2026 NPPES data Nurse Practitioner NPI 1215109038 ARNP
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JAMIE NEWSOME, ARNP

Nurse Practitioner in PIKEVILLE, Kentucky. 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
16K
Medicare Part D claims · 446 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
86.8615/100
▲ 4 pts above national avg 83.1 · [object Object]
Industry payments
$261.55
16 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JAMIE NEWSOME, ARNP reported a CMS MIPS final score of 86.8615/100 — above the 83.1 national average — and filed 16,277 Medicare Part D claims in 2023.

86.8615/100
MIPS score · +4 vs avg
16K
Part D claims, 2023
87%
generic prescribing
$261.55
industry payments (Sunshine Act)

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.

JAMIE NEWSOME, ARNP's MIPS score vs every scored U.S. clinician

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

87 Top 48% higher than 52% 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. 90–100: 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

What does the federal data show about JAMIE NEWSOME, ARNP?

High performer (top quartile)

NPI registry status

Active

Issued 04/01/2008

NPI 1215109038

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

16,277 1402% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

86.8615/100 3.7615000000000123% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Kentucky

How Nurse Practitioner compares to other specialties among Kentucky providers

Kentucky providers

Nurse Practitioner share within Kentucky

1. Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nurse Practitioner share within Kentucky

Medicare quality performance — MIPS

JAMIE NEWSOME, ARNP's 2023 MIPS final score plotted against the Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
86.8615/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) — 86.8615/100 vs national avg 83.1

0%100%National avg83%86.9%
MIPS final score (Nurse Practitioner) — 86.8615/100 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).

JAMIE NEWSOME, ARNP appears in the CMS NPPES registry as a Nurse Practitioner provider holding ARNP credentials at 238 CASSIDY BLVD, PIKEVILLE, KY, 41501, with a listed phone of (606) 430-2230. NPI 1215109038 was issued on 04/01/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what NEWSOME 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 16,277 prescription claims written by this provider, covering 446 Medicare beneficiaries and totaling roughly $1.1 million in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 0.3%. 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 86.8615/100 for the 2023 performance year (Quality 72.3904, Cost 70.6553), compared with the national average of 83.1.

Nurse Practitioner is a high-volume specialty nationwide, with 87,227 enrolled providers across 56 states and an average of 1,084 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

238 CASSIDY BLVD
PIKEVILLE, KY 41501

Provider Details

NPI 1215109038
Specialty Nurse Practitioner
Credentials ARNP
Gender Male
NPI Issued 04/01/2008

CMS Quality Score (MIPS)

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

86.8615
Final Score
Avg: 83.1
72.3904
Quality
70.6553
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JAMIE NEWSOME, ARNP 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.

PIKEVILLE MEDICAL CENTER INC
PIKEVILLE, KY

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 JAMIE NEWSOME, ARNP. Source: openpaymentsdata.cms.gov.

Total received

$262

Largest payer

GlaxoSmithKline, LLC.

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

JAMIE NEWSOME, ARNP — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 16,277 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.

16,277
Total Claims
$1.1M
Total Drug Cost
446
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
24,594
Total Day Supply
710,148
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$905K
Generic Drug Cost
$214K
Opioid Claims
47 (0.3% rate)
Antibiotic Claims
365

Patient Demographics

Average Patient Age
65.8 years
Avg HCC Risk Score
1.29
Gender Split
54% female / 46% male
Age Distribution
<65: 176, 65-74: 188, 75-84: 70, 85+: 12

Top Prescribed Drugs (Medicare Part D)

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

What JAMIE NEWSOME, ARNP 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
Atorvastatin Calcium
828
Gabapentin
826
Lisinopril
635
Levothyroxine Sodium
544
Amlodipine Besylate
514
Pantoprazole Sodium
497
Omeprazole
472
Albuterol Sulfate Hfa
Albuterol Sulfate
441
Levocetirizine Dihydrochloride
398
Hydrochlorothiazide
358

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

Nurse Practitioner Overview

How JAMIE NEWSOME, ARNP fits within the Nurse Practitioner landscape nationally.

87,227
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,084
Avg Claims per Provider

JAMIE NEWSOME, ARNP's 16,277 claims are above the specialty average of 1,084.

Nearby Nurse Practitioner Providers in Kentucky

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

Compare Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMIE NEWSOME, ARNP's specialty?
JAMIE NEWSOME, ARNP specializes in Nurse Practitioner and practices in PIKEVILLE, Kentucky. Credentials: ARNP.
How much does JAMIE NEWSOME, ARNP prescribe under Medicare Part D?
In 2023, JAMIE NEWSOME, ARNP wrote 16,277 Medicare Part D claims totaling $1.1M in drug costs for 446 beneficiaries.
What is JAMIE NEWSOME, ARNP's Medicare quality score?
JAMIE NEWSOME, ARNP has a CMS MIPS Final Score of 86.8615/100 (Quality: 72.3904, Cost: 70.6553). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMIE NEWSOME, ARNP located?
JAMIE NEWSOME, ARNP is located at 238 CASSIDY BLVD, PIKEVILLE, KY, 41501. Phone: (606) 430-2230.
What is JAMIE NEWSOME, ARNP's NPI number?
JAMIE NEWSOME, ARNP's National Provider Identifier (NPI) is 1215109038, issued on 04/01/2008.
Does JAMIE NEWSOME, ARNP prescribe more brand-name or generic drugs?
JAMIE NEWSOME, ARNP's prescribing is 13% brand-name and 87% generic drugs by claim count, with $905K in brand drug costs.
Does JAMIE NEWSOME, ARNP prescribe opioids?
Yes, JAMIE NEWSOME, ARNP had 47 opioid claims in 2023 with an opioid prescribing rate of 0.3%.
How many Nurse Practitioner providers are there in the US?
There are 87,227 Nurse Practitioner providers across 56 states in the US. The average Nurse Practitioner provider writes 1,084 Medicare Part D claims per year.
What drugs does JAMIE NEWSOME, ARNP prescribe most often?
Based on 2023 Medicare Part D data, JAMIE NEWSOME, ARNP's most frequently prescribed drugs include Atorvastatin Calcium, Gabapentin, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMIE NEWSOME, ARNP accept Medicare?
JAMIE NEWSOME, ARNP appears in CMS Medicare data with 16,277 Part D claims and 446 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMIE NEWSOME, ARNP's credentials?
JAMIE NEWSOME, ARNP's NPI is 1215109038 with credentials ARNP. 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