2026 NPPES data Clinical Nurse Specialist NPI 1386281533 MSN, AOCNS, FNP-BC
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ELENA MCGINTY, MSN, AOCNS, FNP-BC

Clinical Nurse Specialist in WINSTON SALEM, North Carolina. 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
762
Medicare Part D claims · 57 beneficiaries · Clinical Nurse Specialist avg: 953
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
73.9208/100
▼ 9 pts below national avg 83.1 · [object Object]
Industry payments
$5.5K
172 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ELENA MCGINTY, MSN, AOCNS, FNP-BC is a Clinical Nurse Specialist ([object Object]) practicing in WINSTON SALEM, North Carolina with a Medicare Part D prescribing footprint of 762 claims across 57 beneficiaries — 9% brand-name prescribing . Their CMS MIPS Final Score of 73.9208/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $5.5K across 172 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ELENA MCGINTY, MSN, AOCNS, FNP-BC reported a CMS MIPS final score of 73.9208 out of 100, below the 83.1 national average, and filed 762 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

ELENA MCGINTY, MSN, AOCNS, FNP-BC at a glance

Below national average

NPI registry status

Active

Issued 12/06/2019

NPI 1386281533

Primary specialty

Clinical Nurse Specialist

Niche

1,708 US NPIs in this specialty

Medicare Part D claims

762 20% vs specialty avg

2023 prescription claims

Specialty avg: 953

MIPS final score

73.9208/100 9.179199999999994% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in North Carolina

How Clinical Nurse Specialist compares to other specialties among North Carolina providers

North Carolina providers

Clinical Nurse Specialist share within North Carolina

1. Clinical Nurse Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Clinical Nurse Specialist share within North Carolina

Medicare quality performance — MIPS

ELENA MCGINTY, MSN, AOCNS, FNP-BC's 2023 MIPS final score plotted against the Clinical Nurse Specialist national average

Below national average
MIPS Final Score
73.9208/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Clinical Nurse Specialist) — 73.9208/100 vs national avg 83.1

0%100%National avg83%73.9%
MIPS final score (Clinical Nurse Specialist) — 73.9208/100 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).

ELENA MCGINTY, MSN, AOCNS, FNP-BC is a Clinical Nurse Specialist provider practicing in WINSTON SALEM, North Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MSN, AOCNS, FNP-BC. NPI: 1386281533. 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.

ELENA MCGINTY, MSN, AOCNS, FNP-BC appears in the CMS NPPES registry as a Clinical Nurse Specialist provider holding MSN, AOCNS, FNP-BC credentials at 1225 CREEKSHIRE WAY, WINSTON SALEM, NC, 27103, with a listed phone of (336) 701-3111. NPI 1386281533 was issued on 12/06/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MCGINTY 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 762 prescription claims written by this provider, covering 57 Medicare beneficiaries and totaling roughly $108K in drug spend, split 9% brand-name and 91% 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 73.9208/100 for the 2023 performance year (Quality 42, Cost 95.236), compared with the national average of 83.1.

Clinical Nurse Specialist is a narrow specialty nationwide, with 1,708 enrolled providers across 49 states and an average of 953 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

1225 CREEKSHIRE WAY
WINSTON SALEM, NC 27103

Provider Details

NPI 1386281533
Specialty Clinical Nurse Specialist
Credentials MSN, AOCNS, FNP-BC
Gender Female
NPI Issued 12/06/2019

CMS Quality Score (MIPS)

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

73.9208
Final Score
Avg: 83.1
42
Quality
95.236
Cost
71
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ELENA MCGINTY, MSN, AOCNS, FNP-BC 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.

CERTUS PSYCHIATRY AND INTEGRATED CARE PLLC
WINSTON SALEM, NC

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 ELENA MCGINTY, MSN, AOCNS, FNP-BC. Source: openpaymentsdata.cms.gov.

Total received

$5.5K

Largest payer

ABBVIE 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 · Generic-heavy

ELENA MCGINTY, MSN, AOCNS, FNP-BC — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 762 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.

762
Total Claims
$108K
Total Drug Cost
57
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,069
Total Day Supply
30,558
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$89K
Generic Drug Cost
$19K

Patient Demographics

Average Patient Age
63.3 years
Avg HCC Risk Score
1.19
Gender Split
74% female / 26% male
Age Distribution
<65: 20, 65-74: 23, 75-84: 14, 85+: 0

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Clonazepam
54
Clozapine
40
Lamotrigine
38
Risperidone
37
Alprazolam
36
Fluoxetine Hcl
36
Trazodone Hcl
35
Buspirone Hcl
26
Duloxetine Hcl
25
Escitalopram Oxalate
24

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

Clinical Nurse Specialist Overview

How ELENA MCGINTY, MSN, AOCNS, FNP-BC fits within the Clinical Nurse Specialist landscape nationally.

1,708
Clinical Nurse Specialist Providers in US
49
States with Clinical Nurse Specialist
953
Avg Claims per Provider

ELENA MCGINTY, MSN, AOCNS, FNP-BC's 762 claims are below the specialty average of 953.

Nearby Clinical Nurse Specialist Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as MCGINTY.

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

Frequently Asked Questions

What is ELENA MCGINTY, MSN, AOCNS, FNP-BC's specialty?
ELENA MCGINTY, MSN, AOCNS, FNP-BC specializes in Clinical Nurse Specialist and practices in WINSTON SALEM, North Carolina. Credentials: MSN, AOCNS, FNP-BC.
How much does ELENA MCGINTY, MSN, AOCNS, FNP-BC prescribe under Medicare Part D?
In 2023, ELENA MCGINTY, MSN, AOCNS, FNP-BC wrote 762 Medicare Part D claims totaling $108K in drug costs for 57 beneficiaries.
What is ELENA MCGINTY, MSN, AOCNS, FNP-BC's Medicare quality score?
ELENA MCGINTY, MSN, AOCNS, FNP-BC has a CMS MIPS Final Score of 73.9208/100 (Quality: 42, Cost: 95.236). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ELENA MCGINTY, MSN, AOCNS, FNP-BC located?
ELENA MCGINTY, MSN, AOCNS, FNP-BC is located at 1225 CREEKSHIRE WAY, WINSTON SALEM, NC, 27103. Phone: (336) 701-3111.
What is ELENA MCGINTY, MSN, AOCNS, FNP-BC's NPI number?
ELENA MCGINTY, MSN, AOCNS, FNP-BC's National Provider Identifier (NPI) is 1386281533, issued on 12/06/2019.
Does ELENA MCGINTY, MSN, AOCNS, FNP-BC prescribe more brand-name or generic drugs?
ELENA MCGINTY, MSN, AOCNS, FNP-BC's prescribing is 9% brand-name and 91% generic drugs by claim count, with $89K in brand drug costs.
How many Clinical Nurse Specialist providers are there in the US?
There are 1,708 Clinical Nurse Specialist providers across 49 states in the US. The average Clinical Nurse Specialist provider writes 953 Medicare Part D claims per year.
What drugs does ELENA MCGINTY, MSN, AOCNS, FNP-BC prescribe most often?
Based on 2023 Medicare Part D data, ELENA MCGINTY, MSN, AOCNS, FNP-BC's most frequently prescribed drugs include Clonazepam, Clozapine, Lamotrigine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ELENA MCGINTY, MSN, AOCNS, FNP-BC accept Medicare?
ELENA MCGINTY, MSN, AOCNS, FNP-BC appears in CMS Medicare data with 762 Part D claims and 57 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ELENA MCGINTY, MSN, AOCNS, FNP-BC's credentials?
ELENA MCGINTY, MSN, AOCNS, FNP-BC's NPI is 1386281533 with credentials MSN, AOCNS, FNP-BC. 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