LAUREN GILMORE, CNP
Nurse Practitioner in LOUISVILLE, Kentucky. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
LAUREN GILMORE, CNP reported a CMS MIPS final score of 90.3837/100 — above the 83.1 national average — and filed 651 Medicare Part D claims in 2023.
- 90.3837/100
- MIPS score · +7 vs avg
- 651
- Part D claims, 2023
- $40.2
- 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.
LAUREN GILMORE, CNP's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure
90 Top 40% higher than 60% 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
What does the federal data show about LAUREN GILMORE, CNP?
High performer (top quartile)Primary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Kentucky
How Nurse Practitioner compares to other specialties among Kentucky providers
Nurse Practitioner share within Kentucky
Nurse Practitioner is one of the more visible NUCC categories in Kentucky
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
LAUREN GILMORE, CNP's 2023 MIPS final score plotted against the Nurse Practitioner national average
- MIPS Final Score
- 90.3837/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Nurse Practitioner) — 90.3837/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Specialty volume Nurse Practitioner US NPIs
90.3837/100 MIPS final score — 7.3 pts above the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Nurse Practitioner. Quality dim: 80.7674.
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).
LAUREN GILMORE, CNP appears in the CMS NPPES registry as a Nurse Practitioner provider holding CNP credentials at 200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY, 40202, with a listed phone of (502) 587-4267. NPI 1205373552 was issued on 01/25/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GILMORE 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 651 prescription claims written by this provider, covering 254 Medicare beneficiaries and totaling roughly $9K in drug spend, with an opioid prescribing rate of 22.6%. 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 90.3837/100 for the 2023 performance year (Quality 80.7674), 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
Provider Details
| NPI | 1205373552 |
|---|---|
| Specialty | Nurse Practitioner |
| Credentials | CNP |
| Gender | Female |
| NPI Issued | 01/25/2017 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm LAUREN GILMORE, CNP's current license status, disciplinary history, and board certifications with the Kentucky Board of Medical Licensure in Kentucky before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where LAUREN GILMORE, CNP 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.
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 LAUREN GILMORE, CNP. Source: openpaymentsdata.cms.gov.
Total received
$40
Largest payer
Medtronic, 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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
Prescribing Breakdown
- 30-Day Fills
- 726
- Total Day Supply
- 16,008
- Generic Drug Cost
- $9K
- Opioid Claims
- 147 (22.6% rate)
Patient Demographics
- Average Patient Age
- 72.0 years
- Avg HCC Risk Score
- 0.98
- Gender Split
- 50% female / 50% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What LAUREN GILMORE, CNP prescribes most
Top Medicare Part D drugs by claim count, 2023
- Diclofenac Sodium
Diclofenac Sodium
135 claims
- Oxycodone-Acetamin…
Oxycodone-Acetaminophen
113 claims
- Gabapentin
Gabapentin
110 claims
- Methylprednisolone
Methylprednisolone
79 claims
- Methocarbamol
Methocarbamol
68 claims
- Ibuprofen 20
Ibuprofen
20 claims
- Celecoxib 14
Celecoxib
14 claims
- Tizanidine Hcl 14
Tizanidine Hcl
14 claims
| Drug | Claims |
|---|---|
| Diclofenac Sodium | 135 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 113 |
| Gabapentin | 110 |
| Methylprednisolone | 79 |
| Methocarbamol | 68 |
| Ibuprofen | 20 |
| Celecoxib | 14 |
| Tizanidine Hcl | 14 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 13 |
| Meloxicam | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Nurse Practitioner Overview
How LAUREN GILMORE, CNP fits within the Nurse Practitioner landscape nationally.
LAUREN GILMORE, CNP's 651 claims are below the specialty average of 1,084.
Nearby Nurse Practitioner Providers in Kentucky
Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as GILMORE.
Compare Nurse Practitioner nationally: see state-by-state distribution →
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Frequently Asked Questions
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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