2026 NPPES data Nurse Practitioner NPI 1043234149
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JANICE PAYNE

Nurse Practitioner in CLINTWOOD, Virginia. 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
26
Medicare Part D claims · 18 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
31%
generic claims · 69% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

JANICE PAYNE filed 26 Medicare Part D claims in 2023 as a Nurse Practitioner in CLINTWOOD, Virginia, prescribing 31% generic.

26
Part D claims, 2023
31%
generic prescribing

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.

JANICE PAYNE's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

26 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about JANICE PAYNE?

Quality data not reported

NPI registry status

Active

Issued 07/26/2006

NPI 1043234149

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

26 98% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

Specialty distribution in Virginia

How Nurse Practitioner compares to other specialties among Virginia providers

Virginia providers

Nurse Practitioner share within Virginia

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

Specialty board-certification context

Estimated specialty board-certified rate — Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Nurse Practitioner) — ABMS / AOA estimate

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).

JANICE PAYNE appears in the CMS NPPES registry as a Nurse Practitioner provider at 312 HOSPITAL DRIVE, CLINTWOOD, VA, 24226, with a listed phone of (276) 926-0200. NPI 1043234149 was issued on 07/26/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PAYNE 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 26 prescription claims written by this provider, covering 18 Medicare beneficiaries and totaling roughly $3K in drug spend, split 69% brand-name and 31% 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.

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

312 HOSPITAL DRIVE
CLINTWOOD, VA 24226

Provider Details

NPI 1043234149
Specialty Nurse Practitioner
Gender Female
NPI Issued 07/26/2006

Brand vs generic prescribing mix · Brand-heavy

JANICE PAYNE — brand share 69.0%
Specialty average (est.)

69% brand-name claims vs 31% generic, on 26 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.

26
Total Claims
$3K
Total Drug Cost
18
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
27
Total Day Supply
239
Brand vs Generic
69% brand / 31% generic
Brand Drug Cost
$3K

Patient Demographics

Average Patient Age
65.9 years
Avg HCC Risk Score
1.55

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Shingrix
Varicella-Zoster Ge/As01b/Pf
15

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

Nurse Practitioner Overview

How JANICE PAYNE 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

JANICE PAYNE's 26 claims are below the specialty average of 1,084.

Nearby Nurse Practitioner Providers in Virginia

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

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

Frequently Asked Questions

What is JANICE PAYNE's specialty?
JANICE PAYNE specializes in Nurse Practitioner and practices in CLINTWOOD, Virginia.
How much does JANICE PAYNE prescribe under Medicare Part D?
In 2023, JANICE PAYNE wrote 26 Medicare Part D claims totaling $3K in drug costs for 18 beneficiaries.
Where is JANICE PAYNE located?
JANICE PAYNE is located at 312 HOSPITAL DRIVE, CLINTWOOD, VA, 24226. Phone: (276) 926-0200.
What is JANICE PAYNE's NPI number?
JANICE PAYNE's National Provider Identifier (NPI) is 1043234149, issued on 07/26/2006.
Does JANICE PAYNE prescribe more brand-name or generic drugs?
JANICE PAYNE's prescribing is 69% brand-name and 31% generic drugs by claim count, with $3K in brand drug costs.
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 JANICE PAYNE prescribe most often?
Based on 2023 Medicare Part D data, JANICE PAYNE's most frequently prescribed drugs include Shingrix. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JANICE PAYNE accept Medicare?
JANICE PAYNE appears in CMS Medicare data with 26 Part D claims and 18 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JANICE PAYNE's credentials?
JANICE PAYNE's NPI is 1043234149. 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.
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