NPI registry status
Active
2026 NPPES data Pediatric Nurse Practitioner NPI 1346340064 CRNP
Verify on CMS → Kimberly Barilla, CRNP
Pediatric Nurse Practitioner in Lehighton, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 21,082 in Pediatric Nurse Practitioner, 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
5K
Medicare Part D claims · 229 beneficiaries · Pediatric Nurse Practitioner avg: 312
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
99/100
▲ 16 pts above national avg 83.1 · Exceptional
Industry payments
$1.3K
66 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Kimberly Barilla, CRNP reported a CMS MIPS final score of 99/100 - above the 83.1 national average - and filed 4,672 Medicare Part D claims in 2023.
- 99/100
- MIPS score · +16 vs avg
- 5K
- Part D claims, 2023
- 91%
- generic prescribing
- $1.3K
- 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.
Kimberly Barilla, CRNP's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
99 Top 9% higher than 91% 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
Where Kimberly Barilla, CRNP sits
This provider among pediatric nurse practitioner peers
Across the 147 pediatric nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Kimberly Barilla, CRNP writes more Part D claims than 99% of them and scores higher on MIPS quality than 89% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one pediatric nurse practitioner peer from a representative sample of 60; the gold marker is Kimberly Barilla, CRNP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Kimberly Barilla, CRNP?
High performer (top quartile)Primary specialty
Pediatric Nurse Practitioner
Medicare Part D claims
4,672 15× vs specialty avg
MIPS final score
99/100 15.9 pts vs avg
Specialty distribution in Pennsylvania
How Pediatric Nurse Practitioner compares to other specialties among Pennsylvania providers
Medicare quality performance, MIPS
Kimberly Barilla, CRNP's 2023 MIPS final score plotted against the Pediatric Nurse Practitioner national average
- MIPS Final Score
- 99/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pediatric Nurse Practitioner) - 99/100 vs national avg 83.1
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).
Kimberly Barilla, CRNP appears in the CMS NPPES registry as a Pediatric Nurse Practitioner provider holding CRNP credentials at 428 S 7TH ST, Lehighton, PA, 18235, with a listed phone of (610) 900-4234. NPI 1346340064 was issued on 09/23/2006.
Medicare Part D records for calendar year 2023 show 4,672 prescription claims written by this provider, covering 229 Medicare beneficiaries and totaling roughly $568K in drug spend, split 9% brand-name and 91% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 99/100 for the 2023 performance year (Quality 85, Cost 100), compared with the national average of 83.1.
Pediatric Nurse Practitioner is a mid-sized specialty nationwide, with 21,082 enrolled providers across 52 states and an average of 312 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 | 1346340064 |
|---|---|
| Specialty | Pediatric Nurse Practitioner |
| Credentials | CRNP |
| Gender | Female |
| NPI Issued | 09/23/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
99
Final Score
Avg: 83.1
85
Quality
100
Cost
Reporting: Group practice
Hospital and facility affiliations
Facilities where Kimberly Barilla, CRNP 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.
Valley Geropsych, LLC
Lehighton, PA
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 Kimberly Barilla, CRNP. Source: openpaymentsdata.cms.gov.
Total received
$1.3K
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.
License & disciplinary context - Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Kimberly Barilla, CRNP. To verify Kimberly Barilla, CRNP's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
Kimberly Barilla, CRNP - brand share 9.0%
Pediatric Nurse Practitioner average
9% brand-name claims vs 91% generic, on 4,672 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.
4,672
Total Claims
$568K
Total Drug Cost
229
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 5,189
- Total Day Supply
- 151,886
- Brand vs Generic
- 9% brand / 91% generic
- Brand Drug Cost
- $450K
- Generic Drug Cost
- $118K
Patient Demographics
- Average Patient Age
- 55.4 years
- Avg HCC Risk Score
- 1.47
- Gender Split
- 66% female / 34% male
- Age Distribution
- <65: 158, 65-74: 60, 75-84: 11, 85+: 0
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Kimberly Barilla, CRNP prescribes most
Top Medicare Part D drugs by claim count, 2023
- Clonazepam
Clonazepam
313 claims
- Quetiapine Fumarate
Quetiapine Fumarate
292 claims
- Alprazolam
Alprazolam
242 claims
- Trazodone Hcl
Trazodone Hcl
220 claims
- Duloxetine Hcl
Duloxetine Hcl
177 claims
- Lorazepam
Lorazepam
172 claims
- Buspirone Hcl
Buspirone Hcl
152 claims
- Zolpidem Tartrate
Zolpidem Tartrate
149 claims
| Drug | Claims |
|---|---|
| Clonazepam | 313 |
| Quetiapine Fumarate | 292 |
| Alprazolam | 242 |
| Trazodone Hcl | 220 |
| Duloxetine Hcl | 177 |
| Lorazepam | 172 |
| Buspirone Hcl | 152 |
| Zolpidem Tartrate | 149 |
| Aripiprazole | 133 |
| Sertraline Hcl | 117 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pediatric Nurse Practitioner Overview
How Kimberly Barilla, CRNP fits within the Pediatric Nurse Practitioner landscape nationally.
21,082
Pediatric Nurse Practitioner Providers in US
52
States with Pediatric Nurse Practitioner
312
Avg Claims per Provider
Kimberly Barilla, CRNP's 4,672 claims are above the specialty average of 312.
Nearby Pediatric Nurse Practitioner Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Barilla.
Dr. Atley Aaron
PNP-PC
West Grove, PA
Dr. Arlene Abelard-Daniel
CRNP
Philadelphia, PA
Dr. Kimberly Ackerman
CRNP
West Mifflin, PA
Dr. Casey Adams
CRNP
Philadelphia, PA
Dr. Ruth Adams
MSN, CRNP
Philadelphia, PA
Compare Pediatric Nurse Practitioner nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Pennsylvania medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pediatric Nurse Practitioner peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Kimberly Barilla, CRNP's specialty? ▼
Kimberly Barilla, CRNP specializes in Pediatric Nurse Practitioner and practices in Lehighton, Pennsylvania. Credentials: CRNP.
How much does Kimberly Barilla, CRNP prescribe under Medicare Part D? ▼
In 2023, Kimberly Barilla, CRNP wrote 4,672 Medicare Part D claims totaling $568K in drug costs for 229 beneficiaries.
What is Kimberly Barilla, CRNP's Medicare quality score? ▼
Kimberly Barilla, CRNP has a CMS MIPS Final Score of 99/100 (Quality: 85, Cost: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Kimberly Barilla, CRNP located? ▼
Kimberly Barilla, CRNP is located at 428 S 7TH ST, Lehighton, PA, 18235. Phone: (610) 900-4234.
What is Kimberly Barilla, CRNP's NPI number? ▼
Kimberly Barilla, CRNP's National Provider Identifier (NPI) is 1346340064, issued on 09/23/2006.
Does Kimberly Barilla, CRNP prescribe more brand-name or generic drugs? ▼
Kimberly Barilla, CRNP's prescribing is 9% brand-name and 91% generic drugs by claim count, with $450K in brand drug costs.
How many Pediatric Nurse Practitioner providers are there in the US? ▼
There are 21,082 Pediatric Nurse Practitioner providers across 52 states in the US. The average Pediatric Nurse Practitioner provider writes 312 Medicare Part D claims per year.
What drugs does Kimberly Barilla, CRNP prescribe most often? ▼
Based on 2023 Medicare Part D data, Kimberly Barilla, CRNP's most frequently prescribed drugs include Clonazepam, Quetiapine Fumarate, Alprazolam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kimberly Barilla, CRNP accept Medicare? ▼
Kimberly Barilla, CRNP appears in CMS Medicare data with 4,672 Part D claims and 229 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kimberly Barilla, CRNP's credentials? ▼
Kimberly Barilla, CRNP's NPI is 1346340064 with credentials CRNP. 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 (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
Compiled from official public sources by the PlainDoctor editorial team.