2026 NPPES data Nurse Practitioner NPI 1255846689
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KARA VINYARD

Nurse Practitioner in UNION CITY, Tennessee. 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
696
Medicare Part D claims · 168 beneficiaries · Nurse Practitioner avg: 1K
Industry payments
$16.77
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KARA VINYARD filed 696 Medicare Part D claims in 2023 as a Nurse Practitioner in UNION CITY, Tennessee.

696
Part D claims, 2023
$16.77
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.

KARA VINYARD's Medicare Part D volume vs every U.S. prescriber

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

696 Top 31% higher than 69% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). This entry sits in this band. 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 KARA VINYARD?

Quality data not reported

NPI registry status

Active

Issued 12/07/2017

NPI 1255846689

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

696 36% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

Specialty distribution in Tennessee

How Nurse Practitioner compares to other specialties among Tennessee providers

Tennessee providers

Nurse Practitioner share within Tennessee

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

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).

KARA VINYARD appears in the CMS NPPES registry as a Nurse Practitioner provider at 1705 W REELFOOT AVE, UNION CITY, TN, 38261, with a listed phone of (731) 599-1102. NPI 1255846689 was issued on 12/07/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what VINYARD 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 696 prescription claims written by this provider, covering 168 Medicare beneficiaries and totaling roughly $76K in drug spend. 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

1705 W REELFOOT AVE
UNION CITY, TN 38261

Provider Details

NPI 1255846689
Specialty Nurse Practitioner
Gender Female
NPI Issued 12/07/2017

Hospital and facility affiliations

Facilities where KARA VINYARD 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.

DYERSBURG FAMILY WALK-IN CLINIC
DYERSBURG, TN

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 KARA VINYARD. Source: openpaymentsdata.cms.gov.

Total received

$17

Largest payer

Merck Sharp & Dohme 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

696
Total Claims
$76K
Total Drug Cost
168
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,164
Total Day Supply
31,729
Generic Drug Cost
$11K
Antibiotic Claims
51

Patient Demographics

Average Patient Age
63.4 years
Avg HCC Risk Score
1.17
Gender Split
62% female / 38% male
Age Distribution
<65: 68, 65-74: 76, 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.

What KARA VINYARD 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
Lisinopril
35
Metformin Hcl
24
Atorvastatin Calcium
19
Prednisone
18
Gabapentin
17
Glimepiride
17
Albuterol Sulfate Hfa
Albuterol Sulfate
16
Potassium Chloride
16
Amlodipine Besylate
15
Hydrochlorothiazide
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 KARA VINYARD 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

KARA VINYARD's 696 claims are below the specialty average of 1,084.

Nearby Nurse Practitioner Providers in Tennessee

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

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

Frequently Asked Questions

What is KARA VINYARD's specialty?
KARA VINYARD specializes in Nurse Practitioner and practices in UNION CITY, Tennessee.
How much does KARA VINYARD prescribe under Medicare Part D?
In 2023, KARA VINYARD wrote 696 Medicare Part D claims totaling $76K in drug costs for 168 beneficiaries.
Where is KARA VINYARD located?
KARA VINYARD is located at 1705 W REELFOOT AVE, UNION CITY, TN, 38261. Phone: (731) 599-1102.
What is KARA VINYARD's NPI number?
KARA VINYARD's National Provider Identifier (NPI) is 1255846689, issued on 12/07/2017.
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 KARA VINYARD prescribe most often?
Based on 2023 Medicare Part D data, KARA VINYARD's most frequently prescribed drugs include Lisinopril, Metformin Hcl, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KARA VINYARD accept Medicare?
KARA VINYARD appears in CMS Medicare data with 696 Part D claims and 168 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KARA VINYARD's credentials?
KARA VINYARD's NPI is 1255846689. 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