2026 NPPES data Clinical Nurse Specialist NPI 1528707874 APRN-CNS
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HEATHER GRAHAM, APRN-CNS

Clinical Nurse Specialist in OKLAHOMA CITY, Oklahoma. 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
228
Medicare Part D claims · 76 beneficiaries · Clinical Nurse Specialist avg: 953
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
71.6668/100
▼ 11 pts below national avg 83.1 · [object Object]
Industry payments
$1.3K
11 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: HEATHER GRAHAM, APRN-CNS is a Clinical Nurse Specialist ([object Object]) practicing in OKLAHOMA CITY, Oklahoma with a Medicare Part D prescribing footprint of 228 claims across 76 beneficiaries — 20% brand-name prescribing . Their CMS MIPS Final Score of 71.6668/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.3K across 11 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: HEATHER GRAHAM, APRN-CNS reported a CMS MIPS final score of 71.6668 out of 100, below the 83.1 national average, and filed 228 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

HEATHER GRAHAM, APRN-CNS at a glance

Below national average

NPI registry status

Active

Issued 06/02/2022

NPI 1528707874

Primary specialty

Clinical Nurse Specialist

Niche

1,708 US NPIs in this specialty

Medicare Part D claims

228 76% vs specialty avg

2023 prescription claims

Specialty avg: 953

MIPS final score

71.6668/100 11.4332% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Oklahoma

How Clinical Nurse Specialist compares to other specialties among Oklahoma providers

Oklahoma providers

Clinical Nurse Specialist share within Oklahoma

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

Medicare quality performance — MIPS

HEATHER GRAHAM, APRN-CNS's 2023 MIPS final score plotted against the Clinical Nurse Specialist national average

Below national average
MIPS Final Score
71.6668/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Clinical Nurse Specialist) — 71.6668/100 vs national avg 83.1

0%100%National avg83%71.7%
MIPS final score (Clinical Nurse Specialist) — 71.6668/100 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).

HEATHER GRAHAM, APRN-CNS is a Clinical Nurse Specialist provider practicing in OKLAHOMA CITY, Oklahoma, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: APRN-CNS. NPI: 1528707874. 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.

HEATHER GRAHAM, APRN-CNS appears in the CMS NPPES registry as a Clinical Nurse Specialist provider holding APRN-CNS credentials at 1000 N LINCOLN BLVD, OKLAHOMA CITY, OK, 73104, with a listed phone of (918) 519-5291. NPI 1528707874 was issued on 06/02/2022. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GRAHAM 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 228 prescription claims written by this provider, covering 76 Medicare beneficiaries and totaling roughly $44K in drug spend, split 20% brand-name and 80% 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 71.6668/100 for the 2023 performance year (Quality 53.4828, Cost 52.0733), 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

1000 N LINCOLN BLVD
OKLAHOMA CITY, OK 73104

Provider Details

NPI 1528707874
Specialty Clinical Nurse Specialist
Credentials APRN-CNS
Gender Female
NPI Issued 06/02/2022

CMS Quality Score (MIPS)

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

71.6668
Final Score
Avg: 83.1
53.4828
Quality
52.0733
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where HEATHER GRAHAM, APRN-CNS 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.

OU HEALTH PARTNERS INC
OKLAHOMA CITY, OK

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 HEATHER GRAHAM, APRN-CNS. Source: openpaymentsdata.cms.gov.

Total received

$1.3K

Largest payer

SI-BONE, 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

HEATHER GRAHAM, APRN-CNS — brand share 20.0%
Specialty average (est.)

20% brand-name claims vs 80% generic, on 228 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.

228
Total Claims
$44K
Total Drug Cost
76
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
279
Total Day Supply
7,082
Brand vs Generic
20% brand / 80% generic
Brand Drug Cost
$38K
Generic Drug Cost
$6K

Patient Demographics

Average Patient Age
68.4 years
Avg HCC Risk Score
1.63
Gender Split
57% female / 43% male
Age Distribution
<65: 24, 65-74: 30, 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
Gabapentin
20
Methocarbamol
20
Brilinta
Ticagrelor
18
Mounjaro
Tirzepatide
18
Levetiracetam
16

* 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 HEATHER GRAHAM, APRN-CNS 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

HEATHER GRAHAM, APRN-CNS's 228 claims are below the specialty average of 953.

Nearby Clinical Nurse Specialist Providers in Oklahoma

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

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

Frequently Asked Questions

What is HEATHER GRAHAM, APRN-CNS's specialty?
HEATHER GRAHAM, APRN-CNS specializes in Clinical Nurse Specialist and practices in OKLAHOMA CITY, Oklahoma. Credentials: APRN-CNS.
How much does HEATHER GRAHAM, APRN-CNS prescribe under Medicare Part D?
In 2023, HEATHER GRAHAM, APRN-CNS wrote 228 Medicare Part D claims totaling $44K in drug costs for 76 beneficiaries.
What is HEATHER GRAHAM, APRN-CNS's Medicare quality score?
HEATHER GRAHAM, APRN-CNS has a CMS MIPS Final Score of 71.6668/100 (Quality: 53.4828, Cost: 52.0733). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is HEATHER GRAHAM, APRN-CNS located?
HEATHER GRAHAM, APRN-CNS is located at 1000 N LINCOLN BLVD, OKLAHOMA CITY, OK, 73104. Phone: (918) 519-5291.
What is HEATHER GRAHAM, APRN-CNS's NPI number?
HEATHER GRAHAM, APRN-CNS's National Provider Identifier (NPI) is 1528707874, issued on 06/02/2022.
Does HEATHER GRAHAM, APRN-CNS prescribe more brand-name or generic drugs?
HEATHER GRAHAM, APRN-CNS's prescribing is 20% brand-name and 80% generic drugs by claim count, with $38K 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 HEATHER GRAHAM, APRN-CNS prescribe most often?
Based on 2023 Medicare Part D data, HEATHER GRAHAM, APRN-CNS's most frequently prescribed drugs include Gabapentin, Methocarbamol, Brilinta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HEATHER GRAHAM, APRN-CNS accept Medicare?
HEATHER GRAHAM, APRN-CNS appears in CMS Medicare data with 228 Part D claims and 76 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HEATHER GRAHAM, APRN-CNS's credentials?
HEATHER GRAHAM, APRN-CNS's NPI is 1528707874 with credentials APRN-CNS. 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