NPI registry status
Active
2026 NPPES data Adult Health Clinical Nurse Specialist NPI 1174879464 A.H.C.N.S.
Verify on CMS → Laura Billings, A.H.C.N.S.
Adult Health Clinical Nurse Specialist in Columbia, Missouri.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,379 in Adult Health Clinical Nurse Specialist, 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
217
Medicare Part D claims · 86 beneficiaries · Adult Health Clinical Nurse Specialist avg: 1K
MIPS score
100/100
▲ 17 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Laura Billings, A.H.C.N.S. reported a CMS MIPS final score of 100/100 - above the 83.1 national average - and filed 217 Medicare Part D claims in 2023.
- 100/100
- MIPS score · +17 vs avg
- 217
- Part D claims, 2023
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.
Laura Billings, A.H.C.N.S.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
100 Top 7% higher than 93% 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 Laura Billings, A.H.C.N.S. sits
This provider among adult health clinical nurse specialist peers
Across the 144 adult health clinical nurse specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Laura Billings, A.H.C.N.S. writes more Part D claims than 32% of them and scores higher on MIPS quality than 94% - placing this provider in the lower-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 adult health clinical nurse specialist peer from a representative sample of 60; the gold marker is Laura Billings, A.H.C.N.S.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Laura Billings, A.H.C.N.S.?
High performer (top quartile)Primary specialty
Adult Health Clinical Nurse Specialist
Medicare Part D claims
217 80% vs specialty avg
MIPS final score
100/100 16.9 pts vs avg
Specialty distribution in Missouri
How Adult Health Clinical Nurse Specialist compares to other specialties among Missouri providers
Medicare quality performance, MIPS
Laura Billings, A.H.C.N.S.'s 2023 MIPS final score plotted against the Adult Health Clinical Nurse Specialist national average
- MIPS Final Score
- 100/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Adult Health Clinical Nurse Specialist) - 100/100 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).
Laura Billings, A.H.C.N.S. appears in the CMS NPPES registry as an Adult Health Clinical Nurse Specialist provider holding A.H.C.N.S. credentials at 1100 VIRGINIA AVENUE, Columbia, MO, 65212, with a listed phone of (573) 882-2663. NPI 1174879464 was issued on 07/24/2012.
Medicare Part D records for calendar year 2023 show 217 prescription claims written by this provider, covering 86 Medicare beneficiaries and totaling roughly $9K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year, compared with the national average of 83.1.
Adult Health Clinical Nurse Specialist is a narrow specialty nationwide, with 1,379 enrolled providers across 49 states and an average of 1,088 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 | 1174879464 |
|---|---|
| Specialty | Adult Health Clinical Nurse Specialist |
| Credentials | A.H.C.N.S. |
| Gender | Female |
| NPI Issued | 07/24/2012 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
100
Final Score
Avg: 83.1
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Laura Billings, A.H.C.N.S. 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.
Empowerme Rehabilitation Missouri LLC
Columbia, MO
The Curators OF The University OF Missouri
Columbia, MO
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
217
Total Claims
$9K
Total Drug Cost
86
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 247
- Total Day Supply
- 6,734
- Generic Drug Cost
- $9K
Patient Demographics
- Average Patient Age
- 67.2 years
- Avg HCC Risk Score
- 1.19
- Gender Split
- 65% female / 35% male
- Age Distribution
- <65: 32, 65-74: 33, 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 Laura Billings, A.H.C.N.S. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Gabapentin
Gabapentin
63 claims
- Methocarbamol
Methocarbamol
52 claims
- Topiramate 25
Topiramate
25 claims
- Baclofen 18
Baclofen
18 claims
- Diclofenac Sodium 12
Diclofenac Sodium
12 claims
- Metaxalone 11
Metaxalone
11 claims
| Drug | Claims |
|---|---|
| Gabapentin | 63 |
| Methocarbamol | 52 |
| Topiramate | 25 |
| Baclofen | 18 |
| Diclofenac Sodium | 12 |
| Metaxalone | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Adult Health Clinical Nurse Specialist in MO →
All providers in Missouri →
Compare specialties →
Adult Health Clinical Nurse Specialist Overview
How Laura Billings, A.H.C.N.S. fits within the Adult Health Clinical Nurse Specialist landscape nationally.
1,379
Adult Health Clinical Nurse Specialist Providers in US
49
States with Adult Health Clinical Nurse Specialist
1,088
Avg Claims per Provider
Laura Billings, A.H.C.N.S.'s 217 claims are below the specialty average of 1,088.
Nearby Adult Health Clinical Nurse Specialist Providers in Missouri
Other clinicians with the same primary specialty enrolled in Missouri, drawn from the same CMS NPPES roster as Billings.
Dr. Catherine Ashbaugh
APRN
Columbia, MO
Dr. Judith Boland
RN, MSN, ACNS-BC
Marshall, MO
Dr. Janet Chance-Hetzler
DNP, MSN, RN, APRN
Sedalia, MO
Dr. Nadezhda Chernookaya
ACCNS-AG
Columbia, MO
Dr. Faith Cordle
RN, ACNS-BC
Kansas City, MO
Compare Adult Health Clinical Nurse Specialist 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 Missouri medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Adult Health Clinical Nurse Specialist 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 Laura Billings, A.H.C.N.S.'s specialty? ▼
Laura Billings, A.H.C.N.S. specializes in Adult Health Clinical Nurse Specialist and practices in Columbia, Missouri. Credentials: A.H.C.N.S..
How much does Laura Billings, A.H.C.N.S. prescribe under Medicare Part D? ▼
In 2023, Laura Billings, A.H.C.N.S. wrote 217 Medicare Part D claims totaling $9K in drug costs for 86 beneficiaries.
What is Laura Billings, A.H.C.N.S.'s Medicare quality score? ▼
Laura Billings, A.H.C.N.S. has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Laura Billings, A.H.C.N.S. located? ▼
Laura Billings, A.H.C.N.S. is located at 1100 VIRGINIA AVENUE, Columbia, MO, 65212. Phone: (573) 882-2663.
What is Laura Billings, A.H.C.N.S.'s NPI number? ▼
Laura Billings, A.H.C.N.S.'s National Provider Identifier (NPI) is 1174879464, issued on 07/24/2012.
How many Adult Health Clinical Nurse Specialist providers are there in the US? ▼
There are 1,379 Adult Health Clinical Nurse Specialist providers across 49 states in the US. The average Adult Health Clinical Nurse Specialist provider writes 1,088 Medicare Part D claims per year.
What drugs does Laura Billings, A.H.C.N.S. prescribe most often? ▼
Based on 2023 Medicare Part D data, Laura Billings, A.H.C.N.S.'s most frequently prescribed drugs include Gabapentin, Methocarbamol, Topiramate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Laura Billings, A.H.C.N.S. accept Medicare? ▼
Laura Billings, A.H.C.N.S. appears in CMS Medicare data with 217 Part D claims and 86 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Laura Billings, A.H.C.N.S.'s credentials? ▼
Laura Billings, A.H.C.N.S.'s NPI is 1174879464 with credentials A.H.C.N.S.. 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.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.