2026 NPPES data Family Nurse Practitioner NPI 1891164216 FNP
Verify on CMS →

Lorena Middleton, FNP

Family Nurse Practitioner in West Columbia, South Carolina. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 209,817 in Family 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
3K
Medicare Part D claims · 221 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
87%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$28.98
2 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Lorena Middleton, FNP filed 2,805 Medicare Part D claims in 2023 as a Family Nurse Practitioner in West Columbia, South Carolina, prescribing 87% generic.

3K
Part D claims, 2023
87%
generic prescribing
$28.98
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.

Lorena Middleton, FNP's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023, across all CMS prescribers nationally

2,805 Top 12% higher than 88% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2K+: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about Lorena Middleton, FNP?

Quality data not reported

NPI registry status

Active

Issued 09/15/2015

NPI 1891164216

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

2,805 130% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

Specialty distribution in South Carolina

How Family Nurse Practitioner compares to other specialties among South Carolina providers

South Carolina providers

Largest specialties in South Carolina (% of in-state providers)

Pharmacist - 6.2%Pharmacist6.2%Mental Health Counselor - 5.1%Mental Health Counselor5.1%Family Nurse Practitioner - 4.6%Family Nurse Practitioner4.6%Physical Therapist - 4.5%Physical Therapist4.5%Behavior Technician - 3.8%Behavior Technician3.8%Speech-Language Pathologist - 3.7%Speech-Language Pathologist3.7%
Largest specialties in South Carolina (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Family Nurse Practitioner. Verify directly:

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).

Lorena Middleton, FNP appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding FNP credentials at 103 SALUDA RIDGE CT, West Columbia, SC, 29169, with a listed phone of (803) 794-3320. NPI 1891164216 was issued on 09/15/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Middleton 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 2,805 prescription claims written by this provider, covering 221 Medicare beneficiaries and totaling roughly $342K in drug spend, split 12% brand-name and 87% generic by claim count, with an opioid prescribing rate of 1.5%. 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.

Family Nurse Practitioner is a high-volume specialty nationwide, with 209,817 enrolled providers across 56 states and an average of 1,222 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

103 SALUDA RIDGE CT
West Columbia, SC 29169

Provider Details

NPI 1891164216
Specialty Family Nurse Practitioner
Credentials FNP
Gender Female
NPI Issued 09/15/2015

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 Lorena Middleton, FNP. Source: openpaymentsdata.cms.gov.

Total received

$29

Largest payer

Novo Nordisk 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 · Typical

Lorena Middleton, FNP - brand share 12.0%
Family Nurse Practitioner average

12% brand-name claims vs 87% generic, on 2,805 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.

2,805
Total Claims
$342K
Total Drug Cost
221
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,400
Total Day Supply
185,513
Brand vs Generic
12% brand / 87% generic
Brand Drug Cost
$284K
Generic Drug Cost
$50K
Opioid Claims
42 (1.5% rate)
Antibiotic Claims
69

Patient Demographics

Average Patient Age
70.9 years
Avg HCC Risk Score
1.26
Gender Split
81% female / 19% male
Age Distribution
<65: 31, 65-74: 125, 75-84: 49, 85+: 16

Top Prescribed Drugs (Medicare Part D)

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

What Lorena Middleton, FNP 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
Atorvastatin Calcium
154
Amlodipine Besylate
126
Levothyroxine Sodium
85
Omeprazole
78
Lisinopril
75
Rosuvastatin Calcium
72
Losartan Potassium
66
Furosemide
65
Trazodone Hcl
61
Metoprolol Succinate
58

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

Family Nurse Practitioner Overview

How Lorena Middleton, FNP fits within the Family Nurse Practitioner landscape nationally.

209,817
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider

Lorena Middleton, FNP's 2,805 claims are above the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in South Carolina

Other clinicians with the same primary specialty enrolled in South Carolina, drawn from the same CMS NPPES roster as Middleton.

Compare Family 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 South Carolina medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family 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.

Frequently Asked Questions

What is Lorena Middleton, FNP's specialty?
Lorena Middleton, FNP specializes in Family Nurse Practitioner and practices in West Columbia, South Carolina. Credentials: FNP.
How much does Lorena Middleton, FNP prescribe under Medicare Part D?
In 2023, Lorena Middleton, FNP wrote 2,805 Medicare Part D claims totaling $342K in drug costs for 221 beneficiaries.
Where is Lorena Middleton, FNP located?
Lorena Middleton, FNP is located at 103 SALUDA RIDGE CT, West Columbia, SC, 29169. Phone: (803) 794-3320.
What is Lorena Middleton, FNP's NPI number?
Lorena Middleton, FNP's National Provider Identifier (NPI) is 1891164216, issued on 09/15/2015.
Does Lorena Middleton, FNP prescribe more brand-name or generic drugs?
Lorena Middleton, FNP's prescribing is 12% brand-name and 87% generic drugs by claim count, with $284K in brand drug costs.
Does Lorena Middleton, FNP prescribe opioids?
Yes, Lorena Middleton, FNP had 42 opioid claims in 2023 with an opioid prescribing rate of 1.5%.
How many Family Nurse Practitioner providers are there in the US?
There are 209,817 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
What drugs does Lorena Middleton, FNP prescribe most often?
Based on 2023 Medicare Part D data, Lorena Middleton, FNP's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Lorena Middleton, FNP accept Medicare?
Lorena Middleton, FNP appears in CMS Medicare data with 2,805 Part D claims and 221 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Lorena Middleton, FNP's credentials?
Lorena Middleton, FNP's NPI is 1891164216 with credentials FNP. 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.
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.