2026 NPPES data Nurse Practitioner NPI 1962048694 APRN
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KELSEY DOWNTON, APRN

Nurse Practitioner in CRESTVIEW HILLS, 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
1K
Medicare Part D claims · 408 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
99%
generic claims · 1% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
87.5327/100
▲ 4 pts above national avg 83.1 · [object Object]

What the federal data shows

KELSEY DOWNTON, APRN reported a CMS MIPS final score of 87.5327/100 — above the 83.1 national average — and filed 1,472 Medicare Part D claims in 2023.

87.5327/100
MIPS score · +4 vs avg
1K
Part D claims, 2023
99%
generic prescribing

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.

KELSEY DOWNTON, APRN's MIPS score vs every scored U.S. clinician

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

88 Top 46% higher than 54% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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 KELSEY DOWNTON, APRN?

High performer (top quartile)

NPI registry status

Active

Issued 11/18/2019

NPI 1962048694

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

1,472 36% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

87.5327/100 4.432700000000011% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Kentucky

How Nurse Practitioner compares to other specialties among Kentucky providers

Kentucky providers

Nurse Practitioner share within Kentucky

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

Medicare quality performance — MIPS

KELSEY DOWNTON, APRN's 2023 MIPS final score plotted against the Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
87.5327/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) — 87.5327/100 vs national avg 83.1

0%100%National avg83%87.5%
MIPS final score (Nurse Practitioner) — 87.5327/100 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).

KELSEY DOWNTON, APRN appears in the CMS NPPES registry as a Nurse Practitioner provider holding APRN credentials at 320 THOMAS MORE PKWY STE 202, CRESTVIEW HILLS, KY, 41017, with a listed phone of (859) 331-0432. NPI 1962048694 was issued on 11/18/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DOWNTON 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 1,472 prescription claims written by this provider, covering 408 Medicare beneficiaries and totaling roughly $42K in drug spend, split 1% brand-name and 99% generic by claim count, with an opioid prescribing rate of 23.2%. 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 87.5327/100 for the 2023 performance year (Quality 80.5859, Cost 68.0815), compared with the national average of 83.1.

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

320 THOMAS MORE PKWY STE 202
CRESTVIEW HILLS, KY 41017

Provider Details

NPI 1962048694
Specialty Nurse Practitioner
Credentials APRN
Gender Female
NPI Issued 11/18/2019

CMS Quality Score (MIPS)

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

87.5327
Final Score
Avg: 83.1
80.5859
Quality
68.0815
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where KELSEY DOWNTON, APRN 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.

COMMONWEALTH PAIN ASSOCIATES PLLC
CRESTVIEW HILLS, KY

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Generic-heavy

KELSEY DOWNTON, APRN — brand share 1.0%
Specialty average (est.)

1% brand-name claims vs 99% generic, on 1,472 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.

1,472
Total Claims
$42K
Total Drug Cost
408
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,609
Total Day Supply
47,592
Brand vs Generic
1% brand / 99% generic
Brand Drug Cost
$10K
Generic Drug Cost
$32K
Opioid Claims
342 (23.2% rate)

Patient Demographics

Average Patient Age
65.9 years
Avg HCC Risk Score
1.70
Gender Split
63% female / 38% male
Age Distribution
<65: 167, 65-74: 170, 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 KELSEY DOWNTON, 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
Gabapentin
591
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
261
Tizanidine Hcl
159
Pregabalin
81
Tramadol Hcl
79
Cyclobenzaprine Hcl
54
Diclofenac Sodium
52
Duloxetine Hcl
39
Meloxicam
32
Methocarbamol
29

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

Nurse Practitioner Overview

How KELSEY DOWNTON, APRN 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

KELSEY DOWNTON, APRN's 1,472 claims are above the specialty average of 1,084.

Nearby Nurse Practitioner Providers in Kentucky

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

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

Frequently Asked Questions

What is KELSEY DOWNTON, APRN's specialty?
KELSEY DOWNTON, APRN specializes in Nurse Practitioner and practices in CRESTVIEW HILLS, Kentucky. Credentials: APRN.
How much does KELSEY DOWNTON, APRN prescribe under Medicare Part D?
In 2023, KELSEY DOWNTON, APRN wrote 1,472 Medicare Part D claims totaling $42K in drug costs for 408 beneficiaries.
What is KELSEY DOWNTON, APRN's Medicare quality score?
KELSEY DOWNTON, APRN has a CMS MIPS Final Score of 87.5327/100 (Quality: 80.5859, Cost: 68.0815). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KELSEY DOWNTON, APRN located?
KELSEY DOWNTON, APRN is located at 320 THOMAS MORE PKWY STE 202, CRESTVIEW HILLS, KY, 41017. Phone: (859) 331-0432.
What is KELSEY DOWNTON, APRN's NPI number?
KELSEY DOWNTON, APRN's National Provider Identifier (NPI) is 1962048694, issued on 11/18/2019.
Does KELSEY DOWNTON, APRN prescribe more brand-name or generic drugs?
KELSEY DOWNTON, APRN's prescribing is 1% brand-name and 99% generic drugs by claim count, with $10K in brand drug costs.
Does KELSEY DOWNTON, APRN prescribe opioids?
Yes, KELSEY DOWNTON, APRN had 342 opioid claims in 2023 with an opioid prescribing rate of 23.2%.
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 KELSEY DOWNTON, APRN prescribe most often?
Based on 2023 Medicare Part D data, KELSEY DOWNTON, APRN's most frequently prescribed drugs include Gabapentin, Hydrocodone-Acetaminophen, Tizanidine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KELSEY DOWNTON, APRN accept Medicare?
KELSEY DOWNTON, APRN appears in CMS Medicare data with 1,472 Part D claims and 408 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KELSEY DOWNTON, APRN's credentials?
KELSEY DOWNTON, APRN's NPI is 1962048694 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