Mary Carter, APRN
Family Nurse Practitioner in Crossville, Tennessee.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 210,832 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.
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Mary Carter, APRN reported a CMS MIPS final score of 68.3/100 - below the 83.5 national average - and filed 3,636 Medicare Part D claims in 2023.
- 68.3/100
- MIPS score · -15 vs avg
- 4K
- Part D claims, 2023
- 87%
- generic prescribing
- $270.82
- 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.
CMS NPPES provider registry desk
NPI 1700369006 · Family Nurse Practitioner
NPI-10 · ENUM-RECENT · TAX-MEGA · MIPS-LOW · RX-MID · BOOK-MID · PHOTO-FINISH
- NPI-10 1700369006
- ENUM-RECENT 2018
- TAX-MEGA 211K Family Nurse
- MIPS-LOW 68.3/100
- RX-MID 3,636
- BOOK-MID 7,834 in Tennessee
- PHOTO-FINISH Nicole Bowen · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Carter · this pr…
Carter · this provider
68.3 MIPS pts
- Amanda Goldsmith…
Amanda Goldsmith
68.3 MIPS pts
- Nicole Bowen · n…
Nicole Bowen
68.3 MIPS pts
- Crystal Davison …
Crystal Davison
68.3 MIPS pts
- Malia Dejong · n…
Malia Dejong
68.3 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Mary Carter, APRN's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
68 ≥ 8th percentile 8% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Mary Carter, APRN sits
This provider among family nurse practitioner peers
Across the 26,556 family nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Mary Carter, APRN writes more Part D claims than 91% of them and scores higher on MIPS quality than 7% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one family nurse practitioner peer from a representative sample of 60; the gold marker is Mary Carter, APRN. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Mary Carter, APRN?
Below national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Tennessee
How Family Nurse Practitioner compares to other specialties among Tennessee providers
Family Nurse Practitioner ranks #1 among Tennessee's specialties (6.4% of in-state providers)
Each bar is a specialty's share of the Tennessee provider total, by primary NUCC taxonomy. The highlighted bar is Family Nurse Practitioner; the long tail of smaller specialties is omitted for legibility.
Medicare quality performance, MIPS
Mary Carter, APRN's 2023 MIPS final score plotted against the Family Nurse Practitioner national average
- MIPS Final Score
- 68.3/100
- vs 83.5 national avg · 2023 performance year
Quality benchmarks
- National MIPS avg 2023 measured reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Family Nurse Practitioner US NPIs
68.3/100 MIPS final score - 15.2 pts below the 83.5 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Family Nurse Practitioner. Quality dim: 74.4. Cost dim: 28.6.
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).
Practice Address
Provider Details
| NPI | 1700369006 |
|---|---|
| Specialty | Family Nurse Practitioner |
| Credentials | APRN |
| Gender | Female |
| NPI Issued | 09/12/2018 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Mary Carter, APRN's current license status, disciplinary history, and board certifications with the Tennessee Board of Medical Examiners in Tennessee before relying on this page for a clinical or care decision.
How we sourced this profile
Profile fields combine the CMS NPPES monthly snapshot (provider directory, taxonomy, and address) with calendar-year 2023 Medicare Part D and MIPS public-use files when records are present. NPI 1700369006 is the unique 10-digit identifier CMS uses to link Carter across every Medicare, Medicaid, and HIPAA-covered transaction. Read full methodology →
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Group practice
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 Mary Carter, APRN. Source: openpaymentsdata.cms.gov.
Total received
$271
Largest payer
ABBVIE 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
12% brand-name claims vs 87% generic, on 3,636 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.
Prescribing Breakdown
- 30-Day Fills
- 5,177
- Total Day Supply
- 147,781
- Brand vs Generic
- 12% brand / 87% generic
- Brand Drug Cost
- $1.4M
- Generic Drug Cost
- $72K
- Opioid Claims
- 385 (10.6% rate)
- Antibiotic Claims
- 70
Patient Demographics
- Average Patient Age
- 67.5 years
- Avg HCC Risk Score
- 1.53
- Gender Split
- 71% female / 29% male
- Age Distribution
- <65: 146, 65-74: 207, 75-84: 93, 85+: 18
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Mary Carter, APRN prescribes most
Top Medicare Part D drugs by claim count, 2023
- Gabapentin
Gabapentin
293 claims
- Prednisone
Prednisone
215 claims
- Duloxetine Hcl
Duloxetine Hcl
183 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
173 claims
- Hydroxychloroquine…
Hydroxychloroquine Sulfate
136 claims
- Methotrexate
Methotrexate
134 claims
- Pregabalin 108
Pregabalin
108 claims
- Tramadol Hcl 106
Tramadol Hcl
106 claims
| Drug | Claims |
|---|---|
| Gabapentin | 293 |
| Prednisone | 215 |
| Duloxetine Hcl | 183 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 173 |
| Hydroxychloroquine Sulfate | 136 |
| Methotrexate Methotrexate Sodium | 134 |
| Pregabalin | 108 |
| Tramadol Hcl | 106 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 104 |
| Tizanidine Hcl | 90 |
* 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 Mary Carter, APRN fits within the Family Nurse Practitioner landscape nationally.
Mary Carter, APRN's 3,636 claims are above the specialty average of 1,222.
Nationwide Family Nurse Practitioner peers with similar MIPS or enrollment year
Two federal-record peer sets for Carter, both outside Tennessee so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (68.3 here).
Same NPPES enumeration year (2018)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Nurse Practitioner Providers in Tennessee
Other clinicians with the same primary specialty enrolled in Tennessee, drawn from the same CMS NPPES roster as Carter.
One of 7,834 Family Nurse Practitioner providers enrolled in Tennessee, 5 are shown here.
Compare Family Nurse Practitioner nationally: see state-by-state distribution →
Frequently Asked Questions
What is Mary Carter, APRN's specialty? ▼
How much does Mary Carter, APRN prescribe under Medicare Part D? ▼
What is Mary Carter, APRN's Medicare quality score? ▼
Where is Mary Carter, APRN located? ▼
What is Mary Carter, APRN's NPI number? ▼
Does Mary Carter, APRN prescribe more brand-name or generic drugs? ▼
Does Mary Carter, APRN prescribe opioids? ▼
How many Family Nurse Practitioner providers are there in the US? ▼
What drugs does Mary Carter, APRN prescribe most often? ▼
Does Mary Carter, APRN accept Medicare? ▼
How can I verify Mary Carter, APRN's credentials? ▼
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
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.
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