2026 NPPES data Case Management Registered Nurse NPI 1093257313 FNP-C
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Kayla Smalling, FNP-C

Case Management Registered Nurse in Canton, 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 5,736 in Case Management Registered Nurse, 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
766
Medicare Part D claims · 220 beneficiaries · Case Management Registered Nurse avg: 1K
Generic prescribing
75%
generic claims · 25% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$59.43
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Kayla Smalling, FNP-C filed 766 Medicare Part D claims in 2024 as a Case Management Registered Nurse in Canton, New York, prescribing 75% generic.

766
Part D claims, 2024
75%
generic prescribing
$59.43
industry payments (Sunshine Act)
≥70th
pct by Part D claim volume (lower-bound band)

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 Kayla Smalling, FNP-C

Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1093257313), first enumerated 11/17/2016.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 766 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • 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

    $59.43 in reported industry payments (2 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 Kayla Smalling, FNP-C'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 1093257313 · Case Management Registered Nurse

NPI-10 · ENUM-MID · TAX-MID · RX-LIGHT · BOOK-THIN · PHOTO-ENUM

  • NPI-10 1093257313
  • ENUM-MID 2016
  • TAX-MID 6K Case Management
  • RX-LIGHT 766
  • BOOK-THIN 272 in New York
  • PHOTO-ENUM Dulce Gutierrez, RN · 2016

Kayla Smalling, FNP-C's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2024, across all CMS prescribers nationally

766 ≥ 70th percentile 70% of 1,416,883 prescribers are in lower value bands

0–200: 679,947 prescribers (48%). Below this entry. 200–400: 188,835 prescribers (13%). Below this entry. 400–600: 95,866 prescribers (7%). Below this entry. 600–800: 60,107 prescribers (4%). This entry sits in this band. 800–1,000: 43,043 prescribers (3%). Above this entry. 1,000–1,200: 33,612 prescribers (2%). Above this entry. 1,200–1,400: 27,889 prescribers (2%). Above this entry. 1,400–1,600: 23,183 prescribers (2%). Above this entry. 1,600–1,800: 19,917 prescribers (1%). Above this entry. 1,800–2,000: 17,585 prescribers (1%). Above this entry. 2K+: 226,899 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.

The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.

Source CMS Medicare Part D Prescriber Public Use File · 2024

What does the federal data show about Kayla Smalling, FNP-C?

Quality data not reported

NPI registry status

Active

Issued 11/17/2016

NPI 1093257313

Primary specialty

Case Management Registered Nurse

Mid-sized

5,736 US NPIs in this specialty

Medicare Part D claims

766 24% vs specialty avg

2024 prescription claims

Specialty avg: 1,005

Specialty distribution in New York

How Case Management Registered Nurse compares to other specialties among New York providers

New York providers
Student in an Organized Heal…8%Registered Nurse5.2%Clinical Social Worker4.9%Social Worker4.5%Speech-Language Pathologist4.5%Licensed Practical Nurse4.3%Case Management Registered N…0%
Largest specialties in New York (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Case Management Registered Nurse. Verify directly:

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

6119 US HIGHWAY 11
Canton, NY 13617

Provider Details

NPI 1093257313
Specialty Case Management Registered Nurse
Credentials FNP-C
Gender Female
NPI Issued 11/17/2016

Hospital and facility affiliations

Facilities where Kayla Smalling, FNP-C 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.

Canton-Potsdam Hospital
★★☆☆☆ 2/5
Canton, NY
Acute Care Hospitals
CMS CCN: 330197

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 Kayla Smalling, FNP-C. Source: openpaymentsdata.cms.gov.

Total received

$59

Largest payer

Janssen Biotech, Inc.

Most common payment type

Education

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 Kayla Smalling, FNP-C. To verify Kayla Smalling, FNP-C'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 · Above average

Kayla Smalling, FNP-C - brand share 25.0%
Case Management Registered Nurse average

25% brand-name claims vs 75% generic, on 766 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.

766
Total Claims
$1.1M
Total Drug Cost
220
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,019.567
Total Day Supply
27,224
Brand vs Generic
25% brand / 75% generic
Brand Drug Cost
$1.0M
Generic Drug Cost
$8K

Patient Demographics

Average Patient Age
69.8 years
Avg HCC Risk Score
1.38
Gender Split
75% female / 25% male
Age Distribution
<65: 43, 65-74: 113, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Kayla Smalling, FNP-C prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Prednisone
235
Hydroxychloroquine Sulfate
156
Methotrexate
Methotrexate Sodium
91
Humira(Cf) Pen
Adalimumab
49
Sulfasalazine Dr
Sulfasalazine
40
Benlysta
Belimumab
22
Gabapentin
16
Rinvoq
Upadacitinib
16
Folic Acid
12

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

Case Management Registered Nurse Overview

How Kayla Smalling, FNP-C fits within the Case Management Registered Nurse landscape nationally.

5,736
Case Management Registered Nurse Providers in US
53
States with Case Management Registered Nurse
1,005
Avg Claims per Provider

Kayla Smalling, FNP-C's 766 claims are below the specialty average of 1,005.

Nationwide Case Management Registered Nurse peers with similar MIPS or enrollment year

Two federal-record peer sets for Smalling, both outside New York so the neighborhoods are not geographic containment.

Same NPPES enumeration year (2016)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Case Management Registered Nurse Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Smalling.

One of 272 Case Management Registered Nurse providers enrolled in New York, 5 are shown here.

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

Frequently Asked Questions

What is Kayla Smalling, FNP-C's specialty?
Kayla Smalling, FNP-C specializes in Case Management Registered Nurse and practices in Canton, New York. Credentials: FNP-C.
How much does Kayla Smalling, FNP-C prescribe under Medicare Part D?
In 2024, Kayla Smalling, FNP-C wrote 766 Medicare Part D claims totaling $1.1M in drug costs for 220 beneficiaries.
Where is Kayla Smalling, FNP-C located?
Kayla Smalling, FNP-C is located at 6119 US HIGHWAY 11, Canton, NY, 13617. Phone: (315) 261-5810.
What is Kayla Smalling, FNP-C's NPI number?
Kayla Smalling, FNP-C's National Provider Identifier (NPI) is 1093257313, issued on 11/17/2016.
Does Kayla Smalling, FNP-C prescribe more brand-name or generic drugs?
Kayla Smalling, FNP-C's prescribing is 25% brand-name and 75% generic drugs by claim count, with $1.0M in brand drug costs.
How many Case Management Registered Nurse providers are there in the US?
There are 5,736 Case Management Registered Nurse providers across 53 states in the US. The average Case Management Registered Nurse provider writes 1,005 Medicare Part D claims per year.
What drugs does Kayla Smalling, FNP-C prescribe most often?
Based on 2024 Medicare Part D data, Kayla Smalling, FNP-C's most frequently prescribed drugs include Prednisone, Hydroxychloroquine Sulfate, Methotrexate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kayla Smalling, FNP-C accept Medicare?
Kayla Smalling, FNP-C appears in CMS Medicare data with 766 Part D claims and 220 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kayla Smalling, FNP-C's credentials?
Kayla Smalling, FNP-C's NPI is 1093257313 with credentials FNP-C. 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.
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.