2026 NPPES data Clinical Nurse Specialist NPI 1609200625 CNS
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KIMBERLY BALTZELL, CNS

Clinical Nurse Specialist in DAYTON, Ohio. 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
100
Medicare Part D claims · 23 beneficiaries · Clinical Nurse Specialist avg: 953
Generic prescribing
73%
generic claims · 27% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.7919/100
▼ 6 pts below national avg 83.1 · [object Object]
What the federal data reveals: KIMBERLY BALTZELL, CNS is a Clinical Nurse Specialist ([object Object]) practicing in DAYTON, Ohio with a Medicare Part D prescribing footprint of 100 claims across 23 beneficiaries — 27% brand-name prescribing . Their CMS MIPS Final Score of 76.7919/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: KIMBERLY BALTZELL, CNS reported a CMS MIPS final score of 76.7919 out of 100, below the 83.1 national average, and filed 100 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

KIMBERLY BALTZELL, CNS at a glance

Below national average

NPI registry status

Active

Issued 08/27/2013

NPI 1609200625

Primary specialty

Clinical Nurse Specialist

Niche

1,708 US NPIs in this specialty

Medicare Part D claims

100 90% vs specialty avg

2023 prescription claims

Specialty avg: 953

MIPS final score

76.7919/100 6.308099999999996% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Ohio

How Clinical Nurse Specialist compares to other specialties among Ohio providers

Ohio providers

Clinical Nurse Specialist share within Ohio

1. Clinical Nurse Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Clinical Nurse Specialist share within Ohio

Medicare quality performance — MIPS

KIMBERLY BALTZELL, CNS's 2023 MIPS final score plotted against the Clinical Nurse Specialist national average

Below national average
MIPS Final Score
76.7919/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Clinical Nurse Specialist) — 76.7919/100 vs national avg 83.1

0%100%National avg83%76.8%
MIPS final score (Clinical Nurse Specialist) — 76.7919/100 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).

KIMBERLY BALTZELL, CNS is a Clinical Nurse Specialist provider practicing in DAYTON, Ohio, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: CNS. NPI: 1609200625. 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.

KIMBERLY BALTZELL, CNS appears in the CMS NPPES registry as a Clinical Nurse Specialist provider holding CNS credentials at 1 WYOMING ST FL 3, DAYTON, OH, 45409, with a listed phone of (937) 223-4461. NPI 1609200625 was issued on 08/27/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALTZELL 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 100 prescription claims written by this provider, covering 23 Medicare beneficiaries and totaling roughly $11K in drug spend, split 27% brand-name and 73% 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 76.7919/100 for the 2023 performance year (Quality 64.6514, Cost 57.9881), compared with the national average of 83.1.

Clinical Nurse Specialist is a narrow specialty nationwide, with 1,708 enrolled providers across 49 states and an average of 953 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

1 WYOMING ST FL 3
DAYTON, OH 45409

Provider Details

NPI 1609200625
Specialty Clinical Nurse Specialist
Credentials CNS
Gender Female
NPI Issued 08/27/2013

CMS Quality Score (MIPS)

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

76.7919
Final Score
Avg: 83.1
64.6514
Quality
57.9881
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where KIMBERLY BALTZELL, CNS 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.

PREMIER HEALTH SPECIALISTS INC
DAYTON, OH

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

License & disciplinary context — Ohio OMB 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 ~48K Ohio medical licensees in 2023 — they are NOT specific to KIMBERLY BALTZELL, CNS. To verify KIMBERLY BALTZELL, CNS's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB 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 Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

KIMBERLY BALTZELL, CNS — brand share 27.0%
Specialty average (est.)

27% brand-name claims vs 73% generic, on 100 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.

100
Total Claims
$11K
Total Drug Cost
23
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
156
Total Day Supply
4,398
Brand vs Generic
27% brand / 73% generic
Brand Drug Cost
$10K
Generic Drug Cost
$573

Patient Demographics

Average Patient Age
78.6 years
Avg HCC Risk Score
2.62
Gender Split
48% female / 52% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Clopidogrel
Clopidogrel Bisulfate
24
Brilinta
Ticagrelor
12
Furosemide
11

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

Clinical Nurse Specialist Overview

How KIMBERLY BALTZELL, CNS fits within the Clinical Nurse Specialist landscape nationally.

1,708
Clinical Nurse Specialist Providers in US
49
States with Clinical Nurse Specialist
953
Avg Claims per Provider

KIMBERLY BALTZELL, CNS's 100 claims are below the specialty average of 953.

Nearby Clinical Nurse Specialist Providers in Ohio

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

Compare Clinical Nurse Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is KIMBERLY BALTZELL, CNS's specialty?
KIMBERLY BALTZELL, CNS specializes in Clinical Nurse Specialist and practices in DAYTON, Ohio. Credentials: CNS.
How much does KIMBERLY BALTZELL, CNS prescribe under Medicare Part D?
In 2023, KIMBERLY BALTZELL, CNS wrote 100 Medicare Part D claims totaling $11K in drug costs for 23 beneficiaries.
What is KIMBERLY BALTZELL, CNS's Medicare quality score?
KIMBERLY BALTZELL, CNS has a CMS MIPS Final Score of 76.7919/100 (Quality: 64.6514, Cost: 57.9881). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KIMBERLY BALTZELL, CNS located?
KIMBERLY BALTZELL, CNS is located at 1 WYOMING ST FL 3, DAYTON, OH, 45409. Phone: (937) 223-4461.
What is KIMBERLY BALTZELL, CNS's NPI number?
KIMBERLY BALTZELL, CNS's National Provider Identifier (NPI) is 1609200625, issued on 08/27/2013.
Does KIMBERLY BALTZELL, CNS prescribe more brand-name or generic drugs?
KIMBERLY BALTZELL, CNS's prescribing is 27% brand-name and 73% generic drugs by claim count, with $10K in brand drug costs.
How many Clinical Nurse Specialist providers are there in the US?
There are 1,708 Clinical Nurse Specialist providers across 49 states in the US. The average Clinical Nurse Specialist provider writes 953 Medicare Part D claims per year.
What drugs does KIMBERLY BALTZELL, CNS prescribe most often?
Based on 2023 Medicare Part D data, KIMBERLY BALTZELL, CNS's most frequently prescribed drugs include Clopidogrel, Brilinta, Furosemide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KIMBERLY BALTZELL, CNS accept Medicare?
KIMBERLY BALTZELL, CNS appears in CMS Medicare data with 100 Part D claims and 23 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KIMBERLY BALTZELL, CNS's credentials?
KIMBERLY BALTZELL, CNS's NPI is 1609200625 with credentials CNS. 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