2026 NPPES data Registered Nurse NPI 1780933051 DNP, RN
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KARALYN ADAM, DNP, RN

Registered Nurse in MARSHFIELD, Wisconsin. 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
2K
Medicare Part D claims · 273 beneficiaries · Registered Nurse avg: 1K
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
78.8552/100
▼ 4 pts below national avg 83.1 · [object Object]
Industry payments
$50.09
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: KARALYN ADAM, DNP, RN is a Registered Nurse ([object Object]) practicing in MARSHFIELD, Wisconsin with a Medicare Part D prescribing footprint of 2K claims across 273 beneficiaries — 19% brand-name prescribing . Their CMS MIPS Final Score of 78.8552/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $50.09 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: KARALYN ADAM, DNP, RN reported a CMS MIPS final score of 78.8552 out of 100, below the 83.1 national average, and filed 1,967 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

KARALYN ADAM, DNP, RN at a glance

Near national average

NPI registry status

Active

Issued 09/02/2012

NPI 1780933051

Primary specialty

Registered Nurse

High-volume

175,652 US NPIs in this specialty

Medicare Part D claims

1,967 97% vs specialty avg

2023 prescription claims

Specialty avg: 1,000

MIPS final score

78.8552/100 4.244799999999998% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Wisconsin

How Registered Nurse compares to other specialties among Wisconsin providers

Wisconsin providers

Registered Nurse share within Wisconsin

1. Registered Nurse42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Registered Nurse share within Wisconsin

Medicare quality performance — MIPS

KARALYN ADAM, DNP, RN's 2023 MIPS final score plotted against the Registered Nurse national average

Near national average
MIPS Final Score
78.8552/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Registered Nurse) — 78.8552/100 vs national avg 83.1

0%100%National avg83%78.9%
MIPS final score (Registered Nurse) — 78.8552/100 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).

KARALYN ADAM, DNP, RN is a Registered Nurse provider practicing in MARSHFIELD, Wisconsin, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DNP, RN. NPI: 1780933051. 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.

KARALYN ADAM, DNP, RN appears in the CMS NPPES registry as a Registered Nurse provider holding DNP, RN credentials at 1000 N OAK AVE, MARSHFIELD, WI, 54449, with a listed phone of (715) 221-7300. NPI 1780933051 was issued on 09/02/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ADAM 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 1,967 prescription claims written by this provider, covering 273 Medicare beneficiaries and totaling roughly $285K in drug spend, split 19% brand-name and 81% 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 78.8552/100 for the 2023 performance year (Quality 66.6851, Cost 54.8733), compared with the national average of 83.1.

Registered Nurse is a high-volume specialty nationwide, with 175,652 enrolled providers across 56 states and an average of 1,000 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

1000 N OAK AVE
MARSHFIELD, WI 54449

Provider Details

NPI 1780933051
Specialty Registered Nurse
Credentials DNP, RN
Gender Female
NPI Issued 09/02/2012

CMS Quality Score (MIPS)

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

78.8552
Final Score
Avg: 83.1
66.6851
Quality
54.8733
Cost
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where KARALYN ADAM, DNP, RN 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.

FLAMBEAU HOSPITAL, INC.
PARK FALLS, WI
LAKEVIEW MEDICAL CENTER INC OF RICE LAKE
HAYWARD, WI
MCHS HOSPITALS INC
MARSHFIELD, WI
MEMORIAL HOSPITAL INC
NEILLSVILLE, WI

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 KARALYN ADAM, DNP, RN. Source: openpaymentsdata.cms.gov.

Total received

$50

Largest payer

Otsuka America Pharmaceutical, 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 · Typical

KARALYN ADAM, DNP, RN — brand share 19.0%
Specialty average (est.)

19% brand-name claims vs 81% generic, on 1,967 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.

1,967
Total Claims
$285K
Total Drug Cost
273
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,418
Total Day Supply
131,002
Brand vs Generic
19% brand / 81% generic
Brand Drug Cost
$249K
Generic Drug Cost
$35K

Patient Demographics

Average Patient Age
78.0 years
Avg HCC Risk Score
2.66
Gender Split
50% female / 50% male
Age Distribution
<65: 16, 65-74: 79, 75-84: 99, 85+: 79

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Furosemide
433
Spironolactone
264
Metoprolol Succinate
224
Potassium Chloride
127
Entresto
Sacubitril/Valsartan
124
Torsemide
98
Losartan Potassium
97
Metoprolol Tartrate
89
Lisinopril
73
Carvedilol
70

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

Registered Nurse Overview

How KARALYN ADAM, DNP, RN fits within the Registered Nurse landscape nationally.

175,652
Registered Nurse Providers in US
56
States with Registered Nurse
1,000
Avg Claims per Provider

KARALYN ADAM, DNP, RN's 1,967 claims are above the specialty average of 1,000.

Nearby Registered Nurse Providers in Wisconsin

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

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

Frequently Asked Questions

What is KARALYN ADAM, DNP, RN's specialty?
KARALYN ADAM, DNP, RN specializes in Registered Nurse and practices in MARSHFIELD, Wisconsin. Credentials: DNP, RN.
How much does KARALYN ADAM, DNP, RN prescribe under Medicare Part D?
In 2023, KARALYN ADAM, DNP, RN wrote 1,967 Medicare Part D claims totaling $285K in drug costs for 273 beneficiaries.
What is KARALYN ADAM, DNP, RN's Medicare quality score?
KARALYN ADAM, DNP, RN has a CMS MIPS Final Score of 78.8552/100 (Quality: 66.6851, Cost: 54.8733). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KARALYN ADAM, DNP, RN located?
KARALYN ADAM, DNP, RN is located at 1000 N OAK AVE, MARSHFIELD, WI, 54449. Phone: (715) 221-7300.
What is KARALYN ADAM, DNP, RN's NPI number?
KARALYN ADAM, DNP, RN's National Provider Identifier (NPI) is 1780933051, issued on 09/02/2012.
Does KARALYN ADAM, DNP, RN prescribe more brand-name or generic drugs?
KARALYN ADAM, DNP, RN's prescribing is 19% brand-name and 81% generic drugs by claim count, with $249K in brand drug costs.
How many Registered Nurse providers are there in the US?
There are 175,652 Registered Nurse providers across 56 states in the US. The average Registered Nurse provider writes 1,000 Medicare Part D claims per year.
What drugs does KARALYN ADAM, DNP, RN prescribe most often?
Based on 2023 Medicare Part D data, KARALYN ADAM, DNP, RN's most frequently prescribed drugs include Furosemide, Spironolactone, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KARALYN ADAM, DNP, RN accept Medicare?
KARALYN ADAM, DNP, RN appears in CMS Medicare data with 1,967 Part D claims and 273 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KARALYN ADAM, DNP, RN's credentials?
KARALYN ADAM, DNP, RN's NPI is 1780933051 with credentials DNP, RN. 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