2026 NPPES data Child & Adolescent Psychiatry Physician NPI 1396882916 MD
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JOSE GARY NADALA, MD

Child & Adolescent Psychiatry Physician in LINCOLN, Nebraska. 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
3K
Medicare Part D claims · 124 beneficiaries · Child & Adolescent Psychiatry Physician avg: 600
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
92.3955/100
▲ 9 pts above national avg 83.1 · [object Object]
Industry payments
$168.57
9 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JOSE GARY NADALA, MD is a Child & Adolescent Psychiatry Physician ([object Object]) practicing in LINCOLN, Nebraska with a Medicare Part D prescribing footprint of 3K claims across 124 beneficiaries — 8% brand-name prescribing . Their CMS MIPS Final Score of 92.3955/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $168.57 across 9 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JOSE GARY NADALA, MD reported a CMS MIPS final score of 92.3955 out of 100, above the 83.1 national average, and filed 3,311 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JOSE GARY NADALA, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

JOSE GARY NADALA, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 01/31/2007

NPI 1396882916

Primary specialty

Child & Adolescent Psychiatry Physician

Mid-sized

6,160 US NPIs in this specialty

Medicare Part D claims

3,311 452% vs specialty avg

2023 prescription claims

Specialty avg: 600

MIPS final score

92.3955/100 9.295500000000004% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Nebraska

How Child & Adolescent Psychiatry Physician compares to other specialties among Nebraska providers

Nebraska providers

Child & Adolescent Psychiatry Physician share within Nebraska

1. Child & Adolescent Psychiatry Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Child & Adolescent Psychiatry Physician share within Nebraska

Medicare quality performance — MIPS

JOSE GARY NADALA, MD's 2023 MIPS final score plotted against the Child & Adolescent Psychiatry Physician national average

High performer (top quartile)
MIPS Final Score
92.3955/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Child & Adolescent Psychiatry Physician) — 92.3955/100 vs national avg 83.1

0%100%National avg83%92.4%
MIPS final score (Child & Adolescent Psychiatry Physician) — 92.3955/100 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).

JOSE GARY NADALA, MD is a Child & Adolescent Psychiatry Physician provider practicing in LINCOLN, Nebraska, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1396882916. 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.

JOSE GARY NADALA, MD appears in the CMS NPPES registry as a Child & Adolescent Psychiatry Physician provider holding MD credentials at 2222 S 16TH ST, LINCOLN, NE, 68502, with a listed phone of (402) 474-1511. NPI 1396882916 was issued on 01/31/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what NADALA 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 3,311 prescription claims written by this provider, covering 124 Medicare beneficiaries and totaling roughly $692K in drug spend, split 8% brand-name and 92% 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 92.3955/100 for the 2023 performance year (Quality 84.7911), compared with the national average of 83.1.

Child & Adolescent Psychiatry Physician is a mid-sized specialty nationwide, with 6,160 enrolled providers across 54 states and an average of 600 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

2222 S 16TH ST
LINCOLN, NE 68502

Provider Details

NPI 1396882916
Specialty Child & Adolescent Psychiatry Physician
Credentials MD
Gender Male
NPI Issued 01/31/2007

CMS Quality Score (MIPS)

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

92.3955
Final Score
Avg: 83.1
84.7911
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where JOSE GARY NADALA, MD 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.

BRYAN PHYSICIAN NETWORK
LINCOLN, NE

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 JOSE GARY NADALA, MD. Source: openpaymentsdata.cms.gov.

Total received

$169

Largest payer

Janssen Pharmaceuticals, 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

JOSE GARY NADALA, MD — brand share 8.0%
Specialty average (est.)

8% brand-name claims vs 92% generic, on 3,311 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.

3,311
Total Claims
$692K
Total Drug Cost
124
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,953
Total Day Supply
113,920
Brand vs Generic
8% brand / 92% generic
Brand Drug Cost
$494K
Generic Drug Cost
$198K

Patient Demographics

Average Patient Age
59.2 years
Avg HCC Risk Score
1.42
Gender Split
44% female / 56% male
Age Distribution
<65: 72, 65-74: 37, 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
Clonazepam
235
Quetiapine Fumarate
181
Risperidone
161
Clozapine
159
Alprazolam
152
Olanzapine
138
Lorazepam
121
Trazodone Hcl
121
Lamotrigine
102
Clozapine Odt
Clozapine
101

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

Child & Adolescent Psychiatry Physician Overview

How JOSE GARY NADALA, MD fits within the Child & Adolescent Psychiatry Physician landscape nationally.

6,160
Child & Adolescent Psychiatry Physician Providers in US
54
States with Child & Adolescent Psychiatry Physician
600
Avg Claims per Provider

JOSE GARY NADALA, MD's 3,311 claims are above the specialty average of 600.

Nearby Child & Adolescent Psychiatry Physician Providers in Nebraska

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

Compare Child & Adolescent Psychiatry Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOSE GARY NADALA, MD's specialty?
JOSE GARY NADALA, MD specializes in Child & Adolescent Psychiatry Physician and practices in LINCOLN, Nebraska. Credentials: MD.
How much does JOSE GARY NADALA, MD prescribe under Medicare Part D?
In 2023, JOSE GARY NADALA, MD wrote 3,311 Medicare Part D claims totaling $692K in drug costs for 124 beneficiaries.
What is JOSE GARY NADALA, MD's Medicare quality score?
JOSE GARY NADALA, MD has a CMS MIPS Final Score of 92.3955/100 (Quality: 84.7911). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOSE GARY NADALA, MD located?
JOSE GARY NADALA, MD is located at 2222 S 16TH ST, LINCOLN, NE, 68502. Phone: (402) 474-1511.
What is JOSE GARY NADALA, MD's NPI number?
JOSE GARY NADALA, MD's National Provider Identifier (NPI) is 1396882916, issued on 01/31/2007.
Does JOSE GARY NADALA, MD prescribe more brand-name or generic drugs?
JOSE GARY NADALA, MD's prescribing is 8% brand-name and 92% generic drugs by claim count, with $494K in brand drug costs.
How many Child & Adolescent Psychiatry Physician providers are there in the US?
There are 6,160 Child & Adolescent Psychiatry Physician providers across 54 states in the US. The average Child & Adolescent Psychiatry Physician provider writes 600 Medicare Part D claims per year.
What drugs does JOSE GARY NADALA, MD prescribe most often?
Based on 2023 Medicare Part D data, JOSE GARY NADALA, MD's most frequently prescribed drugs include Clonazepam, Quetiapine Fumarate, Risperidone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSE GARY NADALA, MD accept Medicare?
JOSE GARY NADALA, MD appears in CMS Medicare data with 3,311 Part D claims and 124 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSE GARY NADALA, MD's credentials?
JOSE GARY NADALA, MD's NPI is 1396882916 with credentials MD. 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