2026 NPPES data Family Nurse Practitioner NPI 1033667159 APRN
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Karyn McGuire, APRN

Family Nurse Practitioner in Lexington, Kentucky. 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
395
Medicare Part D claims · 246 beneficiaries · Family Nurse Practitioner avg: 1K
MIPS score
95.5/100
▲ 12 pts above national avg 83.1 · [object Object]
Industry payments
$17.81
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Karyn McGuire, APRN reported a CMS MIPS final score of 95.5/100 — above the 83.1 national average — and filed 395 Medicare Part D claims in 2023.

95.5/100
MIPS score · +12 vs avg
395
Part D claims, 2023
$17.81
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.

Karyn McGuire, APRN's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

96 Top 21% higher than 79% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

What does the federal data show about Karyn McGuire, APRN?

High performer (top quartile)

NPI registry status

Active

Issued 09/18/2016

NPI 1033667159

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

395 68% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

MIPS final score

95.5/100 12.4 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Kentucky

How Family Nurse Practitioner compares to other specialties among Kentucky providers

Kentucky providers

Family Nurse Practitioner share within Kentucky

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

Medicare quality performance — MIPS

Karyn McGuire, APRN's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
95.5/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Nurse Practitioner) — 95.5/100 vs national avg 83.1

0%100%National avg83%95.5%
MIPS final score (Family Nurse Practitioner) — 95.5/100 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).

Karyn McGuire, APRN appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding APRN credentials at 207 E REYNOLDS RD STE 150, Lexington, KY, 40517, with a listed phone of (859) 309-0234. NPI 1033667159 was issued on 09/18/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what McGuire 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 395 prescription claims written by this provider, covering 246 Medicare beneficiaries and totaling roughly $16K 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 95.5/100 for the 2023 performance year (Quality 89.6), compared with the national average of 83.1.

Family Nurse Practitioner is a high-volume specialty nationwide, with 209,817 enrolled providers across 56 states and an average of 1,222 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

207 E REYNOLDS RD STE 150
Lexington, KY 40517

Provider Details

NPI 1033667159
Specialty Family Nurse Practitioner
Credentials APRN
Gender Female
NPI Issued 09/18/2016

CMS Quality Score (MIPS)

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

95.5077
Final Score
Avg: 83.1
89.5953
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 Karyn McGuire, APRN. Source: openpaymentsdata.cms.gov.

Total received

$18

Largest payer

Salix Pharmaceuticals, a division of Bausch Health US, 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.

395
Total Claims
$16K
Total Drug Cost
246
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
470
Total Day Supply
7,777
Generic Drug Cost
$5K
Antibiotic Claims
159

Patient Demographics

Average Patient Age
71.6 years
Avg HCC Risk Score
1.06
Gender Split
68% female / 32% male
Age Distribution
<65: 31, 65-74: 134, 75-84: 64, 85+: 17

Top Prescribed Drugs (Medicare Part D)

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

What Karyn McGuire, APRN 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
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
52
Prednisone
39
Azithromycin
28
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
27
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
14
Fluticasone Propionate
13

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

Family Nurse Practitioner Overview

How Karyn McGuire, APRN fits within the Family Nurse Practitioner landscape nationally.

209,817
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider

Karyn McGuire, APRN's 395 claims are below the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in Kentucky

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

Compare Family Nurse Practitioner 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 Kentucky medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family Nurse Practitioner 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.

Frequently Asked Questions

What is Karyn McGuire, APRN's specialty?
Karyn McGuire, APRN specializes in Family Nurse Practitioner and practices in Lexington, Kentucky. Credentials: APRN.
How much does Karyn McGuire, APRN prescribe under Medicare Part D?
In 2023, Karyn McGuire, APRN wrote 395 Medicare Part D claims totaling $16K in drug costs for 246 beneficiaries.
What is Karyn McGuire, APRN's Medicare quality score?
Karyn McGuire, APRN has a CMS MIPS Final Score of 95.5/100 (Quality: 89.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Karyn McGuire, APRN located?
Karyn McGuire, APRN is located at 207 E REYNOLDS RD STE 150, Lexington, KY, 40517. Phone: (859) 309-0234.
What is Karyn McGuire, APRN's NPI number?
Karyn McGuire, APRN's National Provider Identifier (NPI) is 1033667159, issued on 09/18/2016.
How many Family Nurse Practitioner providers are there in the US?
There are 209,817 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
What drugs does Karyn McGuire, APRN prescribe most often?
Based on 2023 Medicare Part D data, Karyn McGuire, APRN's most frequently prescribed drugs include Amoxicillin-Clavulanate Potass, Prednisone, Azithromycin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Karyn McGuire, APRN accept Medicare?
Karyn McGuire, APRN appears in CMS Medicare data with 395 Part D claims and 246 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Karyn McGuire, APRN's credentials?
Karyn McGuire, APRN's NPI is 1033667159 with credentials 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

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