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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 284 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
266
Medicare Part D claims · 88 beneficiaries · Medical-Surgical Clinical Nurse Specialist avg: 597
MIPS score
84.8/100
▲ 1 pts above national avg 83.5 · Above neutral
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Compiled from official public sources by the editorial process.

What the federal data shows

Donna Riley, APRN reported a CMS MIPS final score of 84.8/100 - above the 83.5 national average - and filed 266 Medicare Part D claims in 2024.

84.8/100
MIPS score · +1 vs avg
266
Part D claims, 2024
≥42nd
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 Donna Riley, APRN

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 1417940974), first enumerated 08/30/2005.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 266 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 84.8/100 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 1417940974 · Medical-Surgical Clinical Nurse Specialist

NPI-10 · ENUM-LEGACY · TAX-TRACE · MIPS-INLINE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1417940974
  • ENUM-LEGACY 2005
  • TAX-TRACE 284
  • MIPS-INLINE 84.8/100
  • RX-LIGHT 266
  • BOOK-THIN 21 in Missouri
  • PHOTO-FINISH Patricia Bozeman, APRN · ±0.3

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Donna Riley, APRN'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.

85 ≥ 42nd percentile 42% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

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 Riley, APRN sits

This provider among medical-surgical clinical nurse specialist peers

Across the 15 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 33% of them and scores higher on MIPS quality than 40% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 79 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 64Point, Part D claim volume, percentile in specialty: 21 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 86 · MIPS quality, percentile: 29Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 14Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 36Point, Part D claim volume, percentile in specialty: 14 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 100Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 71Point, Part D claim volume, percentile in specialty: 29 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 79Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 21Point, Part D claim volume, percentile in specialty: 71 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 64 · MIPS quality, percentile: 86Donna Riley, APRN, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 40
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 14; 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

284 US NPIs in this specialty

Medicare Part D claims

266 55% vs specialty avg

2024 prescription claims

Specialty avg: 597

MIPS final score

84.8/100 1.3 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Missouri

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

Missouri providers
Professional Counselor4.8%Pharmacist4.8%Clinical Social Worker4.5%Speech-Language Pathologist4.5%Family Nurse Practitioner4.3%Physical Therapist4%Medical-Surgical Clinical Nu…0%
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 83.5 national avg · 2023 performance year
0%100%National avg84%84.8%
MIPS final score (Medical-Surgical Clinical Nurse Specialist) - 84.8/100 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).

Practice Address

1 S KEENE ST
Columbia, MO 65201
(573) 443-2402

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
Measured-score avg: 83.5
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 2024.

266
Total Claims
$2K
Total Drug Cost
88
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
318
Total Day Supply
8,822
Brand Drug Cost
$0
Generic Drug Cost
$2K
Opioid Claims
13 (4.9% rate)

Patient Demographics

Average Patient Age
70.8 years
Avg HCC Risk Score
0.69
Gender Split
53% female / 47% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Donna Riley, APRN prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Diclofenac Sodium
 128
Meloxicam
 67
Celecoxib
 32

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

More Medical-Surgical Clinical Nurse Specialist in MO → All providers in Missouri → Compare specialties →

Medical-Surgical Clinical Nurse Specialist Overview

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

284
Medical-Surgical Clinical Nurse Specialist Providers in US
39
States with Medical-Surgical Clinical Nurse Specialist
597
Avg Claims per Provider

Donna Riley, APRN's 266 claims are below the specialty average of 597.

Nationwide Medical-Surgical Clinical Nurse Specialist peers with similar MIPS or enrollment year

Two federal-record peer sets for Riley, both outside Missouri so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (84.8 here).

Patricia Bozeman 84.5 CT Angela Flinn 85.5 PA Ashley Davila 83.4 TX Tracy Houle 87.8 CT

Same NPPES enumeration year (2005)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Patricia Bozeman Hartford, CT Raymond Nimeskern Cincinnati, OH Karen Lyon Tomball, TX Marianne Davies New Haven, CT

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.

One of 21 Medical-Surgical Clinical Nurse Specialist providers enrolled in Missouri, 5 are shown here.

Marcia Beck
APRN, BC
Kansas City, MO
Debra Buback
RN, MSN, ANP
Saint Louis, MO
Lavonne Burrows
RN BC M-SCNS
Branson, MO
Janice Dennis
RN, BC, M-SCNS
Kansas City, MO
Mary Dorsey
APN-BC
Saint Louis, MO

Compare Medical-Surgical Clinical Nurse Specialist nationally: see state-by-state distribution →

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 2024, Donna Riley, APRN wrote 266 Medicare Part D claims totaling $2K in drug costs for 88 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 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 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 13 opioid claims in 2024 with an opioid prescribing rate of 4.9%.
How many Medical-Surgical Clinical Nurse Specialist providers are there in the US? ▼
There are 284 Medical-Surgical Clinical Nurse Specialist providers across 39 states in the US. The average Medical-Surgical Clinical Nurse Specialist provider writes 597 Medicare Part D claims per year.
What drugs does Donna Riley, APRN prescribe most often? ▼
Based on 2024 Medicare Part D data, Donna Riley, APRN's most frequently prescribed drugs include Diclofenac Sodium, Meloxicam, Celecoxib. 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 266 Part D claims and 88 Medicare beneficiaries in 2024. 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 (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

Compiled from official public sources by the editorial process.

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.