist providers across 39 states in the US. The average Medical-Surgical Clinical Nurse Specialist provider writes 570 Medicare Part D claims per year.
What drugs does Donna Riley, APRN prescribe most often?
Based on 2023 Medicare Part D data, Donna Riley, APRN's most frequently prescribed drugs include Diclofenac Sodium, Meloxicam, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Donna Riley, APRN accept Medicare?
Donna Riley, APRN appears in CMS Medicare data with 173 Part D claims and 64 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Donna Riley, APRN's credentials?
Donna Riley, APRN's NPI is 1417940974 with credentials APRN. 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

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.