2026 NPPES data Dermatology Physician NPI 1669442422 M.D.
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KRYSTAL HOLDERNESS NAKAMURA, M.D.

Dermatology Physician in PUEBLO, Colorado. 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
330
Medicare Part D claims · 140 beneficiaries · Dermatology Physician avg: 729
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.1682/100
▲ 14 pts above national avg 83.1 · [object Object]
Industry payments
$134.79
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KRYSTAL HOLDERNESS NAKAMURA, M.D. reported a CMS MIPS final score of 97.1682/100 — above the 83.1 national average — and filed 330 Medicare Part D claims in 2023.

97.1682/100
MIPS score · +14 vs avg
330
Part D claims, 2023
95%
generic prescribing
Likely
board-certified (heuristic)

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.

KRYSTAL HOLDERNESS NAKAMURA, M.D.'s MIPS score vs every scored U.S. clinician

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

97 Top 15% higher than 85% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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

Board certification likely (heuristic — not verified)

KRYSTAL HOLDERNESS NAKAMURA, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about KRYSTAL HOLDERNESS NAKAMURA, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 01/25/2006

NPI 1669442422

Primary specialty

Dermatology Physician

Mid-sized

14,610 US NPIs in this specialty

Medicare Part D claims

330 55% vs specialty avg

2023 prescription claims

Specialty avg: 729

MIPS final score

97.1682/100 14.068200000000004% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Colorado

How Dermatology Physician compares to other specialties among Colorado providers

Colorado providers

Dermatology Physician share within Colorado

1. Dermatology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Dermatology Physician share within Colorado

Medicare quality performance — MIPS

KRYSTAL HOLDERNESS NAKAMURA, M.D.'s 2023 MIPS final score plotted against the Dermatology Physician national average

High performer (top quartile)
MIPS Final Score
97.1682/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Dermatology Physician) — 97.1682/100 vs national avg 83.1

0%100%National avg83%97.2%
MIPS final score (Dermatology Physician) — 97.1682/100 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).

KRYSTAL HOLDERNESS NAKAMURA, M.D. appears in the CMS NPPES registry as a Dermatology Physician provider holding M.D. credentials at 2001 LAKE AVE, PUEBLO, CO, 81004, with a listed phone of (719) 564-5544. NPI 1669442422 was issued on 01/25/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HOLDERNESS NAKAMURA 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 330 prescription claims written by this provider, covering 140 Medicare beneficiaries and totaling roughly $164K 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 97.1682/100 for the 2023 performance year (Quality 97.0287, Cost 93.532), compared with the national average of 83.1.

Dermatology Physician is a mid-sized specialty nationwide, with 14,610 enrolled providers across 53 states and an average of 729 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

2001 LAKE AVE
PUEBLO, CO 81004

Provider Details

NPI 1669442422
Specialty Dermatology Physician
Credentials M.D.
Gender Female
NPI Issued 01/25/2006

CMS Quality Score (MIPS)

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

97.1682
Final Score
Avg: 83.1
97.0287
Quality
93.532
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where KRYSTAL HOLDERNESS NAKAMURA, M.D. 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.

SKIN CANCER AND DERMATOLOGY CENTER OF COLORADO SPRINGS, P.C.
PUEBLO, CO

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 KRYSTAL HOLDERNESS NAKAMURA, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$135

Largest payer

Janssen Biotech, 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.

Brand vs generic prescribing mix · Generic-heavy

KRYSTAL HOLDERNESS NAKAMURA, M.D. — brand share 5.0%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 330 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.

330
Total Claims
$164K
Total Drug Cost
140
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
433
Total Day Supply
11,390
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$153K
Generic Drug Cost
$11K
Antibiotic Claims
42

Patient Demographics

Average Patient Age
75.3 years
Avg HCC Risk Score
0.98
Gender Split
67% female / 33% male

Top Prescribed Drugs (Medicare Part D)

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

What KRYSTAL HOLDERNESS NAKAMURA, M.D. 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
Triamcinolone Acetonide
54
Fluorouracil
38
Hydrocortisone
35
Valacyclovir
Valacyclovir Hcl
16
Doxycycline Monohydrate
15
Betamethasone Dipropionate
14
Fluocinonide
14
Clobetasol Propionate
13
Doxycycline Hyclate
12
Prednisone
12

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

Dermatology Physician Overview

How KRYSTAL HOLDERNESS NAKAMURA, M.D. fits within the Dermatology Physician landscape nationally.

14,610
Dermatology Physician Providers in US
53
States with Dermatology Physician
729
Avg Claims per Provider

KRYSTAL HOLDERNESS NAKAMURA, M.D.'s 330 claims are below the specialty average of 729.

Nearby Dermatology Physician Providers in Colorado

Other clinicians with the same primary specialty enrolled in Colorado, drawn from the same CMS NPPES roster as HOLDERNESS NAKAMURA.

Compare Dermatology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KRYSTAL HOLDERNESS NAKAMURA, M.D.'s specialty?
KRYSTAL HOLDERNESS NAKAMURA, M.D. specializes in Dermatology Physician and practices in PUEBLO, Colorado. Credentials: M.D..
How much does KRYSTAL HOLDERNESS NAKAMURA, M.D. prescribe under Medicare Part D?
In 2023, KRYSTAL HOLDERNESS NAKAMURA, M.D. wrote 330 Medicare Part D claims totaling $164K in drug costs for 140 beneficiaries.
What is KRYSTAL HOLDERNESS NAKAMURA, M.D.'s Medicare quality score?
KRYSTAL HOLDERNESS NAKAMURA, M.D. has a CMS MIPS Final Score of 97.1682/100 (Quality: 97.0287, Cost: 93.532). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KRYSTAL HOLDERNESS NAKAMURA, M.D. located?
KRYSTAL HOLDERNESS NAKAMURA, M.D. is located at 2001 LAKE AVE, PUEBLO, CO, 81004. Phone: (719) 564-5544.
What is KRYSTAL HOLDERNESS NAKAMURA, M.D.'s NPI number?
KRYSTAL HOLDERNESS NAKAMURA, M.D.'s National Provider Identifier (NPI) is 1669442422, issued on 01/25/2006.
Does KRYSTAL HOLDERNESS NAKAMURA, M.D. prescribe more brand-name or generic drugs?
KRYSTAL HOLDERNESS NAKAMURA, M.D.'s prescribing is 5% brand-name and 95% generic drugs by claim count, with $153K in brand drug costs.
How many Dermatology Physician providers are there in the US?
There are 14,610 Dermatology Physician providers across 53 states in the US. The average Dermatology Physician provider writes 729 Medicare Part D claims per year.
What drugs does KRYSTAL HOLDERNESS NAKAMURA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, KRYSTAL HOLDERNESS NAKAMURA, M.D.'s most frequently prescribed drugs include Triamcinolone Acetonide, Fluorouracil, Hydrocortisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KRYSTAL HOLDERNESS NAKAMURA, M.D. accept Medicare?
KRYSTAL HOLDERNESS NAKAMURA, M.D. appears in CMS Medicare data with 330 Part D claims and 140 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KRYSTAL HOLDERNESS NAKAMURA, M.D.'s credentials?
KRYSTAL HOLDERNESS NAKAMURA, M.D.'s NPI is 1669442422 with credentials M.D.. 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