NPI registry status
Active
2026 NPPES data Clinical Nurse Specialist NPI 1902864036 CNS
Verify on CMS → Karen Hughes, CNS
Clinical Nurse Specialist in Lafayette, Indiana.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,715 in 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
573
Medicare Part D claims · 141 beneficiaries · Clinical Nurse Specialist avg: 953
MIPS score
96.7/100
▲ 14 pts above national avg 83.1 · Exceptional
Industry payments
$773.98
28 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Karen Hughes, CNS reported a CMS MIPS final score of 96.7/100 - above the 83.1 national average - and filed 573 Medicare Part D claims in 2023.
- 96.7/100
- MIPS score · +14 vs avg
- 573
- Part D claims, 2023
- $773.98
- 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.
Karen Hughes, CNS's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
97 Top 17% higher than 83% of 477,587 scored providers
Each bar is a band; taller bars hold more scored 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.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Karen Hughes, CNS sits
This provider among clinical nurse specialist peers
Across the 134 clinical nurse specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Karen Hughes, CNS writes more Part D claims than 68% of them and scores higher on MIPS quality than 83% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one clinical nurse specialist peer from a representative sample of 60; the gold marker is Karen Hughes, CNS. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Karen Hughes, CNS?
High performer (top quartile)Primary specialty
Clinical Nurse Specialist
Medicare Part D claims
573 40% vs specialty avg
MIPS final score
96.7/100 13.6 pts vs avg
Specialty distribution in Indiana
How Clinical Nurse Specialist compares to other specialties among Indiana providers
Medicare quality performance, MIPS
Karen Hughes, CNS's 2023 MIPS final score plotted against the Clinical Nurse Specialist national average
- MIPS Final Score
- 96.7/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Clinical Nurse Specialist) - 96.7/100 vs national avg 83.1
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).
Karen Hughes, CNS appears in the CMS NPPES registry as a Clinical Nurse Specialist provider holding CNS credentials at 1345 UNITY PL STE 135, Lafayette, IN, 47905, with a listed phone of (765) 446-5050. NPI 1902864036 was issued on 05/01/2006.
Medicare Part D records for calendar year 2023 show 573 prescription claims written by this provider, covering 141 Medicare beneficiaries and totaling roughly $270K in drug spend, with an opioid prescribing rate of 5.1%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 96.7/100 for the 2023 performance year (Quality 83.7), compared with the national average of 83.1.
Clinical Nurse Specialist is a narrow specialty nationwide, with 1,715 enrolled providers across 49 states and an average of 953 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
Provider Details
| NPI | 1902864036 |
|---|---|
| Specialty | Clinical Nurse Specialist |
| Credentials | CNS |
| Gender | Female |
| NPI Issued | 05/01/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
96.6822
Final Score
Avg: 83.1
83.694
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
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 Karen Hughes, CNS. Source: openpaymentsdata.cms.gov.
Total received
$774
Largest payer
Astellas Pharma US 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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
573
Total Claims
$270K
Total Drug Cost
141
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 955
- Total Day Supply
- 24,652
- Generic Drug Cost
- $44K
- Opioid Claims
- 29 (5.1% rate)
- Antibiotic Claims
- 30
Patient Demographics
- Average Patient Age
- 73.6 years
- Avg HCC Risk Score
- 1.99
- Gender Split
- 72% female / 28% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Karen Hughes, CNS prescribes most
Top Medicare Part D drugs by claim count, 2023
- Anastrozole
Anastrozole
121 claims
- Ondansetron Odt
Ondansetron Odt
51 claims
- Loperamide 47
Loperamide
47 claims
- Potassium Chloride 29
Potassium Chloride
29 claims
- Dexamethasone 28
Dexamethasone
28 claims
- Lidocaine-Prilocaine 26
Lidocaine-Prilocaine
26 claims
- Acyclovir 25
Acyclovir
25 claims
- Tramadol Hcl 13
Tramadol Hcl
13 claims
| Drug | Claims |
|---|---|
| Anastrozole | 121 |
| Ondansetron Odt Ondansetron | 51 |
| Loperamide Loperamide Hcl | 47 |
| Potassium Chloride | 29 |
| Dexamethasone | 28 |
| Lidocaine-Prilocaine Lidocaine/Prilocaine | 26 |
| Acyclovir | 25 |
| Tramadol Hcl | 13 |
| Hydroxyurea | 12 |
| Gabapentin | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Clinical Nurse Specialist Overview
How Karen Hughes, CNS fits within the Clinical Nurse Specialist landscape nationally.
1,715
Clinical Nurse Specialist Providers in US
49
States with Clinical Nurse Specialist
953
Avg Claims per Provider
Karen Hughes, CNS's 573 claims are below the specialty average of 953.
Nearby Clinical Nurse Specialist Providers in Indiana
Other clinicians with the same primary specialty enrolled in Indiana, drawn from the same CMS NPPES roster as Hughes.
Dr. Constance Adams
MS RN CCNS CCRN
East Chicago, IN
Dr. Mary Allen
MSN, APRN
Bloomington, IN
Dr. Ann Allison
RN
Avon, IN
Dr. Briana Alvey
RNC,CNS
Newburgh, IN
Dr. Shaleen Ayers
CNS
Evansville, IN
Compare Clinical Nurse Specialist nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Indiana medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Clinical Nurse Specialist peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
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How insurance networks affect your costs
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Frequently Asked Questions
What is Karen Hughes, CNS's specialty? ▼
Karen Hughes, CNS specializes in Clinical Nurse Specialist and practices in Lafayette, Indiana. Credentials: CNS.
How much does Karen Hughes, CNS prescribe under Medicare Part D? ▼
In 2023, Karen Hughes, CNS wrote 573 Medicare Part D claims totaling $270K in drug costs for 141 beneficiaries.
What is Karen Hughes, CNS's Medicare quality score? ▼
Karen Hughes, CNS has a CMS MIPS Final Score of 96.7/100 (Quality: 83.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Karen Hughes, CNS located? ▼
Karen Hughes, CNS is located at 1345 UNITY PL STE 135, Lafayette, IN, 47905. Phone: (765) 446-5050.
What is Karen Hughes, CNS's NPI number? ▼
Karen Hughes, CNS's National Provider Identifier (NPI) is 1902864036, issued on 05/01/2006.
Does Karen Hughes, CNS prescribe opioids? ▼
Yes, Karen Hughes, CNS had 29 opioid claims in 2023 with an opioid prescribing rate of 5.1%.
How many Clinical Nurse Specialist providers are there in the US? ▼
There are 1,715 Clinical Nurse Specialist providers across 49 states in the US. The average Clinical Nurse Specialist provider writes 953 Medicare Part D claims per year.
What drugs does Karen Hughes, CNS prescribe most often? ▼
Based on 2023 Medicare Part D data, Karen Hughes, CNS's most frequently prescribed drugs include Anastrozole, Ondansetron Odt, Loperamide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Karen Hughes, CNS accept Medicare? ▼
Karen Hughes, CNS appears in CMS Medicare data with 573 Part D claims and 141 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Karen Hughes, CNS's credentials? ▼
Karen Hughes, CNS's NPI is 1902864036 with credentials CNS. 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 (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
Compiled from official public sources by the PlainDoctor editorial team.