2026 NPPES data Nurse Practitioner NPI 1164193512 FNP
Verify on CMS →

KIM BUFORD, FNP

Nurse Practitioner in MERRILLVILLE, Indiana. 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
244
Medicare Part D claims · 165 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
74.6301/100
▼ 8 pts below national avg 83.1 · [object Object]
What the federal data reveals: KIM BUFORD, FNP is a Nurse Practitioner ([object Object]) practicing in MERRILLVILLE, Indiana with a Medicare Part D prescribing footprint of 244 claims across 165 beneficiaries — 5% brand-name prescribing . Their CMS MIPS Final Score of 74.6301/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: KIM BUFORD, FNP reported a CMS MIPS final score of 74.6301 out of 100, below the 83.1 national average, and filed 244 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

KIM BUFORD, FNP at a glance

Below national average

NPI registry status

Active

Issued 09/24/2021

NPI 1164193512

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

244 77% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

74.6301/100 8.469899999999996% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Indiana

How Nurse Practitioner compares to other specialties among Indiana providers

Indiana providers

Nurse Practitioner share within Indiana

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

Medicare quality performance — MIPS

KIM BUFORD, FNP's 2023 MIPS final score plotted against the Nurse Practitioner national average

Below national average
MIPS Final Score
74.6301/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) — 74.6301/100 vs national avg 83.1

0%100%National avg83%74.6%
MIPS final score (Nurse Practitioner) — 74.6301/100 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).

KIM BUFORD, FNP is a Nurse Practitioner provider practicing in MERRILLVILLE, Indiana, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: FNP. NPI: 1164193512. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

KIM BUFORD, FNP appears in the CMS NPPES registry as a Nurse Practitioner provider holding FNP credentials at 8701 BROADWAY, MERRILLVILLE, IN, 46410, with a listed phone of (219) 738-5500. NPI 1164193512 was issued on 09/24/2021. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BUFORD 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 244 prescription claims written by this provider, covering 165 Medicare beneficiaries and totaling roughly $3K in drug spend, split 5% brand-name and 95% generic by claim count. 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 74.6301/100 for the 2023 performance year (Quality 63.0682, Cost 62.4208), 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

8701 BROADWAY
MERRILLVILLE, IN 46410

Provider Details

NPI 1164193512
Specialty Nurse Practitioner
Credentials FNP
Gender Female
NPI Issued 09/24/2021

CMS Quality Score (MIPS)

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

74.6301
Final Score
Avg: 83.1
63.0682
Quality
62.4208
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where KIM BUFORD, FNP 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.

THE METHODIST HOSPITALS INC
MERRILLVILLE, IN

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

KIM BUFORD, FNP — brand share 5.0%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 244 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.

244
Total Claims
$3K
Total Drug Cost
165
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
246
Total Day Supply
2,159
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$232
Generic Drug Cost
$2K
Antibiotic Claims
129

Patient Demographics

Average Patient Age
71.6 years
Avg HCC Risk Score
1.05
Gender Split
73% female / 27% male
Age Distribution
<65: 19, 65-74: 91, 75-84: 40, 85+: 15

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
26
Azithromycin
24
Prednisone
23
Amoxicillin
22
Doxycycline Monohydrate
20
Cephalexin
19
Paxlovid (Eua)
Nirmatrelvir/Ritonavir
15
Methylprednisolone
14
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
11

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

Nurse Practitioner Overview

How KIM BUFORD, FNP 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

KIM BUFORD, FNP's 244 claims are below the specialty average of 1,084.

Nearby Nurse Practitioner Providers in Indiana

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

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

Frequently Asked Questions

What is KIM BUFORD, FNP's specialty?
KIM BUFORD, FNP specializes in Nurse Practitioner and practices in MERRILLVILLE, Indiana. Credentials: FNP.
How much does KIM BUFORD, FNP prescribe under Medicare Part D?
In 2023, KIM BUFORD, FNP wrote 244 Medicare Part D claims totaling $3K in drug costs for 165 beneficiaries.
What is KIM BUFORD, FNP's Medicare quality score?
KIM BUFORD, FNP has a CMS MIPS Final Score of 74.6301/100 (Quality: 63.0682, Cost: 62.4208). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KIM BUFORD, FNP located?
KIM BUFORD, FNP is located at 8701 BROADWAY, MERRILLVILLE, IN, 46410. Phone: (219) 738-5500.
What is KIM BUFORD, FNP's NPI number?
KIM BUFORD, FNP's National Provider Identifier (NPI) is 1164193512, issued on 09/24/2021.
Does KIM BUFORD, FNP prescribe more brand-name or generic drugs?
KIM BUFORD, FNP's prescribing is 5% brand-name and 95% generic drugs by claim count, with $232 in brand drug costs.
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 KIM BUFORD, FNP prescribe most often?
Based on 2023 Medicare Part D data, KIM BUFORD, FNP's most frequently prescribed drugs include Amoxicillin-Clavulanate Potass, Azithromycin, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KIM BUFORD, FNP accept Medicare?
KIM BUFORD, FNP appears in CMS Medicare data with 244 Part D claims and 165 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KIM BUFORD, FNP's credentials?
KIM BUFORD, FNP's NPI is 1164193512 with credentials FNP. 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