NPI registry status
Active
2026 NPPES data Critical Care Medicine Clinical Nurse Specialist NPI 1841820099 MSN, FNP, CNS, APRN
Verify on CMS → Justin Douglas, MSN, FNP, CNS, APRN
Critical Care Medicine Clinical Nurse Specialist in Hopewell Junction, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 215 in Critical Care Medicine Clinical Nurse Specialist, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
173
Medicare Part D claims · 84 beneficiaries · Critical Care Medicine Clinical Nurse Specialist avg: 1K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
83.8/100
▲ 0 pts above national avg 83.5 · Above neutral
Industry payments
$979.68
9 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Justin Douglas, MSN, FNP, CNS, APRN reported a CMS MIPS final score of 83.8/100 - above the 83.5 national average - and filed 173 Medicare Part D claims in 2024.
- 83.8/100
- MIPS score · +0 vs avg
- 173
- Part D claims, 2024
- 86%
- generic prescribing
- $979.68
- 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.
Federal trust snapshot
What official records show about Justin Douglas, MSN, FNP, CNS, APRN
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1841820099), first enumerated 01/16/2020.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 173 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 83.8/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$979.68 in reported industry payments (9 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
New York statewide board action statistics are published annually — these figures describe aggregate state activity, not Justin Douglas, MSN, FNP, CNS, APRN's individual license status. Verify directly with the state medical board.
Source: NYSBPMC annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1841820099 · Critical Care Medicine Clinical Nurse Specialist
NPI-10 · ENUM-RECENT · TAX-TRACE · MIPS-INLINE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1841820099
- ENUM-RECENT 2020
- TAX-TRACE 215
- MIPS-INLINE 83.8/100
- RX-LIGHT 173
- BOOK-THIN 7 in New York
- PHOTO-FINISH Amy Trent · ±1.2
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Lisa Dials · low…
Lisa Dials
79.5 MIPS pts
- Amy Trent · near
Amy Trent
82.6 MIPS pts
- Douglas · this p…
Douglas · this provider
83.8 MIPS pts
- Marykutty Prasad…
Marykutty Prasad
86.3 MIPS pts
- Susan George · h…
Susan George
89.9 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Justin Douglas, MSN, FNP, CNS, APRN's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
84 ≥ 39th percentile 39% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
What does the federal data show about Justin Douglas, MSN, FNP, CNS, APRN?
Near national averagePrimary specialty
Critical Care Medicine Clinical Nurse Specialist
Medicare Part D claims
173 84% vs specialty avg
MIPS final score
83.8/100 0.3 pts vs avg
Specialty distribution in New York
How Critical Care Medicine Clinical Nurse Specialist compares to other specialties among New York providers
Medicare quality performance, MIPS
Justin Douglas, MSN, FNP, CNS, APRN's 2023 MIPS final score plotted against the Critical Care Medicine Clinical Nurse Specialist national average
- MIPS Final Score
- 83.8/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1841820099 |
|---|---|
| Specialty | Critical Care Medicine Clinical Nurse Specialist |
| Credentials | MSN, FNP, CNS, APRN |
| Gender | Male |
| NPI Issued | 01/16/2020 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
83.8451
Final Score
Measured-score avg: 83.5
84.5974
Quality
58.6394
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Justin Douglas, MSN, FNP, CNS, APRN 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.
Department OF Neurosurgery, PLLC
Carmel, NY
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 Justin Douglas, MSN, FNP, CNS, APRN. Source: openpaymentsdata.cms.gov.
Total received
$980
Largest payer
Smith+Nephew, 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.
License & disciplinary context - New York NYSBPMC 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 - they are NOT specific to Justin Douglas, MSN, FNP, CNS, APRN. To verify Justin Douglas, MSN, FNP, CNS, APRN's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases
NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Justin Douglas, MSN, FNP, CNS, APRN - brand share 14.0%
Critical Care Medicine Clinical Nurse Specialist average
14% brand-name claims vs 86% generic, on 173 2024 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 2024.
173
Total Claims
$18K
Total Drug Cost
84
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 176.5
- Total Day Supply
- 3,439
- Brand vs Generic
- 14% brand / 86% generic
- Brand Drug Cost
- $15K
- Generic Drug Cost
- $3K
- Opioid Claims
- 16 (9.2% rate)
- Antibiotic Claims
- 44
Patient Demographics
- Average Patient Age
- 76.1 years
- Avg HCC Risk Score
- 2.88
- Gender Split
- 51% female / 49% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Justin Douglas, MSN, FNP, CNS, APRN prescribes most
Top Medicare Part D drugs by claim count, 2024
- Doxycycline Hyclate
Doxycycline Hyclate
14 claims
- Gentamicin Sulfate
Gentamicin Sulfate
13 claims
- Clindamycin Phosph…
Clindamycin Phosphate
12 claims
| Drug | Claims |
|---|---|
| Doxycycline Hyclate | 14 |
| Gentamicin Sulfate | 13 |
| Clindamycin Phosphate | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Critical Care Medicine Clinical Nurse Specialist in NY →
All providers in New York →
Compare specialties →
Critical Care Medicine Clinical Nurse Specialist Overview
How Justin Douglas, MSN, FNP, CNS, APRN fits within the Critical Care Medicine Clinical Nurse Specialist landscape nationally.
215
Critical Care Medicine Clinical Nurse Specialist Providers in US
36
States with Critical Care Medicine Clinical Nurse Specialist
1,073
Avg Claims per Provider
Justin Douglas, MSN, FNP, CNS, APRN's 173 claims are below the specialty average of 1,073.
Nationwide Critical Care Medicine Clinical Nurse Specialist peers with similar MIPS or enrollment year
Two federal-record peer sets for Douglas, both outside New York so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (83.8 here).
Same NPPES enumeration year (2020)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Critical Care Medicine Clinical Nurse Specialist Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Douglas.
One of 7 Critical Care Medicine Clinical Nurse Specialist providers enrolled in New York, 5 are shown here.
Frequently Asked Questions
What is Justin Douglas, MSN, FNP, CNS, APRN's specialty? ▼
Justin Douglas, MSN, FNP, CNS, APRN specializes in Critical Care Medicine Clinical Nurse Specialist and practices in Hopewell Junction, New York. Credentials: MSN, FNP, CNS, APRN.
How much does Justin Douglas, MSN, FNP, CNS, APRN prescribe under Medicare Part D? ▼
In 2024, Justin Douglas, MSN, FNP, CNS, APRN wrote 173 Medicare Part D claims totaling $18K in drug costs for 84 beneficiaries.
What is Justin Douglas, MSN, FNP, CNS, APRN's Medicare quality score? ▼
Justin Douglas, MSN, FNP, CNS, APRN has a CMS MIPS Final Score of 83.8/100 (Quality: 84.6, Cost: 58.6). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Justin Douglas, MSN, FNP, CNS, APRN located? ▼
Justin Douglas, MSN, FNP, CNS, APRN is located at 45 FOSTER RD, Hopewell Junction, NY, 12533. Phone: (845) 226-4590.
What is Justin Douglas, MSN, FNP, CNS, APRN's NPI number? ▼
Justin Douglas, MSN, FNP, CNS, APRN's National Provider Identifier (NPI) is 1841820099, issued on 01/16/2020.
Does Justin Douglas, MSN, FNP, CNS, APRN prescribe more brand-name or generic drugs? ▼
Justin Douglas, MSN, FNP, CNS, APRN's prescribing is 14% brand-name and 86% generic drugs by claim count, with $15K in brand drug costs.
Does Justin Douglas, MSN, FNP, CNS, APRN prescribe opioids? ▼
Yes, Justin Douglas, MSN, FNP, CNS, APRN had 16 opioid claims in 2024 with an opioid prescribing rate of 9.2%.
How many Critical Care Medicine Clinical Nurse Specialist providers are there in the US? ▼
There are 215 Critical Care Medicine Clinical Nurse Specialist providers across 36 states in the US. The average Critical Care Medicine Clinical Nurse Specialist provider writes 1,073 Medicare Part D claims per year.
What drugs does Justin Douglas, MSN, FNP, CNS, APRN prescribe most often? ▼
Based on 2024 Medicare Part D data, Justin Douglas, MSN, FNP, CNS, APRN's most frequently prescribed drugs include Doxycycline Hyclate, Gentamicin Sulfate, Clindamycin Phosphate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Justin Douglas, MSN, FNP, CNS, APRN accept Medicare? ▼
Justin Douglas, MSN, FNP, CNS, APRN appears in CMS Medicare data with 173 Part D claims and 84 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Justin Douglas, MSN, FNP, CNS, APRN's credentials? ▼
Justin Douglas, MSN, FNP, CNS, APRN's NPI is 1841820099 with credentials MSN, FNP, CNS, APRN. 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
View source datasets and methodology notes
- 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.