2026 NPPES data Psychiatric/Mental Health Nurse Practitioner NPI 1972199347
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EDWARD AVILES

Psychiatric/Mental Health Nurse Practitioner in KANSAS CITY, Missouri. 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
2K
Medicare Part D claims · 100 beneficiaries · Psychiatric/Mental Health Nurse Practitioner avg: 927
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
98.2888/100
▲ 15 pts above national avg 83.1 · [object Object]
Industry payments
$1.0K
51 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: EDWARD AVILES is a Psychiatric/Mental Health Nurse Practitioner ([object Object]) practicing in KANSAS CITY, Missouri with a Medicare Part D prescribing footprint of 2K claims across 100 beneficiaries — 16% brand-name prescribing . Their CMS MIPS Final Score of 98.2888/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.0K across 51 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: EDWARD AVILES reported a CMS MIPS final score of 98.2888 out of 100, above the 83.1 national average, and filed 2,256 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

EDWARD AVILES at a glance

High performer (top quartile)

NPI registry status

Active

Issued 12/18/2020

NPI 1972199347

Primary specialty

Psychiatric/Mental Health Nurse Practitioner

Mid-sized

39,953 US NPIs in this specialty

Medicare Part D claims

2,256 143% vs specialty avg

2023 prescription claims

Specialty avg: 927

MIPS final score

98.2888/100 15.1888% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Missouri

How Psychiatric/Mental Health Nurse Practitioner compares to other specialties among Missouri providers

Missouri providers

Psychiatric/Mental Health Nurse Practitioner share within Missouri

1. Psychiatric/Mental Health Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Psychiatric/Mental Health Nurse Practitioner share within Missouri

Medicare quality performance — MIPS

EDWARD AVILES's 2023 MIPS final score plotted against the Psychiatric/Mental Health Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
98.2888/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Psychiatric/Mental Health Nurse Practitioner) — 98.2888/100 vs national avg 83.1

0%100%National avg83%98.3%
MIPS final score (Psychiatric/Mental Health Nurse Practitioner) — 98.2888/100 vs national avg 83.1

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).

EDWARD AVILES is a Psychiatric/Mental Health Nurse Practitioner provider practicing in KANSAS CITY, Missouri, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1972199347. 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.

EDWARD AVILES appears in the CMS NPPES registry as a Psychiatric/Mental Health Nurse Practitioner provider at 3100 NE 83RD ST STE 1001, KANSAS CITY, MO, 64119, with a listed phone of (816) 468-0400. NPI 1972199347 was issued on 12/18/2020. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AVILES 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 2,256 prescription claims written by this provider, covering 100 Medicare beneficiaries and totaling roughly $934K in drug spend, split 16% brand-name and 84% generic by claim count. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 98.2888/100 for the 2023 performance year (Quality 80.1292, Cost 100), compared with the national average of 83.1.

Psychiatric/Mental Health Nurse Practitioner is a mid-sized specialty nationwide, with 39,953 enrolled providers across 54 states and an average of 927 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

3100 NE 83RD ST STE 1001
KANSAS CITY, MO 64119

Provider Details

NPI 1972199347
Specialty Psychiatric/Mental Health Nurse Practitioner
Gender Male
NPI Issued 12/18/2020

CMS Quality Score (MIPS)

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

98.2888
Final Score
Avg: 83.1
80.1292
Quality
100
Cost
97
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where EDWARD AVILES 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.

TRI-COUNTY MENTAL HEALTH SERVICES, INC
KANSAS CITY, 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).

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 EDWARD AVILES. Source: openpaymentsdata.cms.gov.

Total received

$1.0K

Largest payer

Alkermes, 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.

Brand vs generic prescribing mix · Typical

EDWARD AVILES — brand share 16.0%
Specialty average (est.)

16% brand-name claims vs 84% generic, on 2,256 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.

2,256
Total Claims
$934K
Total Drug Cost
100
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,614
Total Day Supply
75,222
Brand vs Generic
16% brand / 84% generic
Brand Drug Cost
$867K
Generic Drug Cost
$68K

Patient Demographics

Average Patient Age
52.5 years
Avg HCC Risk Score
1.65
Gender Split
59% female / 41% male
Age Distribution
<65: 77, 65-74: 18, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Trazodone Hcl
254
Bupropion Xl
Bupropion Hcl
140
Clonazepam
99
Prazosin Hcl
98
Sertraline Hcl
98
Venlafaxine Hcl Er
Venlafaxine Hcl
98
Duloxetine Hcl
85
Lamotrigine
76
Vraylar
Cariprazine Hcl
72
Aripiprazole
71

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

Psychiatric/Mental Health Nurse Practitioner Overview

How EDWARD AVILES fits within the Psychiatric/Mental Health Nurse Practitioner landscape nationally.

39,953
Psychiatric/Mental Health Nurse Practitioner Providers in US
54
States with Psychiatric/Mental Health Nurse Practitioner
927
Avg Claims per Provider

EDWARD AVILES's 2,256 claims are above the specialty average of 927.

Nearby Psychiatric/Mental Health Nurse Practitioner Providers in Missouri

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

Compare Psychiatric/Mental Health Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is EDWARD AVILES's specialty?
EDWARD AVILES specializes in Psychiatric/Mental Health Nurse Practitioner and practices in KANSAS CITY, Missouri.
How much does EDWARD AVILES prescribe under Medicare Part D?
In 2023, EDWARD AVILES wrote 2,256 Medicare Part D claims totaling $934K in drug costs for 100 beneficiaries.
What is EDWARD AVILES's Medicare quality score?
EDWARD AVILES has a CMS MIPS Final Score of 98.2888/100 (Quality: 80.1292, Cost: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is EDWARD AVILES located?
EDWARD AVILES is located at 3100 NE 83RD ST STE 1001, KANSAS CITY, MO, 64119. Phone: (816) 468-0400.
What is EDWARD AVILES's NPI number?
EDWARD AVILES's National Provider Identifier (NPI) is 1972199347, issued on 12/18/2020.
Does EDWARD AVILES prescribe more brand-name or generic drugs?
EDWARD AVILES's prescribing is 16% brand-name and 84% generic drugs by claim count, with $867K in brand drug costs.
How many Psychiatric/Mental Health Nurse Practitioner providers are there in the US?
There are 39,953 Psychiatric/Mental Health Nurse Practitioner providers across 54 states in the US. The average Psychiatric/Mental Health Nurse Practitioner provider writes 927 Medicare Part D claims per year.
What drugs does EDWARD AVILES prescribe most often?
Based on 2023 Medicare Part D data, EDWARD AVILES's most frequently prescribed drugs include Trazodone Hcl, Bupropion Xl, Clonazepam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does EDWARD AVILES accept Medicare?
EDWARD AVILES appears in CMS Medicare data with 2,256 Part D claims and 100 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify EDWARD AVILES's credentials?
EDWARD AVILES's NPI is 1972199347. 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.
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