KEVIN O'REILLY
Psychiatric/Mental Health Nurse Practitioner in MARYVILLE, Tennessee. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
KEVIN O'REILLY reported a CMS MIPS final score of 79.2957/100 — below the 83.1 national average — and filed 325 Medicare Part D claims in 2023.
- 79.2957/100
- MIPS score · -4 vs avg
- 325
- Part D claims, 2023
- $1.2K
- 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.
KEVIN O'REILLY's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure
79 30th percentile higher than 30% 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
What does the federal data show about KEVIN O'REILLY?
Near national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Tennessee
How Psychiatric/Mental Health Nurse Practitioner compares to other specialties among Tennessee providers
Psychiatric/Mental Health Nurse Practitioner share within Tennessee
Psychiatric/Mental Health Nurse Practitioner is one of the more visible NUCC categories in Tennessee
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
KEVIN O'REILLY's 2023 MIPS final score plotted against the Psychiatric/Mental Health Nurse Practitioner national average
- MIPS Final Score
- 79.2957/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Psychiatric/Mental Health Nurse Practitioner) — 79.2957/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Psychiatric/Mental Health Nurse Practitioner US NPIs
79.2957/100 MIPS final score — 3.8 pts below the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Psychiatric/Mental Health Nurse Practitioner. Quality dim: 74.5598. Cost dim: 63.0925.
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).
KEVIN O'REILLY appears in the CMS NPPES registry as a Psychiatric/Mental Health Nurse Practitioner provider at 405 ELLIS AVE, MARYVILLE, TN, 37804, with a listed phone of (865) 980-5377. NPI 1396229811 was issued on 09/20/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what O'REILLY 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 325 prescription claims written by this provider, covering 51 Medicare beneficiaries and totaling roughly $14K 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 79.2957/100 for the 2023 performance year (Quality 74.5598, Cost 63.0925), compared with the national average of 83.1.
Psychiatric/Mental Health Nurse Practitioner is a mid-sized specialty nationwide, with 39,953 enrolled providers across 54 states and an average of 927 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 | 1396229811 |
|---|---|
| Specialty | Psychiatric/Mental Health Nurse Practitioner |
| Gender | Male |
| NPI Issued | 09/20/2018 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm KEVIN O'REILLY's current license status, disciplinary history, and board certifications with the Tennessee Board of Medical Examiners in Tennessee before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Group practice
Hospital and facility affiliations
Facilities where KEVIN O'REILLY 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.
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 KEVIN O'REILLY. Source: openpaymentsdata.cms.gov.
Total received
$1.2K
Largest payer
Vanda Pharmaceuticals 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.
Prescribing Breakdown
- 30-Day Fills
- 622
- Total Day Supply
- 18,389
- Brand Drug Cost
- $0
- Generic Drug Cost
- $14K
Patient Demographics
- Average Patient Age
- 66.4 years
- Avg HCC Risk Score
- 1.47
- Gender Split
- 75% female / 25% male
- Age Distribution
- <65: 13, 65-74: 30, 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 KEVIN O'REILLY prescribes most
Top Medicare Part D drugs by claim count, 2023
- Mirtazapine
Mirtazapine
42 claims
- Sertraline Hcl
Sertraline Hcl
38 claims
- Quetiapine Fumarate
Quetiapine Fumarate
27 claims
- Lamotrigine
Lamotrigine
24 claims
- Escitalopram Oxalate
Escitalopram Oxalate
19 claims
- Desvenlafaxine Suc…
Desvenlafaxine Succinate Er
18 claims
- Hydroxyzine Pamoate 15
Hydroxyzine Pamoate
15 claims
- Bupropion Xl 14
Bupropion Xl
14 claims
| Drug | Claims |
|---|---|
| Mirtazapine | 42 |
| Sertraline Hcl | 38 |
| Quetiapine Fumarate | 27 |
| Lamotrigine | 24 |
| Escitalopram Oxalate | 19 |
| Desvenlafaxine Succinate Er Desvenlafaxine Succinate | 18 |
| Hydroxyzine Pamoate | 15 |
| Bupropion Xl Bupropion Hcl | 14 |
| Buspirone Hcl | 14 |
| Duloxetine Hcl | 14 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Psychiatric/Mental Health Nurse Practitioner Overview
How KEVIN O'REILLY fits within the Psychiatric/Mental Health Nurse Practitioner landscape nationally.
KEVIN O'REILLY's 325 claims are below the specialty average of 927.
Nearby Psychiatric/Mental Health Nurse Practitioner Providers in Tennessee
Other clinicians with the same primary specialty enrolled in Tennessee, drawn from the same CMS NPPES roster as O'REILLY.
Compare Psychiatric/Mental Health Nurse Practitioner nationally: see state-by-state distribution →
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Frequently Asked Questions
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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